CMS Price Transparency Data

Psychological testing by technician

Facility: Bellevue Hospital Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $214
  • Cash Discount Price: $461
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Bellevue Hospital Center is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $461. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.47x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$461

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $461 (101%)
Insurance Median: $214 (47%)
Cash: $461 (101% of Medicare)
Ins. Median: $214 (47% 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 $20 - $481 4%
Aetna $35 - $257 8%
Affinity $35 - $481 8%
Blue Cross Blue Shield $39 - $529 9%
Centerlight $39 - $472 9%
Elderplan $39 - $472 9%
Fidelis $39 - $671 9%
Carelon $40 - $214 9%
Wellcare $40 - $498 9%
Centers Plan For Healthy Living $41 - $491 9%
Hamaspik $41 9%
United Behavioral Health $45 - $235 10%
Oscar $49 - $708 11%
Local 1199 $83 - $562 18%
United $159 - $496 35%
Oxford $184 - $496 40%
Metroplus $198 - $521 43%
Amidacare $214 47%
Senior Whole Health $214 47%
Carelon (Amida Care) $218 48%
Vnsny $218 - $472 48%
Emblem $267 - $289 59%
Magnacare $374 - $496 82%
Vaccn $472 103%
Cigna $496 109%
Multiplan $529 116%
Villagecare Max $691 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals