CMS Price Transparency Data

Psychological testing by technician

Facility: University of Illinois Hospital and Clinics

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $47
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at University of Illinois Hospital and Clinics is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.10x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $40 (9%)
Insurance Median: $47 (10%)
Cash: $40 (9% of Medicare)
Ins. Median: $47 (10% 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.

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
Molina $28 - $57 6%
Aetna $35 - $62 8%
Coventry $35 - $37 8%
Health Alliance $35 - $47 8%
Longevity Health Plan $35 8%
Sinai Medical Group $35 8%
United $35 - $58 8%
UnitedHealthcare $35 8%
Zing Health $35 8%
Clear Springs Health $36 8%
Village Md $36 - $43 8%
Wellcare $36 8%
Blue Cross Blue Shield $38 - $57 8%
Uic Physician Group $38 8%
Evernorth $39 9%
Union Health Service $42 9%
Dolton Medical Associates $43 9%
Mac Neal Health Providers $43 9%
Mercy Physician Association $43 9%
Unified Physicians Network $43 9%
West Suburban Health Providers $43 9%
Lake County Physician Associates $45 10%
Northshore Physician Association $45 10%
Northwest Primary Care Alliance $45 10%
Southwest Physician Group Ltd $45 10%
Valenz $46 10%
Fox Valey Medicine Ltd $47 10%
Oak West Primary Care Alliance $47 10%
Campus Care $52 11%
Healthsmart $52 11%
The Alliance $52 11%
Cigna $55 12%
Healthlink $55 - $83 12%
Caterpillar $57 12%
County Care Health Plan $57 12%
Humboldt Park Health Partners $57 12%
Meridian $57 12%
Physicians Health Association Of Il $57 12%
Resurrection Phys Provider Group $57 12%
Youthcare Healthchoice $57 12%
Multiplan $73 - $110 16%
Equian $110 24%
Zelis $110 24%
Integrated Health Plan $121 27%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals