CMS Price Transparency Data

Neurobehavioral status check

Facility: Hospital of Univ of Pennsylvania

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$283
about 1.3× the $221 Medicare rate · typically $127–$350
modeled estimate · not a bill or quote
What this hospital charges insurers
$268
About the fair price
about $15 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $283 This hospital $268 Cash price $335 Hospital's list price $335

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 $268

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 $283 (about 1.3× the $221 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $268, or about $335 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

6 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 $135 - $999 61%
Blue Cross Blue Shieldmajor $90 - $477 41%
Aetnamajor $76 - $335 34%
Cignamajor $116 - $309 53%
Humanamajor $234 - $268 106%
Kaiser Permanentemajor $201 - $335 91%
Clover Health $245 111%
Devoted Health $238 108%
Geisinger $234 - $720 106%
Health Net $201 - $335 91%
HealthPartners $234 - $335 106%
Oscar Health $386 175%
UPMC Health Plan $84 - $335 38%
+ 39 smaller / regional plans $38 - $601
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals