Neurobehavioral status check
Facility: Sanford Worthington Medical Center
Billing Code: 96116 (CPT)
This hospital's typical commercial price is $315 compared to the $231 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.36× fair market pricing.
Highest price of the 9 MN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.
A fair price for a Neurobehavioral status check is about $231 (about 1.0× the $221 Medicare rate). Sanford Worthington Medical Center charges insurers about $315 — above the fair price. Located in Worthington, MN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $231. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
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 | $315 | 143% |
| Blue Cross Blue Shieldmajor | $231 - $855 | 105% |
| Aetnamajor | $315 | 143% |
| HealthPartners | $315 | 143% |
| Sanford Health Plan | $290 | 131% |
| UCare | $312 - $343 | 141% |
| + 1 smaller / regional plan | $321 - $343 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Sanford Worthington Medical Center
Compare: Neurobehavioral status check at other MN hospitals
- Madison Hospital · Madison $81
- North Memorial Health Hospital · Robbinsdale $88
- Gillette Childrens Specialty Hospital · Saint Paul $138
- St Gabriels Hospital · Little Falls $150
- Allina United Hospital · Saint Paul $190
- Abbott Northwestern Hospital · Minneapolis $190
- Owatonna Hospital · Owatonna $190
- St Francis Regional Medical Center · Shakopee $190
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Sanford Worthington Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $274
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $274).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Sanford Worthington Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $231 Fair BaseRate ($221 Medicare)
Your bill ($756) is $525 above the denoised Fair BaseRate ($231) and 3.4× the $221 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.