CMS Price Transparency Data

Psychological testing by technician

Facility: Geisinger-Lewistown Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $523
Cash Discount Price: $649
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Geisinger-Lewistown Hospital is $523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $649. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 1.15x the Medicare baseline. Located in 400 Highland Avenue, Lewistown, PA.

Cash / Self-Pay

$649

Average discount available for prompt cash payment at this facility.

Insurance Median

$523

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: $649 (142%)

Insurance Median: $523 (115%)

Cash: $649 (142% of Medicare)

Ins. Median: $523 (115% 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	$343 - $1,167	75%
Geisinger Health Plan	$387 - $1,814	85%
Medicare (plans)	$387	85%
Upmc Health Plan	$387 - $11,890	85%
Advantra	$391	86%
Humana	$391	86%
Aetna	$427 - $508	94%
Cigna	$452 - $550	99%
UnitedHealthcare	$463	101%
Christian Healthcare Ministries	$523	115%
Christian Health Aid	$837	183%
Three Rivers Provider Network Inc.	$837	183%
Multiplan	$889	195%
Ambetter / Centene	$929	204%
Healthsmart Payors Organization	$941	206%

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 $649.
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 Geisinger-Lewistown 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.