CMS Price Transparency Data

Neurobehavioral status check

Facility: Mease Dunedin Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$228
about 1.0× the $221 Medicare rate · typically $104–$408
modeled estimate · not a bill or quote
What this hospital charges insurers
$313
Above the fair price
about $85 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $228 This hospital $313

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $53 Priciest $313

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

A fair price for a Neurobehavioral status check is about $228 (about 1.0× the $221 Medicare rate). Mease Dunedin Hospital charges insurers about $313 — above the fair price. Located in Dunedin, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $228. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

5 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 $81 - $334 37%
Blue Cross Blue Shieldmajor $313 142%
Aetnamajor $85 - $359 39%
Cignamajor $359 163%
Humanamajor $83 - $391 38%
Ambetter (Centene) $703 319%
Molina $84 38%
Simply Healthcare $84 38%
WellCare $438 199%
+ 6 smaller / regional plans $80 - $344

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: 601 Main St, Dunedin, FL 34698
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals