CMS Price Transparency Data

Neurobehavioral status check

Facility: Jefferson Abington Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$271
about 1.2× the $221 Medicare rate · typically $124–$328
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
Below the fair price — a good deal
about $148 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $271 This hospital $123 Cash price $178 Hospital's list price $268

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 $123

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 $271 (about 1.2× the $221 Medicare rate). Jefferson Abington Hospital charges insurers about $123, or about $178 in cash — below the fair price — a good deal. Located in Abington, PA.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $138 63%
Aetnamajor $90 - $208 41%
Cignamajor $632 286%
Geisinger $123 - $162 56%
HealthPartners $60 - $99 27%
UPMC Health Plan $759 344%
+ 5 smaller / regional plans $71 - $449
Government programs also on file: Medicare, Medicaid.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals