CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence Mission Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$346
about 1.6× the $221 Medicare rate · typically $236–$588
modeled estimate · not a bill or quote
What this hospital charges insurers
$291
Below the fair price — a good deal
about $55 under the fair price · 1.3× Medicare
Medicare pays $221 Fair price $346 This hospital $291 Cash price $160 Hospital's list price $333

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 $346 (about 1.6× the $221 Medicare rate). Providence Mission Hospital charges insurers about $291, or about $160 in cash — below the fair price — a good deal. Located in Mission Viejo, 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: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals