CMS Price Transparency Data

Psychological testing by technician

Facility: St Luke's Nampa Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $850
Cash Discount Price: $1,062
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at St Luke's Nampa Medical Center is $850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,062. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 1.86x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$1,062

Average discount available for prompt cash payment at this facility.

Insurance Median

$850

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: $1,062 (233%)

Insurance Median: $850 (186%)

Cash: $1,062 (233% of Medicare)

Ins. Median: $850 (186% 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	$650 - $1,207	142%
Commercial [1028]	$650 - $1,207	142%
Mountain Health Co-Op [1067]	$650 - $690	142%
Pacificsource [1020]	$650 - $796	142%
Select Health [1063]	$650 - $1,030	142%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$650 - $1,030	142%
St Lukes Health Plan [1046]	$650 - $1,030	142%
Aetna	$850 - $956	186%
Cigna	$850	186%
Providence [1022]	$850	186%
Webtpa [1071]	$850 - $903	186%
Geha [1065]	$871	191%
United Medical Resources [1051]	$871	191%
UnitedHealthcare	$871	191%
First Health [1064]	$876 - $903	192%
Moda [1055]	$935	205%
Regence [1005]	$1,147 - $1,207	251%
Blue Shield Alt [100401]	$1,207	264%
Regence Out Of State [1004]	$1,207	264%

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 $1,062.
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 St Luke's Nampa Medical Center 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.