CMS Price Transparency Data

Psychological testing by technician

Facility: Mary Bridge Children's Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $1,333
Cash Discount Price: $784
vs. Medicare Baseline: 2.92x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Mary Bridge Children's Hospital is $1,333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 2.92x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$784

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,333

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: $784 (172%)

Insurance Median: $1,333 (292%)

Cash: $784 (172% of Medicare)

Ins. Median: $1,333 (292% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 292% of the Medicare baseline (a markup of 192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$157	34%
Molina	$409 - $820	90%
Community Health Plan Of Washington	$442 - $1,289	97%
Coordinated Care	$442	97%
UnitedHealthcare	$442 - $3,519	97%
Wellpoint	$442	97%
Aetna	$457 - $2,730	100%
Regence	$457 - $2,160	100%
Wellcare	$465	102%
Premera	$707 - $1,829	155%
Pacificsource	$826 - $833	181%
First Choice	$1,276 - $1,514	280%
Ambetter / Centene	$1,453	318%
First Health	$1,567	343%
Multiplan/Phcs	$1,567	343%
Cigna	$1,595 - $1,636	349%
Uniform Medical	$2,147	470%

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 $784.
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 Mary Bridge Children's 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.