CMS Price Transparency Data

Psychological testing by technician

Facility: Baptist Medical Center - Nassau

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $414
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Baptist Medical Center - Nassau is $414. 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 0.91x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$414

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: $414 (91%)
Ins. Median: $414 (91% 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
Corvel $39 9%
Coventry Workers Comp $39 9%
Amerigroup Of Georgia $394 86%
Daniel Memorial $394 86%
Humana $394 86%
Nassaua County Sheriff'S Office $394 86%
Community Hospice Of Northeast Florida $401 88%
Pace $401 88%
Tomorrow'S Rainbow $401 88%
Va Ccn $401 88%
UnitedHealthcare $405 89%
Aetna $409 - $473 90%
Simply Healthcare Plans $414 - $473 91%
Simply Healthcare Plans - Cha $414 91%
Florida Community Care $421 - $434 92%
Devoted $425 93%
Amerihealth Caritas $434 95%
Sunshine State Health Plan $434 95%
United Community Plan $434 95%
Vivida Health $434 95%
Upmc $441 97%
Molina Healthcare Of Florida $469 103%
Ambetter / Centene $961 211%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals