CMS Price Transparency Data

Psychological testing by technician

Facility: UF Health Shands Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $470
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at UF Health Shands Hospital is $470. 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 1.03x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$470

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: $470 (103%)

Ins. Median: $470 (103% 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	$401 - $466	88%
UnitedHealthcare	$401 - $485	88%
Vha	$401	88%
Beacon Health Strategies	$434	95%
Humana	$434 - $471	95%
Sunshine State Health Plan	$434	95%
Positive Healthcare Partners	$441	97%
Aetna	$453 - $454	99%
Florida Community Care	$454	99%
Capital Health Plan	$466	102%
North Central Hospice	$466	102%
Wellcare	$466	102%
Simply Healthcare	$470	103%
Amerihealth Caritas Florida	$473	104%
Community Care Plan	$473	104%
Molina	$473	104%
Careplus	$480	105%
Carelon Health	$495	108%
Ghilcrest County	$501	110%
Levy County	$501	110%
Ahf Mco Of Fl	$513	112%
Devoted Health Plan	$513	112%
Freedom Health- Inc./Optimum Healthcare- Inc.	$513	112%
Wellpath	$641	140%
Ambetter / Centene	$665	146%
Florida Health Care Plan	$721	158%

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 UF Health Shands 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.