CMS Price Transparency Data

Neurobehavioral status check

Facility: University Hospitals Samaritan Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$174
about 0.8× the $221 Medicare rate · typically $165–$300
modeled estimate · not a bill or quote
What this hospital charges insurers
$271
Above the fair price
about $97 over the fair price · 1.2× Medicare
Medicare pays $221 Fair price $174 This hospital $271 Cash price $323 Hospital's list price $431

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $271

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $174 (about 0.8× the $221 Medicare rate). University Hospitals Samaritan Medical Center charges insurers about $271, or about $323 in cash — above the fair price. Located in Ashland, OH.

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 $174. 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 $271 - $397 123%
Blue Cross Blue Shieldmajor $271 - $389 123%
Aetnamajor $271 - $483 123%
Cignamajor $241 - $397 109%
Humanamajor $271 123%
Ambetter (Centene) $489 222%
CareSource $489 222%
Devoted Health $271 123%
Health Net $366 166%
Medical Mutual $153 - $427 69%
Molina $271 123%
Paramount $280 127%
WellCare $271 123%
+ 19 smaller / regional plans $172 - $392
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals