CMS Price Transparency Data

Neurobehavioral status check

Facility: The Heart Hospital Baylor Denton

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$238
about 1.1× the $221 Medicare rate · typically $204–$368
modeled estimate · not a bill or quote
What this hospital charges insurers
$302
Above the fair price
about $64 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $238 This hospital $302 Cash price $454 Hospital's list price $757

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 $302

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 $238 (about 1.1× the $221 Medicare rate). The Heart Hospital Baylor Denton charges insurers about $302, or about $454 in cash — above the fair price. Located in Denton, 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 $238. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $331 - $523 150%
Blue Cross Blue Shieldmajor $265 - $560 120%
Aetnamajor $416 189%
Cignamajor $373 - $439 169%
Humanamajor $288 - $530 131%
Ambetter (Centene) $596 270%
Baylor Scott & White $274 - $475 124%
Cigna HealthSpring $302 137%
Health Net $416 189%
+ 6 smaller / regional plans $302 - $567
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 2801 South Mayhill Road, Denton, TX 76208
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals