CMS Price Transparency Data

Neurobehavioral status check

Facility: Adventist Health Tulare

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$233
about 1.1× the $221 Medicare rate · typically $90–$349
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $143 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $233 This hospital $90 Cash price $37 Hospital's list price $194

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CA hospitals compared.

Cheapest $56 Priciest $95

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 $233 (about 1.1× the $221 Medicare rate). Adventist Health Tulare charges insurers about $90, or about $37 in cash — below the fair price — a good deal. Located in Tulare, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $73 - $109 33%
Blue Cross Blue Shieldmajor $73 - $167 33%
Aetnamajor $89 40%
Cignamajor $103 47%
+ 6 smaller / regional plans $73 - $95
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals