CMS Price Transparency Data

Psychological testing by technician

Facility: Navicent Health Baldwin

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $1,772
Cash Discount Price: $2,531
vs. Medicare Baseline: 3.88x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Navicent Health Baldwin is $1,772. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,531. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 3.88x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$2,531

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,772

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: $2,531 (555%)

Insurance Median: $1,772 (388%)

Cash: $2,531 (555% of Medicare)

Ins. Median: $1,772 (388% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 388% of the Medicare baseline (a markup of 288%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$30 - $4,201	7%
Blue Cross Blue Shield	$30 - $3,796	7%
Care Source	$30 - $397	7%
Clover	$30 - $397	7%
Eon Health	$30 - $397	7%
Georgia Health Advantage	$30 - $389	7%
Humana	$30 - $4,303	7%
UnitedHealthcare	$30 - $4,100	7%
Pruitt Health	$31 - $389	7%
Alliant	$36 - $2,480	8%
Ambetter / Centene	$40 - $2,582	9%
Securehealth	$1,772	388%
Multiplan	$3,290 - $4,050	721%
Cigna	$3,898	854%
Novanet	$4,050	887%
Three Rivers Provider Network	$4,303	943%

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 $2,531.
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 Navicent Health Baldwin 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.