CMS Price Transparency Data
Neurobehavioral status check
Facility: University Medical Center
Billing Code: 96116 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96116
- Insurance Median: $344
- Cash Discount Price: $374
- vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at University Medical Center is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.56x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$374
Average discount available for prompt cash payment at this facility.
Insurance Median
$344
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$220.6
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $220.6 (100%)
Cash / Self-Pay: $374 (170%)
Insurance Median: $344 (156%)
Cash: $374 (170% of Medicare)
Ins. Median: $344 (156% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $92 - $747 | 42% |
| Boyd Group | $92 - $506 | 42% |
| Bricklayers Local 13 | $92 - $506 | 42% |
| Caesar'S Entertainment | $92 - $506 | 42% |
| California Ironwork Field Welfare | $92 - $301 | 42% |
| Electrical Workers | $92 - $506 | 42% |
| Laborers Health And Welfare | $92 - $506 | 42% |
| Operating Engineers | $92 - $506 | 42% |
| Plumbers & Pipefitters Loc 525 | $92 - $506 | 42% |
| Sheet Metal Workers | $92 - $301 | 42% |
| So Ca Pipe Trades H&W | $92 - $301 | 42% |
| Southwest Carpenters H&W | $92 - $301 | 42% |
| Teamsters Local 14 | $92 - $506 | 42% |
| Teamsters Local 631 | $92 - $506 | 42% |
| Teamsters Local 986 | $92 - $506 | 42% |
| Ufcw Local 711 Retail Clerks | $92 - $506 | 42% |
| Aig | $100 - $602 | 45% |
| Beech Street | $100 - $602 | 45% |
| Cement Masons & Plasters H&W | $100 - $506 | 45% |
| Cigna | $172 - $301 | 78% |
| Cirque De Soleil | $172 - $301 | 78% |
| City Of North Las Vegas | $172 - $506 | 78% |
| Great West Healthcare | $172 - $301 | 78% |
| Kaiser | $172 - $301 | 78% |
| National Security Technologies | $172 - $301 | 78% |
| American Postal Workers Health Plan | $343 | 155% |
| Las Vegas Sand Corps | $343 | 155% |
| Surest | $343 | 155% |
| UnitedHealthcare | $343 - $344 | 155% |
| Advantra Freedom | $344 | 156% |
| Aetna | $344 - $602 | 156% |
| Alignment Health | $344 | 156% |
| Allwell | $344 | 156% |
| Healthcare Partners Of Nevada | $344 | 156% |
| Molina | $344 - $747 | 156% |
| P3 Health Partners Nevada | $344 | 156% |
| Scan | $344 | 156% |
| Selecthealth | $344 - $509 | 156% |
| Sierra Health And Life | $344 - $747 | 156% |
| Va Pc3 (Va Choice) | $344 | 156% |
| Clark County Detention Center | $362 | 164% |
| Hometown Health Plan Of Nevada | $386 | 175% |
| One Health Plan | $386 | 175% |
| Coventry | $422 | 191% |
| Mail Handlers Benefit Plan | $422 | 191% |
| Nevada Energy | $422 | 191% |
| Laughlin Coalition | $470 | 213% |
| City Of Henderson | $506 | 229% |
| Clark County Epo | $506 | 229% |
| Clark County Firefighters 1908 | $506 | 229% |
| Clark County Self Funded | $506 | 229% |
| Culinary Workers Hwf | $506 | 229% |
| Employee Painters Trust | $506 | 229% |
| Las Vegas Firefighters 1285 | $506 | 229% |
| Las Vegas Metro Police Dept | $506 | 229% |
| Mgm Grand | $506 | 229% |
| Mirage Las Vegas | $506 | 229% |
| Nevada Hand | $506 | 229% |
| Resorts World Las Vegas | $506 | 229% |
| Switch | $506 | 229% |
| Wynn Resorts | $506 | 229% |
| Ambetter / Centene | $533 - $747 | 242% |
| Health Direct Partners | $554 | 251% |
| First Health | $590 | 267% |
| Health Net | $590 - $1,024 | 267% |
| Three Rivers Provider Network | $590 | 267% |
| Arroweye Solutions | $627 | 284% |
| Dignity Health | $627 | 284% |
| Golden Entertainment | $627 | 284% |
| Golden Nugget Hotel & Casino | $627 | 284% |
| Marshall Retail Group | $627 | 284% |
| P3 Health Partners | $627 | 284% |
| Pli Las Vegas | $627 | 284% |
| Rebel Oil Company | $627 | 284% |
| State Of Nevada | $627 | 284% |
| Stations Casinos | $627 | 284% |
| Teacher'S Health Trust | $627 | 284% |
| Truline Corporation | $627 | 284% |
| Venetian/Palazzo | $627 | 284% |
| Nevada Preferred Professionals | $688 | 312% |
| Prominence Health Plan | $688 | 312% |
| Universal Health Network (Uhn) | $688 | 312% |
| Jw Marriott | $723 | 328% |
| Zuffa | $723 | 328% |