CMS Price Transparency Data

Psychological testing by technician

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $400
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Christus Southeast Texas- St Elizabeth is $400. 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 0.88x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$400

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: $400 (88%)
Ins. Median: $400 (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
Blue Cross Blue Shield $83 - $400 18%
UnitedHealthcare $178 - $400 39%
Aetna $400 88%
Allwell $400 88%
Arcadian Health Plan $400 88%
Christus Health $400 - $560 88%
Community Health Choice $400 88%
Coventry $400 88%
Humana $400 88%
Molina $400 88%
Texas Healthspring $400 88%
Triwest $400 88%
Wellcare $400 88%
Provider Partners Health Plan $412 90%
Texas Independence Health Plan $412 90%
Shared Health Insurance Company $420 92%
Us Imaging Network $428 94%
Amerigroup $432 95%
Devoted Health Plan $432 95%
Imperial Health Plan $440 96%
Medicare (plans) $440 96%
Procare Advantage $440 96%
Adv Cardiovas Specialist $799 175%
Naphcare Inc. $799 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals