CMS Price Transparency Data

Psychological testing by technician

Facility: Christus Santa Rosa Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $375
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Christus Santa Rosa Medical Center is $375. 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 0.82x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$375

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: $375 (82%)

Ins. Median: $375 (82% 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
Blue Cross Blue Shield	$55 - $375	12%
UnitedHealthcare	$315 - $387	69%
Aetna	$375 - $394	82%
Allwell	$375 - $387	82%
Christus Health	$375 - $525	82%
Coventry	$375	82%
Humana	$375 - $387	82%
Molina	$375	82%
Superior	$375	82%
Texas Healthspring	$375	82%
Triwest	$375 - $387	82%
Wellcare	$375 - $387	82%
Provider Partners Health Plan	$386 - $398	85%
Texas Independence Health Plan	$386	85%
Washington National	$387	85%
Shared Health Insurance Company	$393 - $406	86%
Cigna	$398	87%
Us Imaging Network	$401	88%
Amerigroup	$405 - $418	89%
Devoted Health Plan	$405 - $418	89%
Imperial Health Plan	$412	90%
Medicare (plans)	$412	90%
Procare Advantage	$412	90%
Employer Direct	$450	99%
Gilsbar Inc.	$487	107%
Naphcare Inc.	$749	164%

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 Christus Santa Rosa Medical 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.