CMS Price Transparency Data

Neurobehavioral status check

Facility: Ascension St Vincent's Southside

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$244
about 1.1× the $221 Medicare rate · typically $92–$392
modeled estimate · not a bill or quote
What this hospital charges insurers
$319
Above the fair price
about $75 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $244 This hospital $319

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 $319

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 $244 (about 1.1× the $221 Medicare rate). Ascension St Vincent's Southside charges insurers about $319 — above the fair price. Located in Jacksonville, 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 $244. 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 $316 143%
Blue Cross Blue Shieldmajor $313 142%
Aetnamajor $313 - $641 142%
Cignamajor $316 - $319 143%
Humanamajor $220 - $316 100%
Ambetter (Centene) $594 269%
AvMed $563 255%
Bright Health $422 - $453 191%
Molina $578 262%
Oscar Health $500 227%
WellCare $313 142%
+ 10 smaller / regional plans $313 - $703
Government programs also on file: Medicare, Military & VA.

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.

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Facility Profile & Credentials

  • Address: 4201 Belfort Rd, Jacksonville, FL 32216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals