CMS Price Transparency Data

Neurobehavioral status check

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$275

about 1.2× the $221 Medicare rate · typically $148–$383

modeled estimate · not a bill or quote

What this hospital charges insurers

$295

About the fair price

about $20 over the fair price · 1.3× Medicare

Medicare pays $221 Fair price $275 This hospital $295 Cash price $459 Hospital's list price $766

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 $295

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 $275 (about 1.2× the $221 Medicare rate). Baylor Scott & White Medical Center Pflugerville charges insurers about $295, or about $459 in cash — about the fair price. Located in Pflugerville, TX.

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	$323 - $529	146%
Blue Cross Blue Shieldmajor	$352 - $429	160%
Aetnamajor	$421	191%
Cignamajor	$364 - $424	165%
Humanamajor	$281 - $536	127%
Baylor Scott & White	$267 - $463	121%
Cigna HealthSpring	$295	134%
+ 8 smaller / regional plans	$295 - $574

Government programs also on file: Medicaid, Military & VA.

Excludes 6 rental-network / third-party entries (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 459), 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 Baylor Scott & White Medical Center Pflugerville 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 Baylor Scott & White Medical Center Pflugerville

Compare: Neurobehavioral status check at other TX hospitals

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