CMS Price Transparency Data

Neurobehavioral status check

Facility: Roxborough Memorial 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 $118–$321
modeled estimate · not a bill or quote
What this hospital charges insurers
$249
About the fair price
about $22 under the fair price · 1.1× Medicare
Medicare pays $221 Fair price $271 This hospital $249 Cash price $220 Hospital's list price $716

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 $249

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). Roxborough Memorial Hospital charges insurers about $249, or about $220 in cash — about the fair price. Located in Philadelphia, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $135 - $461 61%
Blue Cross Blue Shieldmajor $221 - $568 100%
Cignamajor $522 237%
Humanamajor $177 80%
HealthPartners $221 - $331 100%
+ 7 smaller / regional plans $221 - $309
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals