Psychological testing evaluation
Facility: Grove City Medical Center
Billing Code: 96136 (CPT)
This hospital's typical commercial price is $37 compared to the $48 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.77× fair market pricing.
A typical price — 3 charge more and 3 charge less, among the 9 PA hospitals compared.
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 $48 (about 0.4× the $136 Medicare rate). Grove City Medical Center charges insurers about $37, or about $15 in cash — below the fair price — a good deal. Located in Grove City, 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
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 | $29 - $376 | 21% |
| Blue Cross Blue Shieldmajor | $21 - $256 | 15% |
| Aetnamajor | $20 - $264 | 15% |
| Cignamajor | $37 - $353 | 27% |
| Humanamajor | $131 | 96% |
| AmeriHealth | $21 - $130 | 15% |
| Geisinger | $29 - $32 | 21% |
| Medical Mutual | $353 | 260% |
| Molina | $135 | 99% |
| + 9 smaller / regional plans | $19 - $126 |
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.
Other Procedures at Grove City Medical Center
Compare: Psychological testing evaluation at other PA hospitals
- Surgical Institute of Reading · Wyomissing $20
- UPMC Somerset · Somerset $23
- Magee Memorial Hospital for Convalescents · Philadelphia $27
- Jefferson Abington Hospital · Abington $37
- Ahn Wexford Hospital · Wexford $37
- Saint Vincent Hospital · Erie $40
- Allegheny Valley Hospital · Natrona $40
- Allegheny General Hospital · Pittsburgh $40
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Grove City Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $24
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $24).
Self-Pay Cash Rate ($15) Beats Your Bill
Grove City Medical Center's published 45 CFR § 180 self-pay cash rate is $15 (vs. $37 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $48 Fair BaseRate ($136 Medicare)
Your bill ($66) is $18 above the denoised Fair BaseRate ($48) and 0.5× the $136 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.