CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence St. Jude Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$323
about 1.5× the $221 Medicare rate · typically $232–$517
modeled estimate · not a bill or quote
What this hospital charges insurers
$291
About the fair price
about $32 under the fair price · 1.3× Medicare
Medicare pays $221 Fair price $323 This hospital $291 Cash price $214 Hospital's list price $446

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $56 Priciest $291

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

A fair price for a Neurobehavioral status check is about $323 (about 1.5× the $221 Medicare rate). Providence St. Jude Medical Center charges insurers about $291, or about $214 in cash — about the fair price. Located in Fullerton, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $291 - $328 132%
Aetnamajor $278 126%
Health Net $514 233%
+ 1 smaller / regional plan $236

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Facility Profile & Credentials

  • Address: 101 E Valencia Mesa Drive, Fullerton, CA 92835
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals