CMS Price Transparency Data

Neurobehavioral status check

Facility: Denver Health & Hospital Authority

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$339
about 1.5× the $221 Medicare rate · typically $116–$502
modeled estimate · not a bill or quote
What this hospital charges insurers
$299
Below the fair price — a good deal
about $40 under the fair price · 1.4× Medicare
Medicare pays $221 Fair price $339 This hospital $299 Cash price $234 Hospital's list price $668

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $76 Priciest $299

Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $339 (about 1.5× the $221 Medicare rate). Denver Health & Hospital Authority charges insurers about $299, or about $234 in cash — below the fair price — a good deal. Located in Denver, CO.

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✓ Aetna CignaHumanaKaiser 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 $498 226%
Blue Cross Blue Shieldmajor $5,415 2455%
Aetnamajor $228 103%
+ 3 smaller / regional plans $228 - $371

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 777 Bannock St, Denver, CO 80204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals