CMS Price Transparency Data

Neurobehavioral status check

Facility: Elmhurst Memorial Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$283
about 1.3× the $221 Medicare rate · typically $181–$443
modeled estimate · not a bill or quote
What this hospital charges insurers
$292
About the fair price
about $9 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $283 This hospital $292

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 $292

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 $283 (about 1.3× the $221 Medicare rate). Elmhurst Memorial Hospital charges insurers about $292 — about the fair price. Located in Elmhurst, 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 $292 - $373 132%
Aetnamajor $231 105%

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Facility Profile & Credentials

  • Address: 155 East Brush Hill Road, Elmhurst, IL 60126
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals