CMS Price Transparency Data
Neurobehavioral status check
Facility: Legacy Silverton Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$257
about 1.2× the $221 Medicare rate · typically $179–$337
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $257 Cash price $166 Hospital's list price $256
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
✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana
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 | $595 | 270% |
| Aetnamajor | $255 | 116% |
| Kaiser Permanentemajor | $485 | 220% |
| + 2 smaller / regional plans | $242 - $267 |
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Other Procedures at Legacy Silverton Medical Center
Compare: Neurobehavioral status check at other OR hospitals
- Mid-Columbia Medical Center · The Dalles $97
- Good Samaritan Regional Medical Center · Corvallis $122
- Samaritan Albany General Hospital · Albany $122
- Samaritan North Lincoln Hospital · Lincoln City $122
- Samaritan Pacific Community Hospital · Newport $122
- Samaritan Lebanon Community Hospital · Lebanon $122
- Lower Umpqua Hospital District · Reedsport $133
- Santiam Hospital & Clinics · Stayton $242
Insurance negotiated median for the same procedure, sorted lowest first.