CMS Price Transparency Data
Neurobehavioral status check
Facility: Boundary Community Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$224
about 1.0× the $221 Medicare rate · typically $91–$507
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $224 Cash price $173 Hospital's list price $216
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✓ Cigna HumanaKaiser 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 | $119 - $184 | 54% |
| Blue Cross Blue Shieldmajor | $207 | 94% |
| Aetnamajor | $140 | 63% |
| Cignamajor | $205 | 93% |
| Molina | $119 - $221 | 54% |
| PacificSource | $210 | 95% |
| + 2 smaller / regional plans | $203 - $798 |
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Other Procedures at Boundary Community Hospital
Compare: Neurobehavioral status check at other ID hospitals
- Saint Alphonsus Regional Medical Center · Boise $71
- Kootenai Health · Coeur D'Alene $112
- Grove Creek Medical Center · Blackfoot $213
- Treasure Valley Hospital · Boise $287
- West Valley Medical Center · Caldwell $324
- Eastern Idaho Regional Medical Center · Idaho Falls $455
- St Luke's Wood River Medical Center · Ketchum $616
- St Luke's Nampa Medical Center · Nampa $803
Insurance negotiated median for the same procedure, sorted lowest first.