CMS Price Transparency Data

Psychological testing by technician

Facility: Shands Jacksonville

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $473
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Shands Jacksonville is $473. 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 1.04x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$473

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: $473 (104%)
Ins. Median: $473 (104% 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.

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
Aetna $434 - $443 95%
Carelon Health $434 95%
Humana $434 - $471 95%
Positive Healthcare Partners $441 - $513 97%
Florida Community Care $454 99%
Ameri-Plus Preferred Care $466 102%
Blue Cross Blue Shield $466 102%
Capital Health Plan $466 102%
Amerihealth Caritas Florida $473 104%
Community Care Plan $473 104%
Molina $473 - $521 104%
Simply Healthcare $473 104%
Beacon Health Strategies $480 105%
Careplus Health Plan $480 105%
Florida Health Care Plan $480 - $721 105%
UnitedHealthcare $485 106%
Devoted Health Plan $490 - $513 107%
Wellcare Of Florida $546 120%
Florida Complete Care $583 128%
Wellpath $661 145%
Ambetter / Centene $665 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals