CMS Price Transparency Data

Psychological testing by technician

Facility: University of Alabama Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $335
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Alabama Hospital is $335. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.73x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$335

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$456.4

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $456.4 (100%)

Insurance Median: $335 (73%)

Ins. Median: $335 (73% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $456.4 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Viva	$14 - $361	3%
University Of Alabama	$197	43%
UnitedHealthcare	$214 - $357	47%
Aetna	$240	53%
Coventry	$256 - $318	56%
North Alabama Managed Care	$256	56%
Cigna	$264 - $382	58%
Comp One	$284	62%
Construction Claims Management	$295	65%
Alamed	$296	65%
Corvel	$315	69%
Evolutions	$315 - $355	69%
Healthcare Alliance	$315	69%
Novanet	$315 - $355	69%
Prime Health Services	$315 - $355	69%
Select Value Care	$315	69%
Starcare	$315	69%
Tethys	$315	69%
Multiplan	$323	71%
Humana	$329 - $386	72%
Department Of Labor	$335	73%
Geha	$335	73%
Gulf Health Plans	$335	73%
Heritage Summit Health	$335	73%
Mississippi Physicians	$335	73%
Phifer	$335	73%
Preferred Health Partnership	$335	73%
Southern Nuclear	$335	73%
Vantage Health Plan	$335	73%
Galaxy Health Network	$355	78%
National Provider Network	$355	78%
North Mississippi Health Link	$355	78%
Birmingham Fc	$357	78%
Blue Cross Blue Shield	$357	78%
Cooper Green	$357	78%
Davita Villagehealth	$357	78%
Jefferson County Sheriff	$357	78%
Triwest	$357	78%
Ambetter / Centene	$491	108%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96138.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Alabama Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96138.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.