Psychological testing by technician
Facility: Labette Health
Billing Code: 96138 (CPT)
- CPT Billing Code: 96138
- Insurance Median: $369
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $11 | 2% |
| Medicaid / KanCare | $130 - $369 | 28% |
| Healthy Blue | $132 | 29% |
| UnitedHealthcare | $369 | 81% |
| Wellcare | $369 | 81% |
| Humana | $369 | 81% |
| Blue Cross Blue Shield | $369 | 81% |
| Kansas Superior Select | $380 | 83% |
| Ambetter / Centene | $424 | 93% |
| Montgomery County | $675 | 148% |
Consumer Guidance & Cost Commentary
For the CPT code 96138, representing psychological testing by a technician at Labette Health in Parsons, KS, the facility's negotiated rates range from $11 to $675 across ten payers, with a median negotiated amount of $369. This facility is a government-owned acute care hospital, and while specific cash and median paid values are not reported, patients should note that cash-pay options can sometimes be more affordable than insurance negotiated rates, particularly for those with high-deductible plans. Since the facility is in-network for major carriers like UnitedHealthcare and Humana at a rate of $369, patients are protected from balance billing for these services under the No Surprises Act, though they should still verify their specific plan's deductible status before scheduling to avoid unexpected out-of-pocket costs.
To ensure you are receiving the most accurate pricing, it is recommended to request a full itemized bill rather than accepting a summary invoice, as hospitals may obscure individual code costs in broad categories. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, while the facility's location in Parsons, KS (ZIP 67357) does not provide explicit county or state average comparisons in this dataset, comparing your final allowed amount to the Medicare benchmark of $456.40 can help you understand the facility's pricing structure relative to federal cost standards. Always dispute any unexpected charges in writing to ensure accuracy and avoid potential errors in your medical debt.