CMS Price Transparency Data

Psychological testing evaluation

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$127
about 0.9× the $136 Medicare rate · typically $48–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $11 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $127 This hospital $138 Cash price $151

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 $138

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 $127 (about 0.9× the $136 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $138, or about $151 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $34 - $134 25%
Blue Cross Blue Shieldmajor $138 102%
Aetnamajor $56 - $139 41%
Cignamajor $31 - $137 23%
Humanamajor $131 96%
Geisinger $27 - $536 20%
UPMC Health Plan $47 - $138 35%
WellCare $145 107%
+ 2 smaller / regional plans $139 - $196

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals