CMS Price Transparency Data

Psychological testing by technician

Facility: Deaconess Illinois Crossroads

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $130
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Deaconess Illinois Crossroads is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.28x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $58 (13%)
Insurance Median: $130 (28%)
Cash: $58 (13% of Medicare)
Ins. Median: $130 (28% 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
Aetna $31 - $424 7%
Blue Cross Blue Shield $31 - $416 7%
Humana $31 - $416 7%
Meridian Health Plan $31 - $416 7%
Molina Healthcare Of Illinois $31 - $420 7%
Mytru Advantage $31 - $416 7%
Umwa $31 - $416 7%
UnitedHealthcare $31 - $416 7%
Wellcare $31 - $416 7%
Alliance Coal $43 - $686 9%
Deaconess Onecare $46 10%
Alter-Net Medical Services, Inc. $49 - $1,186 11%
Noncontracted $49 - $666 11%
Self-Pay $58 13%
Cigna $64 14%
Prime Health Services $124 27%
Guardian Resources, Inc. $139 30%
Healthcare'S Finest Network (Hfn) $140 31%
Medicalcontrol Network Solutions $140 31%
National Provider Network $140 31%
Three Rivers Provider Network $144 32%
Beech Street $145 32%
Care Improvement Plus $424 93%
Hope Trust $1,186 260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals