CMS Price Transparency Data

Psychological testing by technician

Facility: Lds Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96138
  • Insurance Median: $64
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Psychological testing by technician at Lds Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.14x the Medicare baseline. Located in 8Th Avenue and C Street, Salt Lake City, UT.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $67 (15%)
Insurance Median: $64 (14%)
Cash: $67 (15% of Medicare)
Ins. Median: $64 (14% 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.

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
Donor Connect $23 5%
Selecthealth $24 - $526 5%
Health Plan Of Nevada $27 - $452 6%
Aetna $32 - $497 7%
American Health $32 - $452 7%
Blue Cross Blue Shield $32 - $470 7%
Health Partners Of Nevada $32 - $452 7%
Humana $32 - $475 7%
Molina $32 - $497 7%
Southwest Behavioral Health $32 - $363 7%
UnitedHealthcare $32 - $452 7%
Intermountain Caregiver Plan $38 - $84 8%
Emi $48 11%
Deseret Mutual $51 - $52 11%
Cigna $56 - $76 12%
Awh Connected $57 - $58 12%
Byu Risk Management $62 - $65 14%
Corporation Of The President $62 - $65 14%
Emi Health $62 14%
Pehp $62 - $79 14%
Wcf Insurance $62 - $65 14%
Byu Athletics $64 14%
Campbell Scientific $64 14%
Corvel Corporation $64 14%
Franklin County $64 14%
Ifit $64 14%
Juniper Systems $64 14%
Lw Miller $64 14%
Managed Care Admin $64 - $70 14%
Tanner Llc $64 14%
Utah Tech $64 14%
Injury Care Of Nevada $67 15%
Prodegi Corp Benefit $73 16%
Uofu $73 16%
Springtide $74 16%
Altius Mhnet Behavioral Health $76 17%
First Choice $76 17%
Global Excel $76 17%
Medcare International $76 17%
Motivhealth $76 17%
Utah Behavioral Health Network $76 17%
Wise Network $76 17%
Hygeia Corporation $80 18%
Triwest $383 84%
Healthy U $452 99%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8Th Avenue and C Street, Salt Lake City, UT 84143
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals