Psychological testing by technician
Facility: Kingman Healthcare Center
Billing Code: 96138 (CPT)
- CPT Billing Code: 96138
- Insurance Median: $30
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.07x 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 |
|---|---|---|
| Healthy Blue | $30 | 7% |
| Triwest | $30 | 7% |
| Medicaid / KanCare | $30 | 7% |
Consumer Guidance & Cost Commentary
For the CPT code 96138, "Psychological testing by technician," the Kingman Healthcare Center in Kingman, KS, has a negotiated rate of $30.00 across three payers, including Healthy Blue, Triwest, and Medicaid/KanCare. This negotiated amount is significantly lower than the Medicare benchmark of $456.40, reflecting the facility's status as a Voluntary non-profit Critical Access Hospital. While cash prices are not listed in this report, patients with high-deductible plans should consider that paying cash upfront might be cheaper than the insurance negotiated rate if the facility offers a prompt-pay discount, which can range from 20% to 50% off the billed amount. It is essential to ask the hospital directly about self-pay or prompt-pay rates before scheduling to avoid unexpected costs, as commercial negotiated rates often include administrative overhead that can make them higher than direct cash payments.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify network status and avoid signing away rights via consent waivers for out-of-network ancillary services. If a patient receives an itemized bill that appears inflated, they should request a full line-by-line audit to identify errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes. By comparing the facility's rates to the Medicare benchmark rather than the hospital's inflated chargemaster list, consumers can better understand the true cost of care and ensure they are not overpaying for services rendered in Kingman, KS.