CMS Price Transparency Data

Psychological testing by technician

Facility: Uh Cleveland Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $187
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Uh Cleveland Medical Center is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.41x the Medicare baseline. Located in 11100 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$203

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $203 (44%)
Insurance Median: $187 (41%)
Cash: $203 (44% of Medicare)
Ins. Median: $187 (41% 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
Medical Mutual Of Ohio $76 - $370 17%
University Health Employee Plan (Contigo) $108 24%
Amish Aid Community Plan $135 30%
Amish Church Fund And Workers Aid Plan $135 30%
Buckeye Plain Ministries $135 30%
Christian Healthcare Ministries $135 30%
Immergrun $135 30%
Sunrise Plain Communities $135 30%
Blue Cross Blue Shield $143 - $370 31%
Jp Farley $147 32%
Cigna $151 - $370 33%
Clarity $151 33%
Enterprise Group Planning $151 33%
Health Ohio Network $157 34%
Aetna $163 - $658 36%
UnitedHealthcare $164 - $370 36%
Healthsmart $176 39%
Ohio Health Choice $176 - $243 39%
The Health Plan $176 - $370 39%
Summacare $184 - $370 40%
Medical Mutual Traditional/Health Ohio $189 41%
Beech Street $216 - $243 47%
Ohio Preferred Network $216 - $243 47%
First Health $224 49%
Century Health Network $230 50%
Private Healthcare System $232 51%
Configurenet $243 53%
Fortified Provider Network $243 53%
Multiplan $243 53%
Devoted Health $370 81%
Humana $370 81%
Molina $370 81%
Primetime Health Plan $370 81%
Wellcare By Allwell $370 81%
Paramount $381 83%
Perennial Advantage Of Ohio $388 85%
Valor Health Plans $388 85%
Ambetter / Centene $666 146%
Caresource $666 146%
Aultcare $740 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals