CMS Price Transparency Data

Neurobehavioral status check

Facility: Essentia Health

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$227
about 1.0× the $221 Medicare rate · typically $178–$315
modeled estimate · not a bill or quote
What this hospital charges insurers
$311
Above the fair price
about $84 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $227 This hospital $311

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 2 charge more and 3 charge less, among the 6 ND hospitals compared.

Cheapest $75 Priciest $321

Black dot = this hospital, among the 6 ND hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $227 (about 1.0× the $221 Medicare rate). Essentia Health charges insurers about $311 — above the fair price. Located in Fargo, ND.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $227. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $311 141%
Blue Cross Blue Shieldmajor $311 - $717 141%
HealthPartners $311 141%
Medica $311 141%
Sanford Health Plan $551 250%
Security Health Plan $311 141%
UCare $311 141%
+ 10 smaller / regional plans $303 - $311
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals