Psychological testing by technician
Facility: Overland Park Reg Med Ctr
Billing Code: 96138 (CPT)
- CPT Billing Code: 96138
- Insurance Median: $132
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.29x 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 |
|---|---|---|
| Amerigroup | $129 | 28% |
| United | $129 | 28% |
| Healthyblue | $132 | 29% |
| Medicaid / KanCare | $133 | 29% |
| Unicare | $134 | 29% |
| Aetna | $134 | 29% |
Consumer Guidance & Cost Commentary
For the CPT code 96138, "Psychological testing by technician," the facility in Overland Park, KS, has a median negotiated rate of $132.00 across six payers, ranging from $129 to $134. This rate is significantly higher than the Medicare benchmark of $456.40, which serves as the federal baseline for the true cost of this service. While commercial insurance contracts often result in rates 200% to 300% of the Medicare amount, patients should be aware that cash-pay options may offer a lower total cost if the insurance negotiated rate exceeds the cash price. Since cash rates are not listed in this report, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront.
To ensure you are not overcharged, request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Avoid accepting summary bills that obscure individual charges, and instead demand a detailed statement showing specific CPT codes and unit costs. Additionally, verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can lead to unexpected out-of-pocket expenses. If you receive a surprise bill, dispute it in writing with the billing supervisor rather than settling verbally, and consider checking state or county average rates to confirm the facility's pricing is reasonable relative to the local market.