CMS Price Transparency Data
Neurobehavioral status check
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$260
about 1.2× the $221 Medicare rate · typically $66–$338
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $260 Cash price $533 Hospital's list price $969
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $45 - $1,163 | 20% |
| Blue Cross Blue Shieldmajor | $45 - $585 | 20% |
| Aetnamajor | $112 - $423 | 51% |
| Cignamajor | $116 - $581 | 53% |
| Humanamajor | $116 - $824 | 53% |
| Kaiser Permanentemajor | $649 - $969 | 294% |
| Health Net | $61 - $2,723 | 28% |
| HealthPartners | $630 | 286% |
| Molina | $57 | 26% |
| Sentara | $65 | 29% |
| + 68 smaller / regional plans | $45 - $1,308 |
Government programs also on file: Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Compare: Neurobehavioral status check at other CA hospitals
- Mountains Community Hospital · Lake Arrowhead $56
- Riverside Community Hospital · Riverside $57
- John Muir Medical Center - Walnut Creek Campus · Walnut Creek $62
- John Muir Medical Center - Concord Campus · Concord $62
- Valley Children's Hospital · Madera $74
- Adventist Health Tulare · Tulare $90
- Kern Medical Center · Bakersfield $91
- Children's Hosp of Los Angeles · Los Angeles $93
Insurance negotiated median for the same procedure, sorted lowest first.