CMS Price Transparency Data

Psychological testing by technician

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $210
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at University of Texas M. D. Anderson Cancer Center is $210. 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 0.46x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$210

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: $210 (46%)

Ins. Median: $210 (46% 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
Tricare	$29 - $215	6%
Vacare	$29 - $654	6%
Aetna	$32 - $215	7%
Medicare (plans)	$41 - $126	9%
Blue Cross Blue Shield	$60 - $207	13%
Cigna	$77 - $223	17%
Texaschildrens	$96 - $126	21%
Humana	$157 - $221	34%
UnitedHealthcare	$183 - $215	40%
Memorialhermannhealth	$187 - $215	41%
Ontarioministriesofhealth	$194 - $212	43%
Beijingst.Lucia	$196 - $215	43%
Embassyofqatar	$196 - $215	43%
Emergingtherapysolutions_Cancercare	$210 - $230	46%
Interlink_Cancercare	$210 - $230	46%
Saudiarmedforces	$210 - $230	46%
Uae_Medical	$210 - $230	46%
Uaepoliceattache	$210 - $230	46%
Emergingtherapysolutions	$215 - $230	47%
Interlink	$215 - $244	47%
Healthsmart	$223 - $244	49%
Vantage	$223 - $244	49%
Multiplan	$236 - $247	52%
Phcs	$236 - $247	52%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.