CMS Price Transparency Data

Psychological testing by technician

Facility: Hackensack University Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $514
  • Cash Discount Price: $470
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Hackensack University Medical Center is $514. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 1.13x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$470

Average discount available for prompt cash payment at this facility.

Insurance Median
$514

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: $470 (103%)
Insurance Median: $514 (113%)
Cash: $470 (103% of Medicare)
Ins. Median: $514 (113% 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
Karna $63 14%
Clover $112 25%
Aetna $156 - $593 34%
Seoul Medical Group $178 39%
Horizon $308 - $608 67%
UnitedHealthcare $376 - $1,673 82%
Intergroup $436 96%
Bergen Risk $467 102%
Blue Cross Blue Shield $470 103%
Vaccn $470 103%
Wellcare $470 103%
Lhp Health $492 108%
United Community/Americhoice $493 108%
Cigna $498 - $603 109%
Activecare First McO $530 116%
Chn $530 116%
Multiplan - PHCS $530 116%
Qualcare $549 120%
Brighton Health Plan $561 123%
Amerihealth $623 137%
Oxford $1,635 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals