CMS Price Transparency Data
Neurobehavioral status check
Facility: SSM Health St Anthony Hospital - Oklahoma City
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$323
about 1.5× the $221 Medicare rate · typically $172–$402
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $323 Cash price $77 Hospital's list price $140
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $211 | 96% |
| Blue Cross Blue Shieldmajor | $208 - $214 | 94% |
| Humanamajor | $211 | 96% |
| Ambetter (Centene) | $280 | 127% |
| Medica | $124 | 56% |
| Oscar Health | $273 | 124% |
| + 4 smaller / regional plans | $384 - $545 |
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Other Procedures at SSM Health St Anthony Hospital - Oklahoma City
Compare: Neurobehavioral status check at other OK hospitals
- Mercy Hospital Kingfisher, Inc · Kingfisher $83
- Ascension St John Broken Arrow · Broken Arrow $104
- Ascension St John Nowata · Nowata $104
- Ascension St John Sapulpa · Sapulpa $104
- Integris Southwest Medical Center · Oklahoma City $210
- Integris Health Enid Hospital · Enid $212
- SSM Health St Anthony Hospital - Shawnee · Shawnee $214
- SSM Health St Anthony Hospital - Midwest · Midwest City $277
Insurance negotiated median for the same procedure, sorted lowest first.