CMS Price Transparency Data
Neurobehavioral status check
Facility: Thomas Jefferson University Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$273
about 1.2× the $221 Medicare rate · typically $78–$335
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $273 Cash price $255 Hospital's list price $310
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Cigna UnitedHealthcareBlue Cross Blue ShieldAetnaHumanaKaiser 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 |
|---|---|---|
| Cignamajor | $632 - $759 | 286% |
| UPMC Health Plan | $759 | 344% |
| + 1 smaller / regional plan | $82 - $1,156 |
Government programs also on file: Medicaid.
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Other Procedures at Thomas Jefferson University Hospital
Compare: Neurobehavioral status check at other PA hospitals
- Magee Memorial Hospital for Convalescents · Philadelphia $71
- Penn Highlands Connellsville · Connellsville $91
- Saint Vincent Hospital · Erie $95
- Allegheny Valley Hospital · Natrona $95
- Reading Hospital · West Reading $95
- Allegheny General Hospital · Pittsburgh $95
- West Penn Hospital · Pittsburgh $95
- Canonsburg General Hospital · Canonsburg $95
Insurance negotiated median for the same procedure, sorted lowest first.