CMS Price Transparency Data

Psychological testing by technician

Facility: UPMC Presbyterian Shadyside

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$203

about 0.4× the $456 Medicare rate · typically $48–$432

modeled estimate · not a bill or quote

What this hospital charges insurers

$149

Below the fair price — a good deal

about $54 under the fair price · 0.3× Medicare

Medicare pays $456 Fair price $203 This hospital $149 Cash price $857 Hospital's list price $1,429

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $60 Priciest $149

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychological testing by technician is about $203 (about 0.4× the $456 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $149, or about $857 in cash — below the fair price — a good deal. Located in Pittsburgh, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$276 - $411	60%
Blue Cross Blue Shieldmajor	$22 - $411	5%
Aetnamajor	$257 - $418	56%
Cignamajor	$411	90%
Humanamajor	$1,215	266%
AmeriHealth	$411	90%
Fidelis Care	$1,072	235%
Geisinger	$786	172%
UPMC Health Plan	$51 - $670	11%
+ 6 smaller / regional plans	$411 - $1,215

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 857), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm UPMC Presbyterian Shadyside is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UPMC Presbyterian Shadyside

Compare: Psychological testing by technician at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.