CMS Price Transparency Data
Neurobehavioral status check
Facility: Phoenix Children's Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$241
about 1.1× the $221 Medicare rate · typically $54–$420
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $241 Hospital's list price $965
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✓ Cigna HumanaKaiser 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 | $420 - $456 | 190% |
| Blue Cross Blue Shieldmajor | $685 - $927 | 311% |
| Aetnamajor | $442 - $707 | 200% |
| Cignamajor | $402 - $772 | 182% |
| + 13 smaller / regional plans | $13 - $627 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's Hospital
Compare: Neurobehavioral status check at other AZ hospitals
- PAM Health Rehabilitation Hospital of Surprise · Surprise $76
- Yuma Regional Medical Center · Yuma $91
- Valleywise Health Medical Center · Phoenix $107
- Chandler Regional Medical Center · Chandler $143
- Yavapai Regional Medical Center · Prescott $190
- Tucson Medical Center · Tucson $229
- Valley View Medical Center · Fort Mohave $239
- Flagstaff Medical Center · Flagstaff $256
Insurance negotiated median for the same procedure, sorted lowest first.