CMS Price Transparency Data

Psychological testing by technician

Facility: Mid-Columbia Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $46
Cash Discount Price: $53
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Mid-Columbia Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.10x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $53 (12%)

Insurance Median: $46 (10%)

Cash: $53 (12% of Medicare)

Ins. Median: $46 (10% 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
Blue Cross Blue Shield	$37 - $68	8%
Community Hp Mcr Adv - All Plans	$37	8%
Molina Mcr Adv	$37	8%
Tricare	$37	8%
Va Ccn Triwest - All Plans	$37	8%
Healthnet Mcr Adv	$38	8%
Humana	$39	9%
Moda Mcr Adv	$39	9%
Devoted Mcr Adv - All Plans	$40	9%
Employee Health Plan - All Plans	$41	9%
Molina - All Other Plans	$41	9%
Healthnet - All Other Plans	$51	11%
Molina Mcaid	$57	12%
Providence Ppo - All Plans	$58	13%
Cigna	$63	14%
Multiplan/Phcs - All Plans	$64	14%
Coventry - All Plans	$66	14%
First Choice - All Plans	$67	15%
Moda Health Plan - All Other Plans	$74	16%
Amerigroup Mcaid - All Plans	$110	24%
Coordinated Care Mcaid - All Plans	$110	24%
Aetna	$989	217%

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 $53.
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 Mid-Columbia 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.