CMS Price Transparency Data

Psychological testing evaluation

Facility: Heritage Valley Sewickley

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.7× the $136 Medicare rate · typically $38–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Above the fair price
about $35 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $95 This hospital $130 Cash price $79 Hospital's list price $292

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $130

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Psychological testing evaluation is about $95 (about 0.7× the $136 Medicare rate). Heritage Valley Sewickley charges insurers about $130, or about $79 in cash — above the fair price. Located in Sewickley, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $95. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $26 - $130 19%
Blue Cross Blue Shieldmajor $24 - $250 18%
Aetnamajor $20 - $130 15%
Cignamajor $130 96%
UPMC Health Plan $26 - $144 19%
+ 2 smaller / regional plans $24 - $136

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 720 Blackburn Road, Sewickley, PA 15143
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals