CMS Price Transparency Data

Psychological testing by technician

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $110
Cash Discount Price: $88
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Guthrie Cortland Regional Medical Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.24x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $88 (19%)

Insurance Median: $110 (24%)

Cash: $88 (19% of Medicare)

Ins. Median: $110 (24% 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
Pa Health And Wellness	$41	9%
Mvp	$71 - $528	16%
UnitedHealthcare	$77 - $518	17%
Emblem	$88 - $544	19%
Blue Cross Blue Shield	$89 - $544	20%
Cdphp	$110	24%
Fidelis	$110	24%
Fidelis Essential	$110	24%
Freedom Blue	$110	24%
Tricare	$110 - $518	24%
Wellcare	$110 - $528	24%
Health Partners	$449	98%
Aetna	$483 - $533	106%
Amerihealth	$483 - $533	106%
Geisinger	$483	106%
Humana	$483 - $536	106%
Icircle	$483 - $544	106%
Upmc	$483	106%

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 $88.
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 Guthrie Cortland Regional Medical Center 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.