CMS Price Transparency Data

Neurobehavioral status check

Facility: Carolinas Medical Center-Northeast

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$151

about 0.7× the $221 Medicare rate · typically $99–$211

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

About the fair price

about $3 over the fair price · 0.7× Medicare

Medicare pays $221 Fair price $151 This hospital $154 Cash price $353 Hospital's list price $706

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $71 Priciest $154

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

A fair price for a Neurobehavioral status check is about $151 (about 0.7× the $221 Medicare rate). Carolinas Medical Center-Northeast charges insurers about $154, or about $353 in cash — about the fair price. Located in Concord, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$74 - $313	34%
Blue Cross Blue Shieldmajor	$92 - $253	42%
Aetnamajor	$59 - $431	27%
Cignamajor	$75 - $565	34%
Humanamajor	$76 - $302	34%
Ambetter (Centene)	$113 - $256	51%
AmeriHealth	$74 - $87	34%
Health Net	$107 - $312	49%
WellCare	$74 - $88	34%
+ 17 smaller / regional plans	$73 - $635

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 353), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Carolinas Medical Center-Northeast is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carolinas Medical Center-Northeast

Compare: Neurobehavioral status check at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.