CMS Price Transparency Data

Psychological testing by technician

Facility: University of Colorado Hospital Authority

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $401
Cash Discount Price: $285
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Colorado Hospital Authority is $401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.88x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$401

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: $285 (62%)

Insurance Median: $401 (88%)

Cash: $285 (62% of Medicare)

Ins. Median: $401 (88% 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
Select Health	$78 - $401	17%
Blue Cross Blue Shield	$132 - $479	29%
Rocky Mountain Health Plan	$266 - $415	58%
Denver Health Medical Plan	$301 - $432	66%
Simplified Benefits Administration	$315 - $336	69%
Kaiser Public Option	$318	70%
Cigna	$327 - $423	72%
Aetna	$340 - $402	74%
UnitedHealthcare	$389 - $1,635	85%
Cms	$401	88%
Devoted Health	$401	88%
Humana	$401	88%
Kaiser	$401 - $478	88%
Phcs	$448	98%
Multiplan	$489	107%
First Health	$570	125%
Midlands Choice	$570	125%

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 $285.
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 Colorado Hospital Authority 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.