CMS Price Transparency Data

Neurobehavioral status check

Facility: Ahn Wexford Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$100
about 0.5× the $221 Medicare rate · typically $95–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
0.5× Medicare
Medicare pays $221 Fair price $100 This hospital $100 Cash price $58 Hospital's list price $223

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 $100

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 $100 (about 0.5× the $221 Medicare rate). Ahn Wexford Hospital charges insurers about $100, or about $58 in cash — about the fair price. Located in Wexford, 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 $100 - $995 45%
Blue Cross Blue Shieldmajor $69 - $597 31%
Aetnamajor $312 - $911 141%
Cignamajor $128 - $994 58%
Humanamajor $318 144%
AmeriHealth $72 - $315 33%
Geisinger $100 45%
Medical Mutual $994 451%
Molina $327 148%
+ 5 smaller / regional plans $74 - $300
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 12351 Perry Highway, Wexford, PA 15090
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals