CMS Price Transparency Data

Neurobehavioral status check

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$197
about 0.9× the $221 Medicare rate · typically $169–$454
modeled estimate · not a bill or quote
What this hospital charges insurers
$283
Above the fair price
about $86 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $197 This hospital $283 Cash price $304 Hospital's list price $506

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 $283

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 $197 (about 0.9× the $221 Medicare rate). Baylor Scott & White Texas Spine & Joint Hospital charges insurers about $283, or about $304 in cash — above the fair price. Located in Tyler, TX.

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 $197. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $283 128%
Blue Cross Blue Shieldmajor $286 130%
+ 1 smaller / regional plan $283

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.

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Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals