CMS Price Transparency Data

Neurobehavioral status check

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $311
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Halifax Health /UF Health Medical Center of Delton is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.41x the Medicare baseline. Located in 3300 Halifax Crossings Blvd, Deltona, FL.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$311

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%)
Cash / Self-Pay: $290 (131%)
Insurance Median: $311 (141%)
Cash: $290 (131% of Medicare)
Ins. Median: $311 (141% 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.

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
Florida Healthcare - Hecn $124 56%
Blue Cross Blue Shield $142 - $311 64%
Avmed $167 - $182 76%
UnitedHealthcare $171 - $394 78%
County Of Volusia Corrections $182 83%
A&G Admin $185 84%
Volusia County Employee $185 84%
Aetna $214 - $673 97%
Volusia $218 - $254 99%
Coventry $229 - $394 104%
Sim Plan Pay $236 107%
Hrgi $254 115%
Plotkin Consulting $254 115%
Embs $265 - $309 120%
Evolutions International $272 123%
Tricare $289 131%
Summit America $290 131%
Humana $302 - $620 137%
Americas Choice Provider Network $311 - $327 141%
Cigna $311 141%
Division Of The Blind $311 141%
Freedom Health $311 141%
Medicare (plans) $311 141%
Optimum Healthcare $311 141%
Sunshine State Health Plan $311 - $414 141%
Wellcare $311 141%
Molina $318 - $394 144%
Devoted Health $324 147%
Independent Living Systems $327 - $414 148%
Integrated Health Plan $327 148%
Longevity $327 148%
Multiplan $327 148%
Prime Health Services $327 148%
Clear Spring Health Of Fl $339 154%
Three Rivers $345 156%
Hcra $394 179%
Medicaid / KanCare $394 179%
West Volusia $394 179%
Simply Healthcare Plans $414 188%
Caresource Network $434 197%
Employers Health Network $623 282%
Fhcp $629 285%
Centivo $670 304%
Florida Healthcare $676 306%
Claimdoc $701 318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3300 Halifax Crossings Blvd, Deltona, FL 32725
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals