CMS Price Transparency Data

Psychological testing by technician

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $182
Cash Discount Price: $71
vs. Medicare Baseline: 0.40x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Ochsner Medical Center - Baton Rouge is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.40x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $71 (16%)

Insurance Median: $182 (40%)

Cash: $71 (16% of Medicare)

Ins. Median: $182 (40% 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
Zelis	$25	5%
Blue Cross Blue Shield	$55 - $367	12%
Claritev D/B/A Multiplan/Phcs/American Life Care	$133	29%
Healthcomp & Personify Health (Formerly Gilsbar)	$133	29%
Louisiana Workers' Compensation Corporation (Lwcc)	$166	36%
Mississippi Physicians Care Network	$166	36%
Aetna	$177	39%
First Health Network	$177	39%
Prime Health Services Ppo	$188	41%
Usa Managed Care Network	$188	41%
Cigna	$208	46%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$367	80%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$367	80%
Humana	$367	80%
Medicare (plans)	$367	80%
Ochsner Health Plan	$367	80%
Tricare	$367	80%
UnitedHealthcare	$367 - $465	80%

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 $71.
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 - Baton Rouge 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.