Administration of psychological or neuropsychological test by technician, first 30 minutes
Medicare pricing data for 4,542 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS code 96138) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.00, but hospitals typically charge $104.54 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.00, your out-of-pocket cost would be approximately $6.40. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $24.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $40 | $116 | 239 | 8,741 | +25.4% |
| Washington | $39 | $104 | 38 | 3,858 | +21.9% |
| California | $39 | $95 | 415 | 25,156 | +21.2% |
| District of Columbia | $39 | $92 | 10 | 315 | +20.6% |
| New Jersey | $38 | $99 | 156 | 3,874 | +19.6% |
| Hawaii | $37 | $74 | 11 | 242 | +16.5% |
| Massachusetts | $37 | $124 | 96 | 3,229 | +15.8% |
| Alaska | $36 | $123 | 15 | 412 | +13.0% |
| Maryland | $36 | $182 | 110 | 3,925 | +12.1% |
| Colorado | $35 | $117 | 69 | 1,703 | +10.4% |
| Rhode Island | $35 | $102 | 20 | 190 | +9.7% |
| Virginia | $35 | $113 | 116 | 4,058 | +9.1% |
| Oregon | $35 | $81 | 36 | 1,399 | +8.5% |
| Connecticut | $34 | $112 | 48 | 628 | +7.3% |
| Illinois | $34 | $132 | 151 | 3,586 | +7.2% |
| Minnesota | $34 | $148 | 91 | 2,389 | +6.7% |
| North Dakota | $34 | $64 | 30 | 1,012 | +5.5% |
| New Hampshire | $34 | $101 | 15 | 509 | +5.3% |
| Montana | $34 | $73 | 17 | 382 | +5.2% |
| South Dakota | $34 | $53 | 7 | 196 | +5.0% |
| Vermont | $33 | $109 | 10 | 720 | +4.2% |
| Delaware | $33 | $119 | 35 | 8,368 | +4.0% |
| Wyoming | $33 | $164 | 5 | 512 | +3.7% |
| Pennsylvania | $33 | $128 | 173 | 10,146 | +2.8% |
| Florida | $32 | $106 | 349 | 16,917 | +0.6% |
| Wisconsin | $32 | $225 | 89 | 2,430 | +0.5% |
| Nevada | $32 | $139 | 64 | 2,666 | +0.4% |
| Arizona | $32 | $100 | 114 | 5,850 | +0.3% |
| Georgia | $32 | $102 | 209 | 6,386 | -0.6% |
| Michigan | $32 | $83 | 147 | 2,662 | -0.7% |
| Maine | $31 | $85 | 18 | 196 | -1.6% |
| Missouri | $31 | $128 | 81 | 3,880 | -2.1% |
| North Carolina | $31 | $106 | 115 | 4,060 | -3.5% |
| Ohio | $31 | $91 | 114 | 2,757 | -3.7% |
| Kansas | $31 | $138 | 18 | 950 | -4.3% |
| Iowa | $30 | $123 | 22 | 723 | -5.3% |
| Utah | $30 | $80 | 38 | 933 | -5.3% |
| Nebraska | $30 | $122 | 29 | 813 | -5.5% |
| South Carolina | $30 | $133 | 54 | 1,359 | -5.6% |
| Indiana | $30 | $84 | 83 | 2,200 | -5.9% |
| New Mexico | $30 | $77 | 20 | 580 | -6.6% |
| Louisiana | $30 | $77 | 56 | 1,137 | -7.2% |
| Alabama | $30 | $57 | 51 | 1,787 | -7.8% |
| Kentucky | $29 | $72 | 25 | 1,016 | -8.6% |
| Oklahoma | $29 | $81 | 64 | 3,247 | -8.7% |
| West Virginia | $29 | $90 | 18 | 542 | -9.8% |
| Mississippi | $28 | $105 | 19 | 814 | -11.0% |
| Arkansas | $28 | $74 | 36 | 2,274 | -11.7% |
| Tennessee | $27 | $80 | 145 | 8,361 | -14.8% |
| Idaho | $26 | $79 | 21 | 215 | -17.2% |
| Texas | $21 | $83 | 607 | 27,579 | -33.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber