CMS Price Transparency Data
Neurobehavioral status check
Facility: TMC- Bonham Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$193
about 0.9× the $221 Medicare rate · typically $89–$533
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $193 Cash price $103 Hospital's list price $345
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✓ Cigna HumanaKaiser 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 | $140 | 63% |
| Blue Cross Blue Shieldmajor | $204 | 92% |
| Aetnamajor | $227 - $245 | 103% |
| Cignamajor | $152 | 69% |
| + 1 smaller / regional plan | $423 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at TMC- Bonham Hospital
Compare: Neurobehavioral status check at other TX hospitals
- Medical City Green Oaks Hospital · Dallas $53
- Medical City North Hills · North Richland Hills $56
- Medical City Weatherford · Weatherford $56
- Medical Center of McKinney · McKinney $56
- Medical City Dallas Hospital · Dallas $56
- Medical City Plano · Plano $56
- Medical City Lewisville · Lewisville $56
- Medical City Fort Worth · Fort Worth $56
Insurance negotiated median for the same procedure, sorted lowest first.