CMS Price Transparency Data

Psychological testing by technician

Facility: Ascension Seton Southwest

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $387
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Ascension Seton Southwest is $387. 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 0.85x the Medicare baseline. Located in 7900 Fm 1826, Austin, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$387

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: $387 (85%)

Ins. Median: $387 (85% 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
Champva	$36	8%
Blue Cross Blue Shield	$39 - $95	9%
Aarp Mc Wellmed	$379	83%
Sendero Chap	$383	84%
Addr Cancer Together	$387	85%
Aetna	$387	85%
Covid Hrsa	$387	85%
Cshcn Cidc	$387	85%
Devoted Health Mcr Replacement	$387	85%
Humana	$387	85%
Medicare (plans)	$387	85%
Research Study	$387	85%
Smarthealth	$387	85%
Superior Allwell	$387	85%
Tricare	$387	85%
Wellcare Med Advantage	$387	85%
UnitedHealthcare	$394	86%
Connected Senior Care	$398	87%
Pphp Mcr Advantage	$406	89%
Tx Independence Hp	$406	89%
Occunet	$541	119%
Sendero Idealcare	$677	148%
Ambetter / Centene	$696	152%

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 Ascension Seton Southwest 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.