CMS Price Transparency Data

Psychological testing by technician

Facility: Intermountain Health Layton Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $59
Cash Discount Price: $61
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Intermountain Health Layton Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.13x the Medicare baseline. Located in 201 West Layton Parkway, Layton, UT.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $61 (13%)

Insurance Median: $59 (13%)

Cash: $61 (13% of Medicare)

Ins. Median: $59 (13% 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
Selecthealth	$21 - $517	5%
Donor Connect	$22	5%
Health Plan Of Nevada	$24 - $452	5%
Aetna	$32 - $497	7%
American Health	$32 - $470	7%
Blue Cross Blue Shield	$32 - $470	7%
Health Partners Of Nevada	$32 - $452	7%
Healthy U	$32 - $452	7%
Humana	$32 - $475	7%
Molina	$32 - $497	7%
UnitedHealthcare	$32 - $452	7%
Intermountain Caregiver Plan	$35 - $84	8%
Emi	$44	10%
Deseret Mutual	$47	10%
Cigna	$51 - $69	11%
Awh Connected	$52 - $53	11%
Emi Health	$56	12%
Byu Risk Management	$57 - $59	12%
Corporation Of The President	$57 - $59	12%
Pehp	$57 - $81	12%
Wcf Insurance	$57 - $59	12%
Byu Athletics	$59	13%
Campbell Scientific	$59	13%
Corvel Corporation	$59	13%
Franklin County	$59	13%
Ifit	$59	13%
Juniper Systems	$59	13%
Lw Miller	$59	13%
Tanner Llc	$59	13%
Utah Tech	$59	13%
Injury Care Of Nevada	$61	13%
Managed Care Admin	$64	14%
Prodegi Corp Benefit	$67	15%
Uofu	$67	15%
Springtide	$68	15%
Global Excel	$69	15%
Management And Training Corp	$69	15%
Medcare International	$69	15%
Motivhealth	$69	15%
Wise Network	$69	15%
Hygeia Corporation	$73	16%
Triwest	$383	84%

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 $61.
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 Intermountain Health Layton Hospital 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.