CMS Price Transparency Data

Psychological testing by technician

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $43
Cash Discount Price: $975
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Camc Greenbrier Valley Medical Center, Inc is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.09x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$975

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $975 (214%)

Insurance Median: $43 (9%)

Cash: $975 (214% of Medicare)

Ins. Median: $43 (9% 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
Aetna	$21 - $1,776	5%
Blue Cross Blue Shield	$21 - $1,676	5%
Caresource	$21 - $1,450	5%
Sentra Health	$21 - $399	5%
The Health Plan	$21 - $1,631	5%
Unicare	$21 - $26	5%
Humana	$22 - $1,631	5%
Multiplan	$22 - $1,576	5%
UnitedHealthcare	$22 - $1,450	5%
Ally Align	$23 - $419	5%
Clear Spring Health	$23 - $399	5%
Integrated Medical Solutions	$31 - $758	7%
Naphcare	$44 - $798	10%
Greenbrier Resort	$97 - $1,268	21%
Healthsmart	$110 - $1,268	24%
Fedmed	$124 - $1,631	27%

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 $975.
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 Camc Greenbrier Valley Medical Center, Inc 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.