CMS Price Transparency Data

Neurobehavioral status check

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $99
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.45x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$99

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)

Insurance Median: $99 (45%)

Ins. Median: $99 (45% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Simply	$61	28%
United Hc	$64 - $136	29%
Blue Cross Blue Shield	$78 - $151	35%
Aetna	$79 - $130	36%
Devoted	$79 - $91	36%
Humana	$79 - $91	36%
Careplus	$83 - $96	38%
Baycare	$85 - $98	39%
Freedom Health	$87 - $101	39%
Optimum	$87 - $101	39%
Evolutions	$94 - $108	43%
Avmed	$111 - $128	50%
Health First	$119 - $137	54%
Multiplan	$127 - $146	58%
Cigna	$144	65%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.