CMS Price Transparency Data

Psychological testing by technician

Facility: Milton S Hershey Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $493
Cash Discount Price: $859
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Milton S Hershey Medical Center is $493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $859. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 1.08x the Medicare baseline. Located in 500 University Drive, Hershey, PA.

Cash / Self-Pay

$859

Average discount available for prompt cash payment at this facility.

Insurance Median

$493

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: $859 (188%)

Insurance Median: $493 (108%)

Cash: $859 (188% of Medicare)

Ins. Median: $493 (108% 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
[Amerihealth Caritas]	$403 - $474	88%
[Highmark Wholecare]	$403 - $474	88%
[Geisinger]	$426 - $1,933	93%
[Health Partners Plans]	$441 - $483	97%
[Pa Health & Wellness]	$443 - $488	97%
[Cbc]	$467 - $1,718	102%
[Highmark]	$469 - $2,548	103%
Aetna	$479 - $1,757	105%
Humana	$479	105%
[Healthspring]	$479	105%
UnitedHealthcare	$483 - $1,870	106%
[Upmc]	$483 - $1,916	106%
[Point Comfort Underwriters]	$592	130%
Cigna	$1,658	363%
[Highmark Aca]	$1,784	391%
[Preferred Healthcare Systems]	$1,946	426%
[Highmark Choice Blue]	$2,038	447%
[First Health]	$2,075	455%
[Multiplan]	$2,075	455%

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 $859.
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 Milton S Hershey 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.