CMS Price Transparency Data

Neurobehavioral status check

Facility: Adventist Health Lodi Memorial

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$208
about 0.9× the $221 Medicare rate · typically $85–$361
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
Below the fair price — a good deal
about $104 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $208 This hospital $104 Cash price $15 Hospital's list price $211

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 $104

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 $208 (about 0.9× the $221 Medicare rate). Adventist Health Lodi Memorial charges insurers about $104, or about $15 in cash — below the fair price — a good deal. Located in Lodi, CA.

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 $73 - $612 33%
Blue Cross Blue Shieldmajor $63 - $285 29%
Aetnamajor $79 - $105 36%
Cignamajor $98 - $204 44%
Humanamajor $73 - $285 33%
Kaiser Permanentemajor $56 - $285 25%
Bright Health $570 258%
Health Net $67 - $285 30%
+ 13 smaller / regional plans $50 - $513
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals