CMS Price Transparency Data

Neurobehavioral status check

Facility: HCA Florida Lawnwood Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$221

about 1.0× the $221 Medicare rate · typically $75–$538

modeled estimate · not a bill or quote

What this hospital charges insurers

$95

Below the fair price — a good deal

about $126 under the fair price · 0.4× Medicare

Medicare pays $221 Fair price $221 This hospital $95 Cash price $1,617 Hospital's list price $1,617

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 $95

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $221 (about 1.0× the $221 Medicare rate). HCA Florida Lawnwood Hospital charges insurers about $95, or about $1,617 in cash — below the fair price — a good deal. Located in Fort Pierce, FL.

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✓ Kaiser Permanente Humana

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	$335 - $728	152%
Blue Cross Blue Shieldmajor	$1,197	543%
Aetnamajor	$527 - $854	239%
Cignamajor	$378 - $1,035	171%
Kaiser Permanentemajor	$323 - $574	146%
Bright Health	$485	220%
HealthPartners	$1,132	513%
+ 4 smaller / regional plans	$246 - $1,294

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,617), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm HCA Florida Lawnwood Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at HCA Florida Lawnwood Hospital

Compare: Neurobehavioral status check at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.