CMS Price Transparency Data
Neurobehavioral status check
Facility: San Juan Regional Medical Center Inc
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$285
about 1.3× the $221 Medicare rate · typically $179–$334
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $285 Cash price $232 Hospital's list price $464
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $354 - $603 | 160% |
| Aetnamajor | $418 | 189% |
| Cignamajor | $361 | 164% |
| Humanamajor | $237 - $371 | 107% |
| Health Net | $371 | 168% |
| Presbyterian | $226 - $630 | 102% |
| + 7 smaller / regional plans | $302 - $2,023 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at San Juan Regional Medical Center Inc
Compare: Neurobehavioral status check at other NM hospitals
- UNM Hospital · Albuquerque $208
- Covenant Health Hobbs Hospital · Hobbs $225
- Dr Dan C Trigg Memorial Hospital · Tucumcari $247
- Lincoln County Medical Center · Ruidoso $247
- Christus St Vincent Regional Medical Center · Santa Fe $329
- Presbyterian Hospital · Albuquerque $374
Insurance negotiated median for the same procedure, sorted lowest first.