CMS Price Transparency Data

Psychological testing by technician

Facility: University of Missouri Health Care

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $300
Cash Discount Price: $240
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Missouri Health Care is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $240. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.66x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$240

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $240 (53%)

Insurance Median: $300 (66%)

Cash: $240 (53% of Medicare)

Ins. Median: $300 (66% 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
Medica With Mu Health	$56 - $140	12%
Aetna	$109 - $387	24%
Immergun	$140	31%
Blue Cross Blue Shield	$245 - $387	54%
Coventry Health Plan	$260	57%
Healthlink	$260	57%
Coventry Health Plan National	$300	66%
Mercy	$300	66%
Cox Health Network	$320	70%
Cigna	$340	74%
Multiplan	$352	77%
UnitedHealthcare	$379	83%
American Health Management	$387	85%
Humana	$387	85%
Wellcare	$387	85%
Provider Partners Health Plan	$394	86%

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 $240.
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 Missouri Health Care 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.