CMS Price Transparency Data

Neurobehavioral status check

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$220

about 1.0× the $221 Medicare rate · typically $127–$246

modeled estimate · not a bill or quote

What this hospital charges insurers

$218

About the fair price

about $2 under the fair price · 1.0× Medicare

Medicare pays $221 Fair price $220 This hospital $218 Cash price $190 Hospital's list price $272

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $218

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

A fair price for a Neurobehavioral status check is about $220 (about 1.0× the $221 Medicare rate). University of Iowa Health Care Medical Center Down charges insurers about $218, or about $190 in cash — about the fair price. Located in Iowa City, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$42 - $556	19%
Blue Cross Blue Shieldmajor	$54 - $308	24%
Aetnamajor	$67 - $293	30%
Humanamajor	$302	137%
HealthPartners	$56 - $356	25%
Molina	$45 - $154	20%
Oscar Health	$71 - $242	32%
Sanford Health Plan	$95 - $326	43%
+ 10 smaller / regional plans	$28 - $376

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 190), 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 University of Iowa Health Care Medical Center Down 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 University of Iowa Health Care Medical Center Down

Compare: Neurobehavioral status check at other IA hospitals

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