CMS Price Transparency Data

Psychological testing by technician

Facility: Temple Health - Chestnut Hill Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $420
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Temple Health - Chestnut Hill Hospital is $420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.92x the Medicare baseline. Located in 8835 Germantown Avenue, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$420

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%)

Insurance Median: $420 (92%)

Ins. Median: $420 (92% 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	$65 - $1,261	14%
Cigna	$76 - $477	17%
Upmc Health Plan	$92 - $482	20%
Keystone First	$143 - $468	31%
Pennsylvania Health And Wellness	$146 - $849	32%
Geisinger	$174 - $477	38%
Aetna	$342 - $496	75%
Health Partners Plans	$344 - $482	75%
UnitedHealthcare	$379 - $459	83%
Devon Health	$452 - $469	99%
Point Comfort	$459	101%
Innovage	$468	103%
Vibra	$468	103%
Humana	$473	104%
Gateway Health Plan	$482	106%
Sunrise	$505	111%
Elder Health	$551	121%
Naphcare	$688	151%
Occunet	$688	151%

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 $X.
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 Temple Health - Chestnut Hill Hospital 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.