CMS Price Transparency Data

Neurobehavioral status check

Facility: Flagstaff Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$256

about 1.2× the $221 Medicare rate · typically $170–$377

modeled estimate · not a bill or quote

What this hospital charges insurers

$256

About the fair price

1.2× Medicare

Medicare pays $221 Fair price $256 This hospital $256 Cash price $156 Hospital's list price $311

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

On the higher side — 7 of 8 other AZ hospitals charge less.

Cheapest $76 Priciest $294

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

A fair price for a Neurobehavioral status check is about $256 (about 1.2× the $221 Medicare rate). Flagstaff Medical Center charges insurers about $256, or about $156 in cash — about the fair price. Located in Flagstaff, AZ.

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	$109 - $311	49%
Blue Cross Blue Shieldmajor	$183 - $256	83%
Aetnamajor	$230 - $265	104%
Cignamajor	$280	127%
Humanamajor	$243 - $296	110%
Ambetter (Centene)	$279	126%
Devoted Health	$101 - $255	46%
Health Net	$230 - $265	104%
WellCare	$243	110%
+ 14 smaller / regional plans	$91 - $5,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 156), 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: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Flagstaff Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
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 Flagstaff Medical Center

Compare: Neurobehavioral status check at other AZ hospitals

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