CMS Price Transparency Data

Psychological testing by technician

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $190
Cash Discount Price: $438
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Memorial Hospital for Cancer and Allied Diseases is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.42x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$438

Average discount available for prompt cash payment at this facility.

Insurance Median

$190

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: $438 (96%)

Insurance Median: $190 (42%)

Cash: $438 (96% of Medicare)

Ins. Median: $190 (42% 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
Emblem	$21 - $490	5%
Aetna	$39 - $495	9%
Fidelis	$39 - $485	9%
Healthfirst	$39 - $431	9%
Metroplus	$39 - $413	9%
Cigna	$110 - $484	24%
Empire	$153 - $1,271	34%
Oxford	$159 - $495	35%
Magnacare	$173 - $508	38%
Urn	$187 - $451	41%
UnitedHealthcare	$188 - $495	41%
6 Degrees Health	$192 - $495	42%
Multiplan	$216 - $572	47%

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 $438.
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 Memorial Hospital for Cancer and Allied Diseases 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.