CMS Price Transparency Data

Psychological testing by technician

Facility: Shepherd Center, Inc.

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $254
Cash Discount Price: $196
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Shepherd Center, Inc. is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.56x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$254

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: $196 (43%)

Insurance Median: $254 (56%)

Cash: $196 (43% of Medicare)

Ins. Median: $254 (56% 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
Medicare (plans)	$34 - $376	7%
Blue Cross Blue Shield	$35 - $42	8%
Kaiser	$39	9%
UnitedHealthcare	$48	11%
Cigna	$51	11%
Coventry	$51 - $254	11%
Aetna	$54 - $376	12%
Paradigm Wc	$192	42%
Secure Health	$235	51%
Humana	$253	55%
Coventry Wc	$254	56%
Alamed Wc	$274	60%
Fcci Wc	$274	60%
Multiplan	$293	64%
Evolution Wc	$313	69%
Prime Health Wc	$313 - $352	69%
Corvel Wc	$332	73%
Novanet Wc	$332	73%

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 $196.
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 Shepherd Center, Inc. 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.