CMS Price Transparency Data

Neurobehavioral status check

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$338
about 1.5× the $221 Medicare rate · typically $246–$428
modeled estimate · not a bill or quote
What this hospital charges insurers
$264
Below the fair price — a good deal
about $74 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $338 This hospital $264

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 $264

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 $338 (about 1.5× the $221 Medicare rate). Martin Luther King, Jr. Community Hospital charges insurers about $264 — below the fair price — a good deal. Located in Los Angeles, CA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net $217 - $315 98%
Molina $88 - $347 40%
+ 9 smaller / regional plans $60 - $334

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Facility Profile & Credentials

  • Address: 1680 East 120Th Street, Los Angeles, CA 90059
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals