CMS Price Transparency Data

Neurobehavioral status check

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$286
about 1.3× the $221 Medicare rate · typically $133–$330
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $286 This hospital $289 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 $289

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 $286 (about 1.3× the $221 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $289, or about $323 in cash — about the fair price. Located in Cleveland, OH.

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 $266 - $303 121%
Blue Cross Blue Shieldmajor $228 - $289 103%
Aetnamajor $241 - $343 109%
Cignamajor $241 - $289 109%
Humanamajor $289 131%
Ambetter (Centene) $241 109%
CareSource $233 106%
Devoted Health $289 131%
Health Net $366 166%
Medical Mutual $144 - $342 65%
Molina $289 131%
Paramount $297 135%
WellCare $289 131%
+ 21 smaller / regional plans $172 - $388
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens