CMS Price Transparency Data

Psychological testing by technician

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 96138 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$356

about 0.8× the $456 Medicare rate · typically $59–$500

modeled estimate · not a bill or quote

What this hospital charges insurers

$415

Above the fair price

about $59 over the fair price · 0.9× Medicare

Medicare pays $456 Fair price $356 This hospital $415 Cash price $468

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 $60 Priciest $415

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 by technician is about $356 (about 0.8× the $456 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $415, or about $468 in cash — above the fair price. Located in East Norriton, 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 $356. 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.

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	$403 - $522	88%
Blue Cross Blue Shieldmajor	$415	91%
Aetnamajor	$46 - $419	10%
Cignamajor	$411 - $476	90%
Humanamajor	$395	87%
Geisinger	$365 - $1,610	80%
UPMC Health Plan	$415 - $642	91%
WellCare	$435	95%
+ 2 smaller / regional plans	$125 - $553

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 468), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96138.

Insurance Before you use insurance

Call your insurance company to confirm Jefferson Einstein Montgomery Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 96138.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Jefferson Einstein Montgomery Hospital

Compare: Psychological testing by technician at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.