CMS Price Transparency Data

Psychological testing by technician

Facility: Greeneville Community Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $403
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Greeneville Community Hospital is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.88x the Medicare baseline. Located in 1420 Tusculum Boulevard, Greeneville, TN.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $164 (36%)
Insurance Median: $403 (88%)
Cash: $164 (36% of Medicare)
Ins. Median: $403 (88% 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.

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
UnitedHealthcare $6 - $846 1%
Amerigroup $177 - $397 39%
Sentara Health $281 - $382 62%
Aetna $382 - $465 84%
Humana $382 84%
Managed Medicaire $382 84%
Medicare (plans) $382 84%
United Mine Workers Of America $382 84%
Blue Cross Blue Shield $386 - $846 85%
Cigna $401 - $506 88%
Devoted Health Plan $401 88%
Mountain Empire Pace $401 88%
Nhc Advantage $401 88%
Wellcare $405 - $1,090 89%
Medcost $519 114%
Ambetter / Centene $833 183%
Optima Health $846 185%
First Health Coventry $872 191%
Molina Healthcare $1,090 239%
Seven Corners, Inc. $1,090 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals