CMS Price Transparency Data

Neurobehavioral status check

Facility: Lower Bucks Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$276
about 1.2× the $221 Medicare rate · typically $125–$326
modeled estimate · not a bill or quote
What this hospital charges insurers
$237
Below the fair price — a good deal
about $39 under the fair price · 1.1× Medicare
Medicare pays $221 Fair price $276 This hospital $237 Cash price $212 Hospital's list price $716

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $71 Priciest $237

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 $276 (about 1.2× the $221 Medicare rate). Lower Bucks Hospital charges insurers about $237, or about $212 in cash — below the fair price — a good deal. Located in Bristol, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $135 - $454 61%
Blue Cross Blue Shieldmajor $212 - $568 96%
Cignamajor $513 233%
Humanamajor $170 77%
HealthPartners $212 - $319 96%
+ 7 smaller / regional plans $212 - $297
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 501 Bath Road, Bristol, PA 19007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals