CMS Price Transparency Data

Neurobehavioral status check

Facility: Good Samaritan Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$241
about 1.1× the $221 Medicare rate · typically $112–$552
modeled estimate · not a bill or quote
What this hospital charges insurers
$124
Below the fair price — a good deal
about $117 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $241 This hospital $124

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 $124

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 $241 (about 1.1× the $221 Medicare rate). Good Samaritan Hospital charges insurers about $124 — below the fair price — a good deal. Located in San Jose, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $49 - $199 22%
+ 1 smaller / regional plan $45

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Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals