CMS Price Transparency Data

Neurobehavioral status check

Facility: Atrium Health Pineville

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$150
about 0.7× the $221 Medicare rate · typically $98–$205
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
About the fair price
about $4 over the fair price · 0.7× Medicare
Medicare pays $221 Fair price $150 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 $150 (about 0.7× the $221 Medicare rate). Atrium Health Pineville charges insurers about $154, or about $353 in cash — about the fair price. Located in Charlotte, 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 - $333 34%
Blue Cross Blue Shieldmajor $92 - $275 42%
Aetnamajor $59 - $586 27%
Cignamajor $75 - $477 34%
Humanamajor $76 - $302 34%
Ambetter (Centene) $113 - $256 51%
AmeriHealth $72 - $74 33%
Health Net $107 - $312 49%
WellCare $73 - $74 33%
+ 16 smaller / regional plans $71 - $635
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals