CMS Price Transparency Data

Psychological testing by technician

Facility: Rush University Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $539
Cash Discount Price: $312
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Rush University Medical Center is $539. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 1.18x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$312

Average discount available for prompt cash payment at this facility.

Insurance Median

$539

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: $312 (68%)

Insurance Median: $539 (118%)

Cash: $312 (68% of Medicare)

Ins. Median: $539 (118% 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
Cigna	$187 - $624	41%
Blue Cross Blue Shield	$200 - $733	44%
Aetna	$270 - $624	59%
UnitedHealthcare	$353 - $842	77%
Molina Fide-Snp	$498	109%
Meridian Dnsp	$503	110%
Devoted Mcr Adv - All Plans	$624	137%
Humana	$624	137%
Wellcare Mcr Adv - All Plans	$624	137%
Ambetter / Centene	$646	142%
Molina Exch - All Other Plans	$651	143%
Zing Hlth Mcr Adv - All Plans	$661	145%
County Care Mcaid - All Plans	$733	161%
Meridian Mcaid - All Other Plans	$733	161%
Molina Mcaid	$777	170%

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 $312.
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 Rush University 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.