CMS Price Transparency Data

Neurobehavioral status check

Facility: Duke University Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$152
about 0.7× the $221 Medicare rate · typically $85–$391
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $69 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $152 This hospital $83 Cash price $89 Hospital's list price $194

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 7 of 8 other NC hospitals charge more for the same procedure.

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 $152 (about 0.7× the $221 Medicare rate). Duke University Hospital charges insurers about $83, or about $89 in cash — below the fair price — a good deal. Located in Durham, 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 $16 - $300 7%
Blue Cross Blue Shieldmajor $16 - $300 7%
Aetnamajor $16 - $300 7%
Cignamajor $21 - $309 10%
Humanamajor $60 - $300 27%
AmeriHealth $16 - $81 7%
Sentara $44 - $173 20%
+ 8 smaller / regional plans $16 - $309
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2301 Erwin Rd, Durham, NC 27705
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals