CMS Price Transparency Data

Neurobehavioral status check

Facility: Tops Surgical Specialty Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$207
about 0.9× the $221 Medicare rate · typically $91–$353
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
Below the fair price — a good deal
about $98 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $207 This hospital $109

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 $109

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 $207 (about 0.9× the $221 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $109 — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Ambetter (Centene) $109 - $4,848 49%
Health Net $153 69%
Oscar Health $95 43%

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Facility Profile & Credentials

  • Address: 17080 Red Oak Drive, Houston, TX 77090
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals