CMS Price Transparency Data

Psychological testing by technician

Facility: Perham Health

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $57
Cash Discount Price: $86
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Perham Health is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.12x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $86 (19%)

Insurance Median: $57 (12%)

Cash: $86 (19% of Medicare)

Ins. Median: $57 (12% 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
Blue Cross Blue Shield	$27 - $112	6%
Health Partners Mcr Adv	$34 - $56	7%
Humana	$34 - $56	7%
Medica Mcr Adv	$34 - $56	7%
Medicare (plans)	$34 - $62	7%
Ucare Mn Senior Health Options	$34 - $56	7%
Ucare Mn Special Needs Basic Care Dual	$35 - $59	8%
UnitedHealthcare	$35 - $129	8%
Medica Mcaid Mn Care	$36 - $60	8%
Medicaid / KanCare	$36 - $59	8%
Ucare Mn Medical Assistance	$36 - $59	8%
Ucare Mn Minnesota Care	$36 - $59	8%
Ucare Mn Senior Care Plus	$36 - $59	8%
Ucare Mn Special Needs Basic Care	$36 - $59	8%
Medica Mn (Msho)	$41 - $68	9%
Ucare Individual And Family Plan-All Other Plans	$41 - $68	9%
Medica Mn Senior Hp/Outside Mn	$45 - $75	10%
Health Partners Minnesota Care	$50 - $82	11%
Medica Commercial-All Other Plans	$72 - $121	16%
Preferred One (Pchp, Pic, Pas)-All Other Plans	$74 - $124	16%
Health Partners-All Plans	$81 - $135	18%
Preferred One (Ppo)	$84 - $140	18%
Sanford Health Plan-All Plans	$84 - $140	18%

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 $86.
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 Perham Health 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.