CMS Price Transparency Data

Psychological testing by technician

Facility: Flagstaff Medical Center

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$281

about 0.6× the $456 Medicare rate · typically $82–$559

modeled estimate · not a bill or quote

What this hospital charges insurers

$461

Above the fair price

about $180 over the fair price · 1.0× Medicare

Medicare pays $456 Fair price $281 This hospital $461 Cash price $373 Hospital's list price $747

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $461

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $281 (about 0.6× the $456 Medicare rate). Flagstaff Medical Center charges insurers about $461, or about $373 in cash — above the fair price. Located in Flagstaff, AZ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $281. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$261 - $747	57%
Blue Cross Blue Shieldmajor	$262 - $548	57%
Aetnamajor	$461 - $636	101%
Cignamajor	$672	147%
Humanamajor	$461 - $710	101%
Ambetter (Centene)	$529	116%
Devoted Health	$40 - $484	9%
Health Net	$271 - $437	59%
WellCare	$461	101%
+ 14 smaller / regional plans	$36 - $5,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 373), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm Flagstaff Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Flagstaff Medical Center

Compare: Psychological testing by technician at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.