CMS Price Transparency Data

Psychological testing by technician

Facility: Bellin Memorial Hospital

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $97
Cash Discount Price: $77
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Bellin Memorial Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.21x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $77 (17%)

Insurance Median: $97 (21%)

Cash: $77 (17% of Medicare)

Ins. Median: $97 (21% 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
Common Ground	$71	16%
Chorus Community Health Plan	$76	17%
Aspirus Arise	$81	18%
UnitedHealthcare	$82 - $380	18%
Cigna	$84	18%
Network Health	$86 - $379	19%
Wps Insurance	$86	19%
Hps/Paymedix	$87 - $93	19%
Trilogy	$90	20%
Healthsmart	$94	21%
Ihs(Claimsbridge)	$94	21%
Medical College Of Wi	$94	21%
Allied National	$100	22%
First Health	$100	22%
Galaxy Health	$100	22%
Three Rivers Provider Network	$106	23%
Blue Cross Blue Shield	$132	29%
Aetna	$364	80%
Community Care	$364	80%
Humana	$364	80%
My Choice	$364	80%

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 $77.
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 Bellin Memorial 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.