Neurobehavioral status check
Facility: Ascension Seton Hays
Billing Code: 96116 (CPT)
This hospital's typical commercial price is $302 compared to the $211 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.43× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
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 $211 (about 1.0× the $221 Medicare rate). Ascension Seton Hays charges insurers about $302 — above the fair price. Located in Kyle, 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 $211. 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
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 | $308 | 140% |
| Aetnamajor | $302 | 137% |
| Humanamajor | $302 | 137% |
| Ambetter (Centene) | $543 | 246% |
| Devoted Health | $302 | 137% |
| WellCare | $302 | 137% |
| WellMed | $296 | 134% |
| + 13 smaller / regional plans | $299 - $528 |
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.
Other Procedures at Ascension Seton Hays
Compare: Neurobehavioral status check at other TX hospitals
- Corpus Christi Medical Center,The · Corpus Christi $44
- 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 Lewisville · Lewisville $56
- Medical City Fort Worth · Fort Worth $56
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Ascension Seton Hays (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $263
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $263).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Ascension Seton Hays's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $211 Fair BaseRate ($221 Medicare)
Your bill ($725) is $514 above the denoised Fair BaseRate ($211) and 3.3× the $221 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.