CMS Price Transparency Data

Psychological testing by technician

Facility: Christus St Michael Health System

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $392
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Christus St Michael Health System is $392. 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 0.86x the Medicare baseline. Located in 2600 St Michael Dr, Texarkana, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$392

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: $392 (86%)
Ins. Median: $392 (86% 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 $99 - $392 22%
UnitedHealthcare $241 - $392 53%
Aetna $392 86%
Christus Health $392 - $548 86%
Coventry $392 86%
Humana $392 86%
Molina $392 86%
Texas Healthspring $392 86%
Triwest $392 86%
Windsor $392 86%
Provider Partners Health Plan $403 88%
Texas Independence Health Plan $403 88%
Shared Health Insurance Company $411 90%
Tribute Health Plan $411 90%
Us Imaging Network $419 92%
Amerigroup $423 93%
Imperial Health Plan $431 94%
Medicare (plans) $431 94%
Procare Advantage $431 94%
State Of Oklahoma $664 145%
Naphcare Inc. $783 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 St Michael Dr, Texarkana, TX 75503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals