CMS Price Transparency Data

Psychological testing by technician

Facility: Englewood Hospital and Medical Center

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$440

about 1.0× the $456 Medicare rate · typically $106–$469

modeled estimate · not a bill or quote

What this hospital charges insurers

$470

About the fair price

about $30 over the fair price · 1.0× Medicare

Medicare pays $456 Fair price $440 This hospital $470

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $470

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $440 (about 1.0× the $456 Medicare rate). Englewood Hospital and Medical Center charges insurers about $470 — about the fair price. Located in Englewood, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$470	103%
Blue Cross Blue Shieldmajor	$470	103%
Aetnamajor	$470 - $775	103%
Humanamajor	$470	103%
Amerigroup	$470	103%
AmeriHealth	$470 - $845	103%
Clover Health	$470	103%
WellCare	$508	111%
+ 6 smaller / regional plans	$21 - $484

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm Englewood Hospital and Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Englewood Hospital and Medical Center

Compare: Psychological testing by technician at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.