CMS Price Transparency Data

Neurobehavioral status check

Facility: Swedish Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$327
about 1.5× the $221 Medicare rate · typically $194–$499
modeled estimate · not a bill or quote
What this hospital charges insurers
$265
Below the fair price — a good deal
about $62 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $327 This hospital $265 Cash price $314 Hospital's list price $314

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $73 Priciest $265

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

A fair price for a Neurobehavioral status check is about $327 (about 1.5× the $221 Medicare rate). Swedish Hospital charges insurers about $265, or about $314 in cash — below the fair price — a good deal. Located in Chicago, IL.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $239 - $307 108%
Aetnamajor $231 - $347 105%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 5145 N California Ave, Chicago, IL 60625
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals