CMS Price Transparency Data

Neurobehavioral status check

Facility: Dunes Surgical Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$283
about 1.3× the $221 Medicare rate · typically $140–$466
modeled estimate · not a bill or quote
What this hospital charges insurers
$433
Above the fair price
about $150 over the fair price · 2.0× Medicare
Medicare pays $221 Fair price $283 This hospital $433 Cash price $480

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

On the higher side — 3 of 4 other SD hospitals charge less.

Cheapest $86 Priciest $974

Black dot = this hospital, among the 5 SD hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $283 (about 1.3× the $221 Medicare rate). Dunes Surgical Hospital charges insurers about $433, or about $480 in cash — above the fair price. Located in Dakota Dunes, SD.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $283. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $433 196%

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: 600 N Sioux Point Road, Dakota Dunes, SD 57049
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals