CMS Price Transparency Data

Psychological testing by technician

Facility: University of Arkansas Medical Sciences

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $394
Cash Discount Price: $262
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Arkansas Medical Sciences is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.86x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$394

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%)

Cash / Self-Pay: $262 (57%)

Insurance Median: $394 (86%)

Cash: $262 (57% of Medicare)

Ins. Median: $394 (86% 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
Blue Cross Blue Shield	$358 - $394	78%
Health Advantage	$358	78%
Triwest	$371	81%
Medicare (plans)	$383 - $391	84%
Va	$383	84%
Aetna	$387	85%
Tribute Health	$387	85%
Wellcare By Allwell	$391	86%
Wellcare Non	$391	86%
Humana	$394	86%
Primewell Health Services	$394 - $1,076	86%
UnitedHealthcare	$394 - $395	86%
Cigna	$398	87%
Essence Healthcare	$398	87%
Devoted Health Plan	$402	88%
Ambetter / Centene	$563	123%
Northwest Health Plan	$649	142%
Qualchoice Novasys	$649	142%
Vantos	$651	143%

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 $262.
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 Arkansas Medical Sciences 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.