CMS Price Transparency Data

Neurobehavioral status check

Facility: Wakemed, Raleigh Campus

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$270
about 1.2× the $221 Medicare rate · typically $221–$308
modeled estimate · not a bill or quote
What this hospital charges insurers
$301
About the fair price
about $31 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $270 This hospital $301 Cash price $201 Hospital's list price $528

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $71 Priciest $301

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 $270 (about 1.2× the $221 Medicare rate). Wakemed, Raleigh Campus charges insurers about $301, or about $201 in cash — about the fair price. Located in Raleigh, NC.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $124 - $301 56%
Aetnamajor $238 - $359 108%
Cignamajor $155 - $269 70%
Ambetter (Centene) $132 - $191 60%
AmeriHealth $95 43%
WellCare $95 - $301 43%
+ 4 smaller / regional plans $95 - $316
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 New Bern Ave, Raleigh, NC 27610
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals