CMS Price Transparency Data

Psychological testing by technician

Facility: Incline Village Community Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $121
Cash Discount Price: $134
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Incline Village Community Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.27x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $134 (29%)

Insurance Median: $121 (27%)

Cash: $134 (29% of Medicare)

Ins. Median: $121 (27% 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	$36 - $121	8%
Medicare (plans)	$52	11%
Aetna	$118	26%
Prominence Healthfirst - All Plans	$118	26%
Admar Multiplan - All Plans	$121	27%
First Health - All Plans	$121	27%
Great West/One Health - All Plans	$121	27%
Hometown Hp - All Plans	$121	27%
Humana	$121	27%
Interplan - All Plans	$121	27%
Multiplan - All Plans	$121	27%
Phcs - All Plans	$121	27%
UnitedHealthcare	$121	27%
Cigna	$123	27%
Beech Street/Capp Care - All Plans	$127	28%
Healthnet - All Plans	$127	28%
Uhn - All Plans	$127	28%
Sierra Health - All Plans	$130	28%
Ca Hlth And Wellness - All Plans	$137	30%

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 $134.
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 Incline Village Community 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.