CMS Price Transparency Data

Neurobehavioral status check

Facility: Ascension St John Nowata

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$222

about 1.0× the $221 Medicare rate · typically $84–$572

modeled estimate · not a bill or quote

What this hospital charges insurers

$104

Below the fair price — a good deal

about $118 under the fair price · 0.5× Medicare

Medicare pays $221 Fair price $222 This hospital $104

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 5 of 8 other OK hospitals charge more for the same procedure.

Cheapest $83 Priciest $305

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

A fair price for a Neurobehavioral status check is about $222 (about 1.0× the $221 Medicare rate). Ascension St John Nowata charges insurers about $104 — below the fair price — a good deal. Located in Nowata, OK.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor	$97	44%

Excludes 1 rental-network / third-party entry (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, 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 Ascension St John Nowata 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 Ascension St John Nowata

Compare: Neurobehavioral status check at other OK hospitals

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