Neurobehavioral status check
Facility: Methodist Hospital
Billing Code: 96116 (CPT)
- CPT Billing Code: 96116
- Insurance Median: $397
- Cash Discount Price: $1,086
- vs. Medicare Baseline: 1.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Superior Health | $54 | 24% |
| Community First Health Plans | $130 - $293 | 59% |
| Amerigroup | $152 | 69% |
| Imperial Insurance | $206 | 93% |
| Oscar | $217 | 98% |
| United | $267 - $489 | 121% |
| Aetna | $287 - $543 | 130% |
| Blue Cross Blue Shield | $314 - $471 | 142% |
| Cigna | $315 - $420 | 143% |
| Focus Health Solutions | $326 | 148% |
| Healthcare Highways | $334 | 151% |
| Valenz | $380 | 172% |
| Evry Health | $400 | 181% |
| Curative Administrators | $434 | 197% |
| First Health | $479 | 217% |
| Fidelis Securecare | $489 | 222% |
| Emerging Therapy Solutions | $532 - $728 | 241% |
| Evernorth Behavioral Health | $543 | 246% |
| National Choicecare | $543 | 246% |
| Texas Healthcare Foundation Heb | $543 | 246% |
| Tx Healthcare Foundation | $543 | 246% |
| Healthsmart Preferred Care | $597 | 271% |
| Independent Medical Systems | $597 | 271% |
| Physician Cooperative Of Texas | $597 | 271% |
| Haa Preferred Partners | $652 | 296% |
| San Antonio Employers Health Alliance | $652 | 296% |
| Coastal Comp Health Networks | $706 | 320% |
| Humana | $706 | 320% |
| National Healthcare Solutions | $706 | 320% |
| Tml Intergovernmental Ebp | $760 | 345% |
| Multiplan | $814 - $923 | 369% |
| Triwest Health Alliance | $814 | 369% |
| Usa Managed Care | $814 - $869 | 369% |
| Blue Bell | $869 | 394% |
| Directcare America | $869 | 394% |
| Managed Healthcare | $923 | 418% |
| UnitedHealthcare | $1,086 | 492% |