CMS Price Transparency Data

Neurobehavioral status check

Facility: Akron Children's Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$119

about 0.5× the $221 Medicare rate · typically $106–$228

modeled estimate · not a bill or quote

What this hospital charges insurers

$118

About the fair price

about $1 under the fair price · 0.5× Medicare

Medicare pays $221 Fair price $119 This hospital $118 Cash price $278 Hospital's list price $392

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 OH hospitals compared.

Cheapest $90 Priciest $193

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 $119 (about 0.5× the $221 Medicare rate). Akron Children's Hospital charges insurers about $118, or about $278 in cash — about the fair price. Located in Akron, 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	$58 - $498	26%
Blue Cross Blue Shieldmajor	$57 - $573	26%
Aetnamajor	$56 - $498	25%
Cignamajor	$119 - $500	54%
Humanamajor	$58 - $538	26%
AmeriHealth	$59 - $259	27%
CareSource	$57 - $247	26%
Health Net	$486	220%
Molina	$57 - $251	26%
Paramount	$538	244%
+ 23 smaller / regional plans	$57 - $571

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 278), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Akron Children's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Akron Children's Hospital

Compare: Neurobehavioral status check at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.