CMS Price Transparency Data

Neurobehavioral status check

Facility: Gillette Childrens Specialty Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 0.6× the $221 Medicare rate · typically $108–$254
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $3 over the fair price · 0.6× Medicare
Medicare pays $221 Fair price $135 This hospital $138

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 6 of 8 other MN hospitals charge more for the same procedure.

Cheapest $81 Priciest $226

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 $135 (about 0.6× the $221 Medicare rate). Gillette Childrens Specialty Hospital charges insurers about $138 — about the fair price. Located in Saint Paul, MN.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $137 - $146 62%
Blue Cross Blue Shieldmajor $77 - $161 35%
Aetnamajor $324 147%
HealthPartners $93 - $116 42%
Medica $167 76%
UCare $251 114%

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Facility Profile & Credentials

  • Address: 200 University Avenue East, Saint Paul, MN 55106
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Childrens