CMS Price Transparency Data

Psychological testing by technician

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $176
Cash Discount Price: $176
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Iowa Health Care Medical Center Down is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.39x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$176

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

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: $176 (39%)

Insurance Median: $176 (39%)

Cash: $176 (39% of Medicare)

Ins. Median: $176 (39% 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
Immergrun	$63	14%
UnitedHealthcare	$95 - $375	21%
Iowa Total Care	$101 - $390	22%
Molina Healthcare	$101	22%
Blue Cross Blue Shield	$121 - $379	27%
Healthpartners	$126 - $383	28%
Medical Associates	$126 - $169	28%
Quad City Community Healthcare	$126 - $189	28%
Midlands Choice	$132 - $164	29%
Aetna	$151 - $375	33%
Oscar Health	$159	35%
Great River Health Systems	$176	39%
Aplos Health Plan	$202	44%
Sedgwick	$202	44%
Global Excel	$214	47%
Sanford Health Plan	$214	47%
Sisco	$222	49%
Employee Benefit Systems	$227	50%
Healthsmart	$227	50%
Hfn	$232	51%
Multiplan	$232	51%
Wellpoint (Amerigroup)	$394	86%

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 $176.
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 University of Iowa Health Care Medical Center Down 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.