CMS Price Transparency Data

Psychological testing by technician

Facility: The Heart Hospital Baylor Denton

Billing Code: 96138 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$408

about 0.9× the $456 Medicare rate · typically $101–$408

modeled estimate · not a bill or quote

What this hospital charges insurers

$383

About the fair price

about $25 under the fair price · 0.8× Medicare

Medicare pays $456 Fair price $408 This hospital $383 Cash price $257 Hospital's list price $428

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $383

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing by technician is about $408 (about 0.9× the $456 Medicare rate). The Heart Hospital Baylor Denton charges insurers about $383, or about $257 in cash — about the fair price. Located in Denton, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$266 - $420	58%
Blue Cross Blue Shieldmajor	$67 - $384	15%
Aetnamajor	$235	51%
Cignamajor	$211 - $248	46%
Humanamajor	$299 - $366	66%
Ambetter (Centene)	$757	166%
Baylor Scott & White	$211 - $603	46%
Cigna HealthSpring	$384	84%
Health Net	$235	51%
+ 6 smaller / regional plans	$235 - $384

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 257), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm The Heart Hospital Baylor Denton is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at The Heart Hospital Baylor Denton

Compare: Psychological testing by technician at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.