CMS Price Transparency Data

Psychological testing by technician

Facility: Ochsner Medical Center Acute

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $95
Cash Discount Price: $25
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Ochsner Medical Center Acute is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.21x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $25 (5%)

Insurance Median: $95 (21%)

Cash: $25 (5% of Medicare)

Ins. Median: $95 (21% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Christus Health Exchange Plan	$33	7%
Aetna	$56 - $61	12%
Blue Cross Blue Shield	$61 - $366	13%
Cigna	$73	16%
First Health Network	$84	18%
Louisiana Workers' Compensation Corporation (Lwcc)	$84	18%
Mississippi Physicians Care Network	$84	18%
Healthcomp & Personify Health (Formerly Gilsbar)	$88	19%
Claritev D/B/A Multiplan/Phcs/American Life Care	$90	20%
Zelis	$90	20%
Employers Health Network (Ehn)	$95	21%
Prime Health Services Ppo	$95	21%
Usa Managed Care Network	$95	21%
Behavioral Health Systems	$101	22%
Evolutions Healthcare	$101	22%
Galaxy Health Network Ppo	$101	22%
Galaxy Health Network Wc	$101	22%
Tricare	$144 - $366	32%
UnitedHealthcare	$233 - $366	51%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$366	80%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$366	80%
Humana	$366	80%
Medicare (plans)	$366	80%
Ochsner Health Plan	$366	80%
Pace New Orleans	$403	88%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $25.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96138.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center Acute is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96138.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.