CMS Price Transparency Data
Neurobehavioral status check
Facility: Saint John's Health Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$372
about 1.7× the $221 Medicare rate · typically $253–$466
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $372 Cash price $3 Hospital's list price $9
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 | $95 - $444 | 43% |
| Aetnamajor | $278 | 126% |
| Humanamajor | $283 | 128% |
| Health Net | $514 - $594 | 233% |
| + 2 smaller / regional plans | $305 - $361 |
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Other Procedures at Saint John's Health Center
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.