CMS Price Transparency Data

Neurobehavioral status check

Facility: Saint Vincent Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 0.5× the $221 Medicare rate · typically $90–$193
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
Below the fair price — a good deal
about $11 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $106 This hospital $95 Cash price $40 Hospital's list price $223

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 0 of 8 other PA hospitals charge more for the same procedure.

Cheapest $71 Priciest $95

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

A fair price for a Neurobehavioral status check is about $106 (about 0.5× the $221 Medicare rate). Saint Vincent Hospital charges insurers about $95, or about $40 in cash — below the fair price — a good deal. Located in Erie, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $100 - $9,151 45%
Blue Cross Blue Shieldmajor $69 - $534 31%
Aetnamajor $352 - $690 160%
Cignamajor $128 - $723 58%
Humanamajor $359 163%
AmeriHealth $72 - $356 33%
Geisinger $100 45%
Medical Mutual $723 328%
Molina $369 167%
+ 9 smaller / regional plans $60 - $339
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 232 West 25Th Street, Erie, PA 16544
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals