CMS Price Transparency Data

Neurobehavioral status check

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$239
about 1.1× the $221 Medicare rate · typically $176–$400
modeled estimate · not a bill or quote
What this hospital charges insurers
$314
Above the fair price
about $75 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $239 This hospital $314

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 $314

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 $239 (about 1.1× the $221 Medicare rate). Texas Health Center for Diagnostics & Surgery Plan charges insurers about $314 — above the fair price. Located in Plano, 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 $239. 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.

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 $332 - $338 150%
Blue Cross Blue Shieldmajor $299 136%
Humanamajor $311 141%
Amerigroup $314 142%
Cigna HealthSpring $305 138%
Molina $314 142%
WellCare $314 - $329 142%
+ 1 smaller / regional plan $299

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: 6020 W Parker Road, Plano, TX 75093
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals