CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence Milwaukie Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$290
about 1.3× the $221 Medicare rate · typically $258–$380
modeled estimate · not a bill or quote
What this hospital charges insurers
$262
About the fair price
about $28 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $290 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 $290 (about 1.3× the $221 Medicare rate). Providence Milwaukie Hospital charges insurers about $262 — about the fair price. Located in Milwaukie, 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: 10150 Se 32Nd Avenue, Milwaukie, OR 97222
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals