Neurobehavioral status check
Facility: St Clair Hospital
Billing Code: 96116 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $163 (about 0.7× the $221 Medicare rate). St Clair Hospital charges insurers about $471, or about $224 in cash — well 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 $163. 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
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 | $210 - $690 | 95% |
| Blue Cross Blue Shieldmajor | $187 - $471 | 85% |
| Aetnamajor | $217 - $564 | 98% |
| Cignamajor | $219 - $483 | 99% |
| Humanamajor | $210 | 95% |
| AmeriHealth | $210 | 95% |
| Geisinger | $217 | 98% |
| HealthPartners | $221 | 100% |
| UPMC Health Plan | $152 - $210 | 69% |
| + 3 smaller / regional plans | $219 - $505 |
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.
Other Procedures at St Clair 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.