CPT 96138 Neuropsychological Testing

How Much Does Psycl/nrpsyc Tech Initial Cost?

Also known as: Psycl/nrpsyc tech 1st (CPT 96138)

Psycl/nrpsyc Tech Initial (CPT 96138) costs $38 at Medicare rates. Hospital outpatient rate: $456.

Cost Comparison by Payer

How much Psycl/nrpsyc tech 1st costs across different settings and payers

Medicare
Facility rate
$38
Hospital Outpatient
OPPS rate
$456
Medicare (Facility)
$38
CMS PFS 2026 national rate
Hospital Outpatient
$456
OPPS rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Psycl/nrpsyc tech 1st

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How to Reduce Your Cost for Psycl/nrpsyc tech 1st

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Psycl/nrpsyc tech 1st cost?

The Medicare facility rate for Psycl/nrpsyc tech 1st is $38. In a hospital outpatient setting, the rate is $456. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Psycl/nrpsyc tech 1st cost without insurance?

Without insurance, the cost of Psycl/nrpsyc tech 1st can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Psycl/nrpsyc tech 1st?

Most commercial health insurance plans and Medicare cover Psycl/nrpsyc tech 1st when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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