CMS Price Transparency Data

Neurobehavioral status check

Facility: Halifax Health /UF Health Medical Center of Delton

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$267

about 1.2× the $221 Medicare rate · typically $108–$329

modeled estimate · not a bill or quote

What this hospital charges insurers

$327

Above the fair price

about $60 over the fair price · 1.5× Medicare

Medicare pays $221 Fair price $267 This hospital $327 Cash price $290 Hospital's list price $363

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 $327

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 $267 (about 1.2× the $221 Medicare rate). Halifax Health /UF Health Medical Center of Delton charges insurers about $327, or about $290 in cash — above the fair price. Located in Deltona, 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 $267. 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	$171 - $394	78%
Blue Cross Blue Shieldmajor	$142 - $311	64%
Aetnamajor	$214 - $673	97%
Cignamajor	$311	141%
Humanamajor	$302 - $620	137%
AvMed	$167 - $182	76%
CareSource	$434	197%
Devoted Health	$324	147%
Health Net	$623	282%
Molina	$318 - $394	144%
Simply Healthcare	$414	188%
WellCare	$311	141%
+ 24 smaller / regional plans	$124 - $701

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 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 290), 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 Halifax Health /UF Health Medical Center of Delton 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 Halifax Health /UF Health Medical Center of Delton

Compare: Neurobehavioral status check at other FL hospitals

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