CMS Price Transparency Data

Neurobehavioral status check

Facility: The Nebraska Methodist Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$301
about 1.4× the $221 Medicare rate · typically $165–$398
modeled estimate · not a bill or quote
What this hospital charges insurers
$176
Below the fair price — a good deal
about $125 under the fair price · 0.8× Medicare
Medicare pays $221 Fair price $301 This hospital $176 Cash price $105 Hospital's list price $293

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

On the higher side — 6 of 8 other NE hospitals charge less.

Cheapest $88 Priciest $197

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $301 (about 1.4× the $221 Medicare rate). The Nebraska Methodist Hospital charges insurers about $176, or about $105 in cash — below the fair price — a good deal. Located in Omaha, NE.

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✓ Aetna CignaHumanaKaiser 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 80%
Blue Cross Blue Shieldmajor $190 - $212 86%
Aetnamajor $176 - $214 80%
Ambetter (Centene) $188 85%
Medica $125 - $146 57%
+ 2 smaller / regional plans $172 - $176
Government programs also on file: Medicare.
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: 8303 Dodge St, Omaha, NE 68114
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals