CMS Price Transparency Data

Neurobehavioral status check

Facility: Casa Colina Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$315
about 1.4× the $221 Medicare rate · typically $183–$380
modeled estimate · not a bill or quote
What this hospital charges insurers
$155
Below the fair price — a good deal
about $160 under the fair price · 0.7× Medicare
Medicare pays $221 Fair price $315 This hospital $155 Hospital's list price $301

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 $155

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 $315 (about 1.4× the $221 Medicare rate). Casa Colina Hospital charges insurers about $155 — below the fair price — a good deal. Located in Pomona, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $158 - $278 72%
Blue Cross Blue Shieldmajor $179 - $278 81%
Aetnamajor $143 - $333 65%
Cignamajor $172 78%
Humanamajor $137 - $278 62%
Kaiser Permanentemajor $92 - $278 42%
Health Net $156 - $278 71%
Paramount $138 63%
WellCare $278 126%
+ 29 smaller / regional plans $115 - $305
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals