CMS Price Transparency Data

Neurobehavioral status check

Facility: UNM Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$222
about 1.0× the $221 Medicare rate · typically $176–$310
modeled estimate · not a bill or quote
What this hospital charges insurers
$208
About the fair price
about $14 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $222 This hospital $208 Cash price $243 Hospital's list price $442

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 6 NM hospitals we have prices for — a strong deal.

Cheapest $208 Priciest $374

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

A fair price for a Neurobehavioral status check is about $222 (about 1.0× the $221 Medicare rate). UNM Hospital charges insurers about $208, or about $243 in cash — about the fair price. Located in Albuquerque, NM.

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 $85 - $213 39%
Blue Cross Blue Shieldmajor $61 - $213 28%
Aetnamajor $85 - $213 39%
Humanamajor $77 - $191 35%
Devoted Health $102 - $255 46%
Molina $208 - $521 94%
Presbyterian $170 - $425 77%
+ 10 smaller / regional plans $85 - $521

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals