CMS Price Transparency Data

Neurobehavioral status check

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$209
about 0.9× the $221 Medicare rate · typically $116–$319
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
Above the fair price
about $96 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $209 This hospital $305 Cash price $1,147 Hospital's list price $1,912

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 $305

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $209 (about 0.9× the $221 Medicare rate). Magee Womens Hospital of UPMC Health System charges insurers about $305, or about $1,147 in cash — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $209. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $76 - $321 34%
Blue Cross Blue Shieldmajor $102 - $1,201 46%
Aetnamajor $89 - $1,013 40%
Cignamajor $765 - $1,013 347%
Humanamajor $1,625 737%
AmeriHealth $109 - $321 49%
Geisinger $107 49%
UPMC Health Plan $76 - $358 34%
+ 3 smaller / regional plans $117 - $1,625
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals