CMS Price Transparency Data

Psychological testing by technician

Facility: University of Michigan Health System

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $428
Cash Discount Price: $245
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Michigan Health System is $428. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.94x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$428

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: $245 (54%)

Insurance Median: $428 (94%)

Cash: $245 (54% of Medicare)

Ins. Median: $428 (94% 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
Point Comfort Underwriters Unaccompanied Children Program	$263	58%
Priority Health [1038]	$282 - $399	62%
Metrocare	$288	63%
Blue Care Network Of Michigan	$292	64%
Blue Cross Blue Shield	$292	64%
Medicaid / KanCare	$306	67%
UnitedHealthcare	$318 - $447	70%
Hap [1023]	$336 - $459	74%
Aetna	$351 - $430	77%
Confinity Advantage	$353	77%
Plain Church Group	$367	80%
Beaumont Health Network	$428	94%
Mclaren Health Plan Inc	$428	94%
Nomi Health	$428	94%
Provider Network Of America	$428	94%
First Agency	$459	101%
Parkview Health Plan Services	$459	101%
Cofinity	$466	102%
Paramount Health Care	$508	111%
Bronson Healthcare Group	$520	114%
First Health	$520	114%
Multiplan	$520	114%
Priority Health	$650	142%

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 $245.
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 University of Michigan Health System 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.