CMS Price Transparency Data

Psychological testing by technician

Facility: Long Island Community Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $64
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Long Island Community Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.14x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $8 (2%)
Insurance Median: $64 (14%)
Cash: $8 (2% of Medicare)
Ins. Median: $64 (14% 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
Aarp $64 14%
Aetna $64 14%
Agewell $64 14%
Beacon Health Options $64 14%
Blue Cross Blue Shield $64 14%
Centerlight $64 14%
Cigna $64 14%
Coventry $64 14%
Elderplan Inc. $64 14%
Emblem Ghi $64 14%
Fidelis $64 14%
Galaxy $64 14%
Humana $64 14%
Integra $64 14%
Local 1199 $64 14%
Longevity Health $64 14%
Magellan $64 14%
Medicare (plans) $64 14%
Multiplan $64 14%
Nexus Nyu $64 14%
Oscar Health Exchange $64 14%
UnitedHealthcare $64 14%
Wellcare $64 14%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals