CMS Price Transparency Data

Psychological testing evaluation

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 0.9× the $136 Medicare rate · typically $42–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $10 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $117 This hospital $127 Cash price $208 Hospital's list price $336

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 $127

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 $117 (about 0.9× the $136 Medicare rate). Geisinger Wyoming Valley Medical Center charges insurers about $127, or about $208 in cash — about the fair price. Located in Wilkes Barre, 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 $172 127%
Blue Cross Blue Shieldmajor $54 - $129 40%
Aetnamajor $156 - $224 115%
Cignamajor $145 - $152 107%
Humanamajor $127 93%
Ambetter (Centene) $420 309%
AmeriHealth $23 17%
Geisinger $21 - $390 15%
HealthPartners $24 18%
UPMC Health Plan $23 - $25 17%
+ 4 smaller / regional plans $127 - $286
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals