CMS Price Transparency Data
Neurobehavioral status check
Facility: Hospital General De Castaner
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$139
about 0.6× the $221 Medicare rate · typically $65–$291
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Below the fair price — a good deal
about $42 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $139 This hospital $97 Cash price $150 Hospital's list price $187
A fair price for a Neurobehavioral status check is about $139 (about 0.6× the $221 Medicare rate). Hospital General De Castaner charges insurers about $97, or about $150 in cash — below the fair price — a good deal. Located in Castaner, PR.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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 |
|---|---|---|
| Humanamajor | $97 | 44% |
| + 2 smaller / regional plans | $31 - $97 |
Government programs also on file: Medicare.
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.