96139

Administration of psychological or neuropsychological test by technician, each additional 30 minutes

Medicare pricing data for 2,540 providers across 51 states

🤖AI Overview

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, each additional 30 minutes (HCPCS code 96139) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.60, but hospitals typically charge $115.64 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.92

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.60, your out-of-pocket cost would be approximately $6.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.60
Average Hospital Charge
$115.64
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$115.64
Medicare Allowed$34.60
Medicare Payment$27.30

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $27.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$41$13418825,924+19.6%
District of Columbia$40$1097839+15.7%
New Jersey$39$125656,552+13.4%
New York$39$1481239,123+13.3%
Massachusetts$39$1317614,560+12.4%
Hawaii$39$955403+11.8%
Maryland$38$140304,211+10.1%
Alaska$38$17651,386+9.4%
Connecticut$38$153131,063+8.8%
Virginia$38$1237218,648+8.4%
Colorado$36$120568,864+5.1%
Rhode Island$36$10419991+4.5%
Washington$36$126223,112+3.8%
Illinois$35$13311115,862+2.5%
Minnesota$35$1528111,017+1.8%
Delaware$35$103449+0.9%
North Dakota$35$58245,075+0.5%
Montana$35$71152,060+0.3%
South Dakota$35$4871,088+0.1%
Nevada$34$122183,645-0.9%
Vermont$34$1116743-1.0%
Texas$34$11432745,131-1.1%
Pennsylvania$34$1071208,894-1.1%
New Hampshire$34$10491,200-1.6%
Wyoming$34$17041,974-1.8%
Oregon$34$88243,998-2.1%
Arizona$33$977324,647-3.5%
Florida$33$11121240,221-3.6%
Wisconsin$33$218778,610-4.4%
Missouri$33$118377,268-5.3%
Georgia$33$124849,779-5.9%
Idaho$32$9612219-6.5%
Michigan$32$841129,643-6.6%
Ohio$32$95748,638-7.4%
North Carolina$32$1117012,649-7.7%
New Mexico$32$83101,541-8.8%
Kansas$32$67104,102-8.9%
South Carolina$31$85162,849-9.1%
Iowa$31$110152,115-9.2%
Maine$31$100141,160-9.3%
Indiana$31$83488,323-9.4%
Nebraska$31$141153,501-9.7%
Utah$31$88122,913-10.2%
Louisiana$31$88383,565-10.3%
Oklahoma$31$105197,419-10.9%
Alabama$31$83251,514-11.6%
Tennessee$31$94503,081-11.8%
Kentucky$30$87142,896-12.5%
West Virginia$30$92151,212-13.9%
Arkansas$29$72224,997-14.8%
Mississippi$29$88122,727-15.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber