CMS Price Transparency Data

Psychological testing by technician

Facility: Childrens Medical Ctr of Dallas

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $295
Cash Discount Price: $316
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Childrens Medical Ctr of Dallas is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.65x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$295

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%)

Cash / Self-Pay: $316 (69%)

Insurance Median: $295 (65%)

Cash: $316 (69% of Medicare)

Ins. Median: $295 (65% 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
Aetna	$28 - $295	6%
Humana	$28 - $316	6%
Medicaid / KanCare	$28	6%
Oklahoma Complete Health	$28	6%
Superior Health Plan	$88	19%
Firstcare Health	$101	22%
Parkland Community	$139	30%
Cookchildren'S Health Plan	$143	31%
Molina Healthcare	$147	32%
Carelon	$156 - $206	34%
Texas Children'S Health Plan	$160	35%
Wellpoint	$160	35%
Blue Cross Blue Shield	$168 - $286	37%
UnitedHealthcare	$223 - $316	49%
Methodist	$240	53%
Cigna	$278 - $290	61%
Employers Health Network	$295	65%
Imagine Health	$295	65%
Scott & White	$299	66%
Txp Emerging Therapy Solutions	$299	66%
Healthsmart	$307 - $358	67%
Healthscope Benefit Solutions	$316	69%
Phcs	$316	69%
Quiktrip (Qt)	$316	69%
Txp Interlink	$316	69%
Coventry Health	$337	74%
Equifax Healthcare	$358	78%
Multiplan	$358	78%
Usa Managed Care	$392	86%
Galaxy Health	$408	89%

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 $316.
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 Childrens Medical Ctr of Dallas 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.