CMS Price Transparency Data

Neurobehavioral status check

Facility: Singing River Gulfport

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $200
Cash Discount Price: $117
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at Singing River Gulfport is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.91x the Medicare baseline. Located in 15200 Community Road, Gulfport, MS.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)

Cash / Self-Pay: $117 (53%)

Insurance Median: $200 (91%)

Cash: $117 (53% of Medicare)

Ins. Median: $200 (91% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$180 - $9,277	82%
UnitedHealthcare	$185 - $308	84%
Aetna	$189 - $196	86%
Humana	$189 - $196	86%
Blue Cross Blue Shield	$191 - $198	87%
Molina Healthcare Of Ms	$193 - $296	87%
Shared Health	$195 - $202	88%
Wellcare	$195 - $202	88%
Molina	$196	89%
Singing River Health System Employees	$221 - $344	100%
Ambetter / Centene	$278 - $289	126%
Mississippi Physicians Care Network	$333	151%
First Choice	$337	153%
Mississippi Physician'S Care Network	$347	157%
90 Degree Benefits	$352 - $366	160%
First Choice Preferred Pricing	$356	161%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Singing River Gulfport is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.