CMS Price Transparency Data

Neurobehavioral status check

Facility: Memorialcare Saddleback Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$337
about 1.5× the $221 Medicare rate · typically $245–$428
modeled estimate · not a bill or quote
What this hospital charges insurers
$317
About the fair price
about $20 under the fair price · 1.4× Medicare
Medicare pays $221 Fair price $337 This hospital $317 Cash price $916 Hospital's list price $916

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 $317

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 $337 (about 1.5× the $221 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $317, or about $916 in cash — about the fair price. Located in Laguna Hills, 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 $174 - $1,011 79%
Aetnamajor $278 126%
SelectHealth $181 - $375 82%
+ 6 smaller / regional plans $250 - $694

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Facility Profile & Credentials

  • Address: 24451 Health Center Drive, Laguna Hills, CA 92653
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals