CMS Price Transparency Data

Neurobehavioral status check

Facility: Palm Beach Gardens Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$232
about 1.0× the $221 Medicare rate · typically $98–$401
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
Below the fair price — a good deal
about $125 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $232 This hospital $107

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 $107

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 $232 (about 1.0× the $221 Medicare rate). Palm Beach Gardens Medical Center charges insurers about $107 — below the fair price — a good deal. Located in Palm Beach Gardens, FL.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $102 - $202 46%
Humanamajor $10 - $288 5%
Ambetter (Centene) $112 - $140 51%
Oscar Health $161 73%

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Facility Profile & Credentials

  • Address: 3360 Burns Rd, Palm Beach Gardens, FL 33410
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals