CMS Price Transparency Data

Neurobehavioral status check

Facility: University of Arkansas Medical Sciences

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $209
Cash Discount Price: $253
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at University of Arkansas Medical Sciences is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.95x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$209

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)

Cash / Self-Pay: $253 (115%)

Insurance Median: $209 (95%)

Cash: $253 (115% of Medicare)

Ins. Median: $209 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Triwest	$196	89%
Medicare (plans)	$202 - $206	92%
Va	$202	92%
Aetna	$204	92%
Tribute Health	$204	92%
Wellcare By Allwell	$206	93%
Wellcare Non	$206	93%
Blue Cross Blue Shield	$208 - $266	94%
Humana	$208	94%
Primewell Health Services	$208 - $567	94%
UnitedHealthcare	$208 - $395	94%
Cigna	$210 - $396	95%
Essence Healthcare	$210	95%
Devoted Health Plan	$212	96%
Health Advantage	$266	121%
Ambetter / Centene	$297	135%
Northwest Health Plan	$342	155%
Qualchoice Novasys	$342	155%
Vantos	$343	155%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $253.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Arkansas Medical Sciences is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.