CMS Price Transparency Data

Psychological testing evaluation

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $108
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Hospital of the Fox Chase Cancer Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.79x the Medicare baseline. Located in 333 Cottman Avenue, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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%)

Insurance Median: $108 (79%)

Ins. Median: $108 (79% 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
Health Partners Plans	$10 - $139	7%
Keystone First	$42 - $167	31%
Upmc Health Plan	$44 - $168	32%
Pennsylvania Health And Wellness	$45 - $150	33%
Blue Cross Blue Shield	$58 - $377	43%
UnitedHealthcare	$74 - $278	54%
Aetna	$95 - $172	70%
Humana	$137	101%
Clover Health	$145	107%
Elder Health	$164	121%
Cigna	$165	121%
Innovage	$165	121%
Wtc Health Program	$182	134%
Oscar Health	$205	151%
Prime Health Services	$218	160%
Qualcare	$286 - $297	210%

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 $X.
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 Hospital of the Fox Chase Cancer 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.