CMS Price Transparency Data
Neurobehavioral status check
Facility: Rhode Island Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$387
about 1.8× the $221 Medicare rate · typically $164–$480
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $387 Cash price $515 Hospital's list price $515
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 | $328 - $649 | 149% |
| Aetnamajor | $248 | 112% |
| Cignamajor | $243 - $1,020 | 110% |
| Harvard Pilgrim | $851 | 386% |
| Tufts Health Plan | $1,129 | 512% |
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Other Procedures at Rhode Island Hospital
Compare: Neurobehavioral status check at other RI hospitals
- Landmark Medical Center · Woonsocket $242
- Newport Hospital · Newport $560
- The Miriam Hospital · Providence $609
Insurance negotiated median for the same procedure, sorted lowest first.