CMS Price Transparency Data

Psychological testing by technician

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $253
Cash Discount Price: $217
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Baylor Scott & White Medical Center - Marble Falls is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.55x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $217 (48%)

Insurance Median: $253 (55%)

Cash: $217 (48% of Medicare)

Ins. Median: $253 (55% 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 - $369	14%
Superior Health Plan	$65 - $351	14%
Baylor Scott & White Health Plan	$132 - $580	29%
Cigna	$186 - $218	41%
Aetna	$199	44%
Midcoast	$199	44%
Quiktrip	$199	44%
UnitedHealthcare	$200 - $404	44%
University Of Mary Hardin-Baylor	$210	46%
Independent Medical System	$217	48%
Curative	$235	51%
Humana	$235 - $351	51%
First Health	$253	55%
Healthsmart	$253 - $271	55%
Bluebell Creameries	$271	59%
Private Health Care System	$271	59%
Three Rivers	$326	71%
Triwest	$351	77%
Corvel	$368	81%
Prime Health Services	$368	81%
American Health Plan	$369	81%
Healthspring	$369	81%
Procare Advantage	$369	81%
Sedgwick	$525	115%

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 $217.
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 - Marble Falls 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.