CMS Price Transparency Data

Psychological testing by technician

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $235
Cash Discount Price: $201
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Baylor Scott & White Medical Center - Round Rock is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.51x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $201 (44%)

Insurance Median: $235 (51%)

Cash: $201 (44% of Medicare)

Ins. Median: $235 (51% 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	$65 - $374	14%
Superior Health Plan	$67 - $356	15%
Baylor Scott & White Health Plan	$122 - $588	27%
Cigna	$159 - $202	35%
Aetna	$185 - $374	41%
Midcoast	$185	41%
Quiktrip	$185	41%
University Of Mary Hardin-Baylor	$195	43%
Independent Medical System	$201	44%
Curative	$218	48%
Humana	$218 - $356	48%
UnitedHealthcare	$232 - $410	51%
First Health	$235	51%
Healthsmart	$235 - $252	51%
Bluebell Creameries	$252	55%
Private Health Care System	$252	55%
Three Rivers	$302	66%
Triwest	$356	78%
Corvel	$373	82%
Prime Health Services	$373	82%
American Health Plan	$374	82%
Healthspring	$374	82%
Procare Advantage	$374	82%
Injury Management Organization	$443	97%
Careworks Fka Rockport	$533	117%
Sedgwick	$533	117%

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 $201.
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 Baylor Scott & White Medical Center - Round Rock 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.