CMS Price Transparency Data

Psychological testing by technician

Facility: Jacobi Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $234
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Jacobi Medical Center is $234. 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 0.51x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $234 (51%)
Ins. Median: $234 (51% 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
Healthfirst $32 - $496 7%
Aetna $35 - $257 8%
Carelon $40 - $221 9%
Wellcare $44 10%
United Behavioral Health $45 - $243 10%
Blue Cross Blue Shield $168 - $529 37%
Oxford $184 40%
United $184 - $276 40%
Metroplus $204 - $496 45%
Amidacare $221 48%
Fidelis $221 - $671 48%
Senior Whole Health $221 48%
Affinity $225 - $496 49%
Carelon (Amida Care) $225 49%
Vnsny $225 - $472 49%
Emblem $276 - $298 60%
Centerlight $330 72%
Magnacare $374 - $496 82%
Elderplan $472 103%
Vaccn $472 103%
Centers Plan For Healthy Living $491 108%
Cigna $496 109%
Multiplan $529 116%
Local 1199 $562 123%
Villagecare Max $562 123%
Oscar $708 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals