CMS Price Transparency Data

Neurobehavioral status check

Facility: Sarasota Memorial Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$96
about 0.4× the $221 Medicare rate · typically $63–$261
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $4 over the fair price · 0.5× Medicare
Medicare pays $221 Fair price $96 This hospital $100

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 $100

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 $96 (about 0.4× the $221 Medicare rate). Sarasota Memorial Hospital charges insurers about $100 — about the fair price. Located in Sarasota, FL.

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 $94 - $492 43%
Blue Cross Blue Shieldmajor $73 - $313 33%
Aetnamajor $16 - $328 7%
Cignamajor $118 - $137 53%
Ambetter (Centene) $211 - $844 96%
AmeriHealth $66 - $434 30%
Molina $65 - $426 29%
Oscar Health $134 - $155 61%
Simply Healthcare $63 - $414 29%
WellCare $84 - $328 38%
+ 14 smaller / regional plans $16 - $434

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Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals