CMS Price Transparency Data

Neurobehavioral status check

Facility: USA Health Children's & Women's Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$124
about 0.6× the $221 Medicare rate · typically $91–$253
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
Below the fair price — a good deal
about $30 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $124 This hospital $94 Cash price $174 Hospital's list price $174

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 6 of 8 other AL hospitals charge more for the same procedure.

Cheapest $84 Priciest $194

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $124 (about 0.6× the $221 Medicare rate). USA Health Children's & Women's Hospital charges insurers about $94, or about $174 in cash — below the fair price — a good deal. Located in Mobile, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $94 43%
Blue Cross Blue Shieldmajor $92 42%
Aetnamajor $94 43%
Humanamajor $94 43%
Ambetter (Centene) $113 51%
Devoted Health $94 43%
Molina $104 47%
WellCare $94 43%
+ 3 smaller / regional plans $87 - $127

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Facility Profile & Credentials

  • Address: 1700 Center Street, Mobile, AL 36604
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Childrens