CMS Price Transparency Data

Neurobehavioral status check

Facility: Samaritan Pacific Community Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$122

about 0.6× the $221 Medicare rate · typically $110–$168

modeled estimate · not a bill or quote

What this hospital charges insurers

$122

About the fair price

0.6× Medicare

Medicare pays $221 Fair price $122 This hospital $122 Cash price $196 Hospital's list price $245

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 3 of 8 other OR hospitals charge more for the same procedure.

Cheapest $97 Priciest $258

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 $122 (about 0.6× the $221 Medicare rate). Samaritan Pacific Community Hospital charges insurers about $122, or about $196 in cash — about the fair price. Located in Newport, OR.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$23 - $324	10%
Aetnamajor	$59 - $342	27%
Cignamajor	$60 - $349	27%
Humanamajor	$21 - $351	10%
Devoted Health	$24 - $137	11%
Health Net	$60 - $349	27%
Moda Health	$59 - $342	27%
PacificSource	$23 - $206	10%
+ 4 smaller / regional plans	$20 - $349

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 (about 196), 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 Samaritan Pacific Community Hospital 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 Samaritan Pacific Community Hospital

Compare: Neurobehavioral status check at other OR hospitals

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