CMS Price Transparency Data

Psychological testing by technician

Facility: Alexian Brothers Medical Center 1

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $416
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Alexian Brothers Medical Center 1 is $416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.91x the Medicare baseline. Located in 800 Biesterfield Rd, Elk Grove Village, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$416

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%)
Insurance Median: $416 (91%)
Ins. Median: $416 (91% 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
Cigna $83 - $85 18%
Blue Cross Blue Shield $87 - $728 19%
Aetna $90 - $437 20%
County Care $90 20%
Family Health Plan $90 20%
Harmony Health Plan $90 20%
Illinicare $90 20%
Medicaid / KanCare $90 20%
Meridian $90 20%
Aarp $395 87%
UnitedHealthcare $395 - $420 87%
Covid-19 Uninsured $416 91%
Humana $416 91%
Medicare (plans) $416 - $428 91%
Molina Healthcare Of Illinois $428 94%
Bright Health $520 114%
Smarthealth $582 128%
Actin Care $645 141%
Ambetter / Centene $674 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Biesterfield Rd, Elk Grove Village, IL 60007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals