CMS Price Transparency Data

Psychological testing by technician

Facility: Maury Regional Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $361
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Maury Regional Hospital is $361. 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 0.79x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$361

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: $361 (79%)
Ins. Median: $361 (79% 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 $7 - $371 2%
Wellpoint $313 - $464 69%
Wellpoint Tci $313 69%
Humana $319 - $371 70%
Cigna $349 - $371 76%
Farm Bureau Health Plans $349 - $371 76%
Medicare (plans) $349 - $371 76%
Blue Cross Blue Shield $354 - $384 78%
Aetna $359 - $383 79%
Nhc $359 - $383 79%
Wellcare Harmony Health $359 - $383 79%
American Health Plans $360 - $371 79%
Medrisk $520 114%
State Of Tennessee $520 114%
Ambetter / Centene $650 - $877 142%
Oscar $890 - $947 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals