CMS Price Transparency Data

Neurobehavioral status check

Facility: Christus St Vincent Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$253
about 1.1× the $221 Medicare rate · typically $194–$339
modeled estimate · not a bill or quote
What this hospital charges insurers
$329
Above the fair price
about $76 over the fair price · 1.5× Medicare
Medicare pays $221 Fair price $253 This hospital $329

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 4 of 5 other NM hospitals charge less.

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 $253 (about 1.1× the $221 Medicare rate). Christus St Vincent Regional Medical Center charges insurers about $329 — above the fair price. Located in Santa Fe, NM.

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 $253. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $180 - $329 82%
Blue Cross Blue Shieldmajor $108 - $1,130 49%
Aetnamajor $329 149%
Cignamajor $338 153%
Humanamajor $329 149%
Ambetter (Centene) $657 298%
Amerigroup $378 171%
Devoted Health $345 156%
Molina $198 - $345 90%
Presbyterian $180 - $1,085 82%
+ 4 smaller / regional plans $329
Government programs also on file: Military & VA.

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.

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Facility Profile & Credentials

  • Address: 455 St Michael's Drive, Santa Fe, NM 87505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals