CMS Price Transparency Data

Psychological testing by technician

Facility: Ochsner Lafayette General Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $30
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Ochsner Lafayette General Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.07x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $13 (3%)
Insurance Median: $30 (7%)
Cash: $13 (3% of Medicare)
Ins. Median: $30 (7% 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
Verity Commercial And First Choice Network $13 3%
Zelis $23 5%
UnitedHealthcare $25 - $37 5%
Aetna $30 - $46 7%
Blue Cross Blue Shield $30 - $72 7%
Healthy Blue Dual Advantage (Hmo-D-Snp) $30 7%
Humana $30 7%
Medicare (plans) $30 7%
Ochsner Health Plan $30 7%
Tricare $30 7%
Wellcare Of Louisiana $30 7%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $31 7%
Cigna $35 8%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1214 Coolidge Avenue, Lafayette, LA 70503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals