CMS Price Transparency Data

Neurobehavioral status check

Facility: Coast Plaza Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$350
about 1.6× the $221 Medicare rate · typically $257–$415
modeled estimate · not a bill or quote
What this hospital charges insurers
$431
Above the fair price
about $81 over the fair price · 2.0× Medicare
Medicare pays $221 Fair price $350 This hospital $431

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 $431

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 $350 (about 1.6× the $221 Medicare rate). Coast Plaza Hospital charges insurers about $431 — above the fair price. Located in Norwalk, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $350. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $483 - $490 219%
Blue Cross Blue Shieldmajor $85 - $588 39%
Humanamajor $392 178%
Ambetter (Centene) $492 - $604 223%
Bright Health $431 195%
Health Net $392 - $616 178%
Oscar Health $431 195%
+ 7 smaller / regional plans $380 - $784
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 13100 Studerbaker Road, Norwalk, CA 90650
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals