CMS Price Transparency Data

Psychological testing by technician

Facility: Baylor University Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $297
  • Cash Discount Price: $257
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Baylor University Medical Center is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $257. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.65x the Medicare baseline. Located in 3500 Gaston Ave, Dallas, TX.
Cash / Self-Pay
$257

Average discount available for prompt cash payment at this facility.

Insurance Median
$297

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: $257 (56%)
Insurance Median: $297 (65%)
Cash: $257 (56% of Medicare)
Ins. Median: $297 (65% 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
Blue Cross Blue Shield $67 - $383 15%
Superior Health Plan $81 - $383 18%
Wellpoint (Fka Amerigroup) $81 - $375 18%
Texas Workforce Commission $154 34%
Baylor Scott & White Health Plan $211 - $601 46%
Cigna $211 - $248 46%
Aetna $235 - $364 51%
Employers Health Network $235 51%
Quiktrip $235 51%
University Of Mary Hardin-Baylor $248 54%
UnitedHealthcare $266 - $419 58%
Imagine Health $268 59%
Curative $278 61%
First Health $299 66%
Healthsmart $299 - $321 66%
Humana $299 - $364 66%
Private Health Care System $321 70%
Triwest $364 80%
Corvel $382 84%
Prime Health Services $382 84%
American Health Plan $383 84%
Healthspring $383 84%
Molina $383 84%
Procare Advantage $383 84%
Ambetter / Centene $754 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 Gaston Ave, Dallas, TX 75246
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals