CMS Price Transparency Data

Neurobehavioral status check

Facility: Ascension St. Vincent Seton Specialty Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$131
about 0.6× the $221 Medicare rate · typically $83–$299
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
Below the fair price — a good deal
about $45 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $131 This hospital $86

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

A typical price — 0 charge more and 3 charge less, among the 9 IN hospitals compared.

Cheapest $71 Priciest $86

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

A fair price for a Neurobehavioral status check is about $131 (about 0.6× the $221 Medicare rate). Ascension St. Vincent Seton Specialty Hospital charges insurers about $86 — below the fair price — a good deal. Located in Indianapolis, IN.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $19 - $135 9%
Blue Cross Blue Shieldmajor $67 - $86 30%
+ 4 smaller / regional plans $67 - $86
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 8050 Township Line Rd, Indianapolis, IN 46260
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL