CMS Price Transparency Data

Psychological testing by technician

Facility: NYU Langone Hospitals

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $244
Cash Discount Price: $12
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at NYU Langone Hospitals is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.53x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

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: $12 (3%)

Insurance Median: $244 (53%)

Cash: $12 (3% of Medicare)

Ins. Median: $244 (53% 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
Magnacare	$32	7%
Fidelis	$37 - $550	8%
Healthfirst	$37 - $550	8%
Healthplus	$37 - $550	8%
Aetna	$38 - $64	8%
Cigna	$38	8%
Ghi	$40 - $472	9%
Hip	$40 - $472	9%
Amida	$41	9%
1199	$46	10%
Multiplan	$50	11%
Medicaid / KanCare	$200 - $244	44%
Metroplus	$200 - $935	44%
UnitedHealthcare	$200 - $550	44%
Somos	$210 - $330	46%
Oxford	$359 - $410	79%
Medicare (plans)	$472	103%
Wellcare	$472	103%
Centerlight	$482	106%
Hamaspik	$708	155%
Blue Cross Blue Shield	$928 - $1,160	203%

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 $12.
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 NYU Langone Hospitals 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.