Psychological testing by technician
Facility: Menorah Medical Center
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," at Menorah Medical Center in Overland Park, Kansas, the negotiated rates range from $129 to $134 across six major payers, including Amerigroup, United, and Healthyblue. These commercial rates are significantly higher than the Medicare benchmark of $456.40, which serves as the federal baseline for cost. While the facility's negotiated rates are lower than the typical commercial markup seen elsewhere, they remain above the cash price, which is not available for this service. Patients with high-deductible plans should be aware that paying cash upfront could sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, though no cash rate is currently listed for this procedure.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details before scheduling. If you are self-paying, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if paid in full within a short window. Additionally, if you receive a bill, request a full itemized CPT-coded statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute.