CMS Price Transparency Data

Psychological testing by technician

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $95
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Mary Hitchcock Memorial Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.21x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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%)

Insurance Median: $95 (21%)

Ins. Median: $95 (21% 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
Harvard Pilgrim Health Care Of Ne	$25 - $137	5%
Blue Cross Blue Shield	$35 - $1,738	8%
Martin'S Point Generations Advantage	$35 - $447	8%
Martin'S Point Health Care	$35 - $447	8%
Mvp	$35 - $455	8%
UnitedHealthcare	$35 - $447	8%
Aetna	$36 - $460	8%
Ambetter / Centene	$36 - $961	8%
Cigna	$36 - $460	8%
Wellcare Health Plans	$36 - $464	8%
Wellsense Health Plan	$36 - $469	8%
Amerihealth Caritas Nh	$71 - $76	16%
Beacon Health Strategies/Carelon	$71 - $74	16%
Granite State Health Plan	$71 - $78	16%
Mass General Brigham Health Plan	$111	24%
Tufts Health Plan	$122 - $155	27%

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 $X.
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 Mary Hitchcock Memorial Hospital 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.