CMS Price Transparency Data

Neurobehavioral status check

Facility: Doctors Hosptal at Renaissance

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$217

about 1.0× the $221 Medicare rate · typically $161–$319

modeled estimate · not a bill or quote

What this hospital charges insurers

$322

Above the fair price

about $105 over the fair price · 1.5× Medicare

Medicare pays $221 Fair price $217 This hospital $322 Cash price $914 Hospital's list price $914

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 $322

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 $217 (about 1.0× the $221 Medicare rate). Doctors Hosptal at Renaissance charges insurers about $322, or about $914 in cash — above the fair price. Located in Edinburg, 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 $217. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$122 - $149	55%
Blue Cross Blue Shieldmajor	$271 - $403	123%
Aetnamajor	$288 - $403	131%
Humanamajor	$306	139%
Molina	$322 - $383	146%
WellCare	$322	146%
+ 2 smaller / regional plans	$322 - $403

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 914), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Doctors Hosptal at Renaissance is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Doctors Hosptal at Renaissance

Compare: Neurobehavioral status check at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.