CMS Price Transparency Data

Psychological testing evaluation

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$128
about 0.9× the $136 Medicare rate · typically $47–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
About the fair price
about $6 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $128 This hospital $134 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 $134

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 $128 (about 0.9× the $136 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $134, or about $151 in cash — about the fair price. Located in East Norriton, 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 - $130 25%
Blue Cross Blue Shieldmajor $134 99%
Aetnamajor $56 - $135 41%
Cignamajor $31 - $133 23%
Humanamajor $128 94%
Geisinger $27 - $520 20%
UPMC Health Plan $47 - $134 35%
WellCare $140 103%
+ 2 smaller / regional plans $125 - $179

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Facility Profile & Credentials

  • Address: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals