CMS Price Transparency Data

Neurobehavioral status check

Facility: Parkland Health & Hospital System

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $434
Cash Discount Price: $305
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at Parkland Health & Hospital System is $434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.97x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$305

Average discount available for prompt cash payment at this facility.

Insurance Median

$434

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)

Cash / Self-Pay: $305 (138%)

Insurance Median: $434 (197%)

Cash: $305 (138% of Medicare)

Ins. Median: $434 (197% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Wellpoint [1007]	$115 - $560	52%
Aetna	$121 - $588	55%
Cook Children Health Plan [1380]	$121	55%
Parkland Community Health Plan [1056]	$121 - $588	55%
Superior Health Plan [1402]	$121	55%
Molina [1382]	$127 - $616	58%
Point Comfort Underwriters [1801]	$127	58%
Care Improvement Plus [1104]	$159	72%
Procare Advantage [2104]	$162	73%
Blue Cross Blue Shield	$183 - $549	83%
Cigna	$358 - $457	162%
Superior Healthplan [1383]	$450	204%
Great West Healthcare [1037]	$457	207%
UnitedHealthcare	$508	230%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $305.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health & Hospital System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.