CMS Price Transparency Data

Neurobehavioral status check

Facility: Presbyterian Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$331
about 1.5× the $221 Medicare rate · typically $211–$405
modeled estimate · not a bill or quote
What this hospital charges insurers
$374
About the fair price
about $43 over the fair price · 1.7× Medicare
Medicare pays $221 Fair price $331 This hospital $374

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Highest price of the 6 NM hospitals we have prices for — worth calling around.

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 $331 (about 1.5× the $221 Medicare rate). Presbyterian Hospital charges insurers about $374 — 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.

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 $948 430%
Blue Cross Blue Shieldmajor $222 - $374 101%
Aetnamajor $224 102%
Presbyterian $214 - $653 97%

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals