CMS Price Transparency Data
Neurobehavioral status check
Facility: CHI St Alexius Health
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$326
about 1.5× the $221 Medicare rate · typically $188–$363
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $326 Cash price $136 Hospital's list price $266
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $176 - $311 | 80% |
| Blue Cross Blue Shieldmajor | $318 | 144% |
| Humanamajor | $311 | 141% |
| HealthPartners | $200 | 91% |
| Medica | $197 - $311 | 89% |
| Sanford Health Plan | $539 | 244% |
| + 1 smaller / regional plan | $327 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at CHI St Alexius Health
Compare: Neurobehavioral status check at other ND hospitals
- PAM Rehabilitation Hospital of Fargo · Fargo $75
- Trinity Hospitals · Minot $221
- Altru Hospital · Grand Forks $245
- Essentia Health · Fargo $311
- Sanford Medical Center Fargo · Fargo $321
- Sanford Medical Center Bismarck · Bismarck $321
Insurance negotiated median for the same procedure, sorted lowest first.