CMS Price Transparency Data

Neurobehavioral status check

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$252
about 1.1× the $221 Medicare rate · typically $203–$395
modeled estimate · not a bill or quote
What this hospital charges insurers
$228
About the fair price
about $24 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $252 This hospital $228

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $53 Priciest $228

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $252 (about 1.1× the $221 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $228 — about the fair price. Located in Plano, TX.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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
UnitedHealthcaremajor $241 - $245 109%
Blue Cross Blue Shieldmajor $217 98%
Humanamajor $226 102%
Amerigroup $228 103%
Cigna HealthSpring $221 100%
Molina $228 103%
WellCare $228 - $239 103%
+ 1 smaller / regional plan $217

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: 6200 W Parker Rd, Plano, TX 75093
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals