CMS Price Transparency Data

Neurobehavioral status check

Facility: Temple Health - Chestnut Hill Hospital

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $233
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at Temple Health - Chestnut Hill Hospital is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.06x the Medicare baseline. Located in 8835 Germantown Avenue, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$233

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)

Insurance Median: $233 (106%)

Ins. Median: $233 (106% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Geisinger	$82 - $1,356	37%
Health Partners Plans	$86 - $233	39%
Pennsylvania Health And Wellness	$86 - $410	39%
UnitedHealthcare	$93 - $393	42%
Upmc Health Plan	$96 - $233	44%
Blue Cross Blue Shield	$221 - $1,261	100%
Point Comfort	$222	101%
Innovage	$226	102%
Keystone First	$226 - $509	102%
Vibra	$226	102%
Humana	$228	103%
Cigna	$231 - $272	105%
Gateway Health Plan	$233	106%
Aetna	$240 - $1,498	109%
Sunrise	$244	111%
Elder Health	$266	121%
Naphcare	$333	151%
Occunet	$333	151%
Devon Health	$1,550 - $1,613	703%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Temple Health - Chestnut Hill Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.