CMS Price Transparency Data

Neurobehavioral status check

Facility: La Palma Intercommunity Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$328
about 1.5× the $221 Medicare rate · typically $240–$390
modeled estimate · not a bill or quote
What this hospital charges insurers
$276
Below the fair price — a good deal
about $52 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $328 This hospital $276 Cash price $276 Hospital's list price $997

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 $276

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 $328 (about 1.5× the $221 Medicare rate). La Palma Intercommunity Hospital charges insurers about $276, or about $276 in cash — below the fair price — a good deal. Located in La Palma, 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 $56 - $276 25%
Aetnamajor $353 160%
Health Net $60 - $403 27%
Molina $56 - $276 25%
Sentara $56 25%
+ 9 smaller / regional plans $56 - $415
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7901 Walker Street, La Palma, CA 90623
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals