CMS Price Transparency Data

Neurobehavioral status check

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$274
about 1.2× the $221 Medicare rate · typically $117–$308
modeled estimate · not a bill or quote
What this hospital charges insurers
$308
About the fair price
about $34 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $274 This hospital $308 Cash price $483 Hospital's list price $779

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 $308

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 $274 (about 1.2× the $221 Medicare rate). Geisinger Wyoming Valley Medical Center charges insurers about $308, or about $483 in cash — about the fair price. Located in Wilkes Barre, PA.

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 $398 180%
Blue Cross Blue Shieldmajor $126 - $311 57%
Aetnamajor $363 - $520 165%
Cignamajor $337 - $353 153%
Humanamajor $308 140%
Ambetter (Centene) $1,015 460%
AmeriHealth $79 36%
Geisinger $71 - $943 32%
HealthPartners $82 37%
UPMC Health Plan $81 - $86 37%
+ 4 smaller / regional plans $308 - $662
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals