CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence Portland Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$295
about 1.3× the $221 Medicare rate · typically $262–$387
modeled estimate · not a bill or quote
What this hospital charges insurers
$262
Below the fair price — a good deal
about $33 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $295 This hospital $262

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $97 Priciest $262

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

A fair price for a Neurobehavioral status check is about $295 (about 1.3× the $221 Medicare rate). Providence Portland Medical Center charges insurers about $262 — below the fair price — a good deal. Located in Portland, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $257 117%
Blue Cross Blue Shieldmajor $1,089 494%
Moda Health $480 - $1,312 218%
Molina $259 - $439 117%
Providence Health Plan $236 107%
+ 2 smaller / regional plans $240 - $262

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Facility Profile & Credentials

  • Address: 4805 Ne Glisan Street, Portland, OR 97213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals