CMS Price Transparency Data

Neurobehavioral status check

Facility: Bethesda North

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$391
about 1.8× the $221 Medicare rate · typically $234–$443
modeled estimate · not a bill or quote
What this hospital charges insurers
$385
About the fair price
about $6 under the fair price · 1.7× Medicare
Medicare pays $221 Fair price $391 This hospital $385 Cash price $470 Hospital's list price $627

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 $385

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 $391 (about 1.8× the $221 Medicare rate). Bethesda North charges insurers about $385, or about $470 in cash — about the fair price. Located in Cincinnati, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $263 - $618 119%
Aetnamajor $210 - $218 95%
Medical Mutual $215 97%
Oscar Health $316 143%
+ 3 smaller / regional plans $217 - $606
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10500 Montgomery Road, Cincinnati, OH 45242
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals