CMS Price Transparency Data

Neurobehavioral status check

Facility: Sierra View Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$259
about 1.2× the $221 Medicare rate · typically $94–$366
modeled estimate · not a bill or quote
What this hospital charges insurers
$278
About the fair price
about $19 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $259 This hospital $278

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 $278

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 $259 (about 1.2× the $221 Medicare rate). Sierra View Medical Center charges insurers about $278 — about the fair price. Located in Porterville, 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✓ Humana UnitedHealthcareAetnaCignaKaiser 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 $84 38%
Humanamajor $278 126%
Health Net $250 - $428 113%
+ 2 smaller / regional plans $84 - $333

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Facility Profile & Credentials

  • Address: 465 W Putnam Ave, Porterville, CA 93257
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals