CMS Price Transparency Data
Psychological testing by technician
Facility: Trinity Health Muskegon Hospital
Billing Code: 96138 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96138
- Insurance Median: $16
- Cash Discount Price: $14
- vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Trinity Health Muskegon Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.04x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$14
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $14 (3%)
Insurance Median: $16 (4%)
Cash: $14 (3% of Medicare)
Ins. Median: $16 (4% 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 |
|---|---|---|
| Aetna | $9 - $14 | 2% |
| Bcn Domestic | $10 | 2% |
| Blue Benefit Administrators Of Massachusetts | $10 | 2% |
| Blue Care Network | $10 | 2% |
| Blue Cross Blue Shield | $10 | 2% |
| Blue Distinction Transplant | $10 | 2% |
| Blue Shield - Ca | $10 | 2% |
| Blue Shield - Id (Regence) | $10 | 2% |
| Blue Shield - Ny Highmark Northeastern | $10 | 2% |
| Blue Shield - Ny Highmark Western | $10 | 2% |
| Blue Shield - Pa (Highmark) | $10 | 2% |
| Blue Shield - Wa (Regence) | $10 | 2% |
| Health Choices | $10 - $17 | 2% |
| Kaiser Domestic | $10 | 2% |
| Acs Benefit Services | $11 | 2% |
| Allied Benefit Systems | $11 | 2% |
| Asr Health Benefits | $11 | 2% |
| Claimchoice Adminstrators | $11 | 2% |
| Consociate | $11 | 2% |
| Cypress Benefit Administrators | $11 | 2% |
| Forest County Potawatomi | $11 | 2% |
| Hap | $11 - $17 | 2% |
| Health Smart | $11 | 2% |
| Healthgram | $11 | 2% |
| Healthscope | $11 | 2% |
| Preferred One | $11 | 2% |
| Secureone Preferred United Plans | $11 | 2% |
| Sisco Benefits | $11 | 2% |
| The Health Plan | $11 | 2% |
| Trustmark Small Business Benefits | $11 | 2% |
| Unified Group Services | $11 | 2% |
| Wc Accident Fund | $11 | 2% |
| Wc Advantage | $11 | 2% |
| Wc Aig | $11 | 2% |
| Wc Allied | $11 | 2% |
| Wc Amerisure | $11 | 2% |
| Wc Amtrust | $11 | 2% |
| Wc Asu Risk Mgt | $11 | 2% |
| Wc Berkley Admin | $11 | 2% |
| Wc Broadspire | $11 | 2% |
| Wc Bunch & Associates | $11 | 2% |
| Wc Ccmsi | $11 | 2% |
| Wc Emc Insurance Company | $11 | 2% |
| Wc Esis | $11 | 2% |
| Wc Fcci | $11 | 2% |
| Wc Federated | $11 | 2% |
| Wc Gallagher Bassett | $11 | 2% |
| Wc Genex Care For Ohio | $11 | 2% |
| Wc Guard Insurance Company | $11 | 2% |
| Wc Hartford | $11 | 2% |
| Wc Liberty Mutual | $11 | 2% |
| Wc Meijers | $11 | 2% |
| Wc Michigan | $11 | 2% |
| Wc Mitchell Frankenmuth | $11 | 2% |
| Wc Pma | $11 | 2% |
| Wc Sedgwick | $11 | 2% |
| Wc Sentry | $11 | 2% |
| Wc Travelers | $11 | 2% |
| Wc Tristar | $11 | 2% |
| Wc Walmart | $11 | 2% |
| Wc Zurich | $11 | 2% |
| Webtpa | $11 | 2% |
| Hospice Of Michigan | $12 | 3% |
| Nomi Health | $12 | 3% |
| Varipro | $12 | 3% |
| Caresource | $13 | 3% |
| Cigna | $13 | 3% |
| Geha | $14 - $18 | 3% |
| Meritain | $14 | 3% |
| 1199 National Benefit Fund | $16 | 4% |
| Allied National Global Care | $16 | 4% |
| Asrm - Reliance Standard Life Insurance | $16 | 4% |
| Christian Care Ministry | $16 | 4% |
| Dean Health | $16 | 4% |
| Fallon Health | $16 | 4% |
| Family Life Insurance Company | $16 | 4% |
| Ghc Scw | $16 | 4% |
| Group Pension Administrators | $16 | 4% |
| International Benefit Administrators | $16 | 4% |
| Lifetime Benefit Solutions | $16 | 4% |
| Manhattan Life | $16 | 4% |
| Medi Share | $16 | 4% |
| Multiplan | $16 | 4% |
| Mvp | $16 | 4% |
| Pai | $16 | 4% |
| Pan-American Life | $16 | 4% |
| Paramount Hmo | $16 | 4% |
| Phcs | $16 | 4% |
| Trinity Health Share | $16 | 4% |
| Acclaim | $17 | 4% |
| Administrative Concepts | $17 | 4% |
| Allegeant | $17 | 4% |
| Ameriben | $17 | 4% |
| American Family | $17 | 4% |
| American Healthcare Alliance | $17 | 4% |
| American Republic | $17 | 4% |
| Amerihealth | $17 | 4% |
| Aultcare | $17 | 4% |
| Automated Benefit Services | $17 | 4% |
| Auxiant | $17 | 4% |
| Benefit Administrative Systems,Llc | $17 | 4% |
| Boon Chapman | $17 | 4% |
| Cam Administrative Services | $17 | 4% |
| Christian Brother Services | $17 | 4% |
| Christian Brothers Holy Cross | $17 | 4% |
| Comprehensive Benefits | $17 | 4% |
| Continental Life Insurance | $17 | 4% |
| Custom Benefit Administrators | $17 | 4% |
| Employee Benefit Concepts | $17 | 4% |
| Employee Benefit Management | $17 | 4% |
| Enterprise Group Planning | $17 | 4% |
| First Health | $17 | 4% |
| Freedom Life Insurance Company | $17 | 4% |
| Group Administrators | $17 | 4% |
| Group Marketing Services | $17 | 4% |
| Guardian | $17 | 4% |
| Health America | $17 | 4% |
| Healthez | $17 | 4% |
| Humana | $17 | 4% |
| Insight | $17 | 4% |
| Intercare | $17 | 4% |
| Jfp Benefit Management | $17 | 4% |
| Jp Farley Corporation | $17 | 4% |
| Key Benefit Administrator | $17 | 4% |
| Liberty Union Life Assurance Co | $17 | 4% |
| Lucent Health | $17 | 4% |
| Luminare Health | $17 | 4% |
| Luminare Health (Detroit) | $17 | 4% |
| Medben | $17 | 4% |
| Medcost | $17 | 4% |
| Medical Mutual | $17 | 4% |
| Mutual Health Services | $17 | 4% |
| Mutual Of Omaha | $17 | 4% |
| Ncas | $17 | 4% |
| Nippon Life Ins | $17 | 4% |
| Nova | $17 | 4% |
| Painters Union Insurance Fund | $17 | 4% |
| Physicians Mutual | $17 | 4% |
| Plumbers Local 98 Insurance Fund | $17 | 4% |
| Prairie States | $17 | 4% |
| Primary Physician Care | $17 | 4% |
| Professional Benefit Administrators | $17 | 4% |
| The Loomis Company | $17 | 4% |
| U Of M Health Plan | $17 - $66 | 4% |
| Unicare | $17 | 4% |
| Us Health And Life | $17 | 4% |
| Valenz | $17 | 4% |
| Western & Southern Financial Group | $17 | 4% |
| Wps | $17 | 4% |
| UnitedHealthcare | $18 | 4% |
| Barinet | $21 | 5% |
| Cmh Allegan County | $21 | 5% |
| Cmh Barry County | $21 | 5% |
| Cmh Berrien County | $21 | 5% |
| Cmh Cass County | $21 | 5% |
| Cmh Kalamazoo | $21 | 5% |
| Cmh Kent County | $21 | 5% |
| Cmh Misc | $21 | 5% |
| Cmh Muskegon County | $21 | 5% |
| Cmh North Country | $21 | 5% |
| Cmh Northern Lakes County | $21 | 5% |
| Cmh Ottawa County | $21 | 5% |
| Cmh Van Buren County | $21 | 5% |
| Cmh West Mi County | $21 | 5% |
| Priority Health | $22 | 5% |