CMS Price Transparency Data

Neurobehavioral status check

Facility: Medstar Health Physical Therapy

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$220
about 1.0× the $221 Medicare rate · typically $126–$303
modeled estimate · not a bill or quote
What this hospital charges insurers
$235
About the fair price
about $15 over the fair price · 1.1× Medicare
Medicare pays $221 Fair price $220 This hospital $235 Cash price $531 Hospital's list price $817

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Lowest price of the 3 DC hospitals we have prices for — a strong deal.

Cheapest $235 Priciest $268

Black dot = this hospital, among the 3 DC hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $220 (about 1.0× the $221 Medicare rate). Medstar Health Physical Therapy charges insurers about $235, or about $531 in cash — about the fair price. Located in Washington, DC.

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 $230 - $556 104%
Blue Cross Blue Shieldmajor $226 - $523 102%
Aetnamajor $233 - $572 106%
Cignamajor $695 315%
Humanamajor $238 108%
Kaiser Permanentemajor $238 - $1,163 108%
+ 2 smaller / regional plans $238 - $580
Government programs also on file: 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: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL