CMS Price Transparency Data

Psychological testing evaluation

Facility: Jersey Shore University Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $140
Cash Discount Price: $143
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Jersey Shore University Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 1.03x the Medicare baseline. Located in 1945 Rte 33, Neptune, NJ.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)

Cash / Self-Pay: $143 (105%)

Insurance Median: $140 (103%)

Cash: $143 (105% of Medicare)

Ins. Median: $140 (103% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 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
Horizon	$13 - $157	10%
Aetna	$26 - $156	19%
Clover	$28	21%
Seoul Medical Group	$36	26%
Karna	$38	28%
Qualcare	$73 - $143	54%
UnitedHealthcare	$92 - $549	68%
Beacon	$118	87%
Bergen Risk	$118	87%
Cigna	$126 - $150	93%
Activecare First McO	$133	98%
Multiplan - PHCS	$133	98%
Amerihealth	$137 - $155	101%
Brighton Health Plan	$141	104%
Wellcare	$143	105%
Vaccn	$143	105%
Blue Cross Blue Shield	$143	105%
United Community/Americhoice	$150	110%
Oxford	$426	313%

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 $143.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96136.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jersey Shore University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96136.
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.