CMS Price Transparency Data

Neurobehavioral status check

Facility: South Pointe Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$219
about 1.0× the $221 Medicare rate · typically $148–$300
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Above the fair price
about $70 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $219 This hospital $289 Cash price $1,260 Hospital's list price $1,938

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 $289

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $219 (about 1.0× the $221 Medicare rate). South Pointe Hospital charges insurers about $289, or about $1,260 in cash — above the fair price. Located in Warrensville Heights, 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 $219. 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 $163 - $1,202 74%
Blue Cross Blue Shieldmajor $180 - $1,549 82%
Aetnamajor $289 - $1,938 131%
Cignamajor $125 - $1,010 57%
Humanamajor $289 - $1,647 131%
AmeriHealth $189 86%
CareSource $184 83%
Devoted Health $289 131%
Molina $180 82%
Oscar Health $584 - $745 265%
Paramount $177 80%
UniCare $303 137%
UPMC Health Plan $289 - $1,163 131%
+ 16 smaller / regional plans $180 - $1,744
Excludes 4 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

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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: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals