CMS Price Transparency Data

Neurobehavioral status check

Facility: Nebraska Orthopaedic Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$296
about 1.3× the $221 Medicare rate · typically $151–$339
modeled estimate · not a bill or quote
What this hospital charges insurers
$310
About the fair price
about $14 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $296 This hospital $310

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $88 Priciest $310

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 $296 (about 1.3× the $221 Medicare rate). Nebraska Orthopaedic Hospital charges insurers about $310 — about the fair price. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $303 - $850 137%
Blue Cross Blue Shieldmajor $261 - $303 118%
Aetnamajor $103 47%
Humanamajor $303 137%
Ambetter (Centene) $455 - $677 206%
Amerigroup $303 137%
WellCare $307 139%
+ 5 smaller / regional plans $310 - $850
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: 2808 South 143Rd Plaza, Omaha, NE 68144
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals