CMS Price Transparency Data
Neurobehavioral status check
Facility: Grossmont Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$273
about 1.2× the $221 Medicare rate · typically $88–$416
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $273 Cash price $1,097 Hospital's list price $1,462
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 | $1,009 - $1,170 | 457% |
| Blue Cross Blue Shieldmajor | $219 - $1,023 | 99% |
| Aetnamajor | $219 - $1,170 | 99% |
| Cignamajor | $1,023 - $1,096 | 464% |
| Humanamajor | $1,023 | 464% |
| Kaiser Permanentemajor | $933 | 423% |
| Health Net | $409 - $1,170 | 185% |
| Molina | $914 - $1,023 | 414% |
| + 5 smaller / regional plans | $877 - $1,316 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Grossmont Hospital
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.