CMS Price Transparency Data

Neurobehavioral status check

Facility: Virginia Mason Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$446
about 2.0× the $221 Medicare rate · typically $209–$651
modeled estimate · not a bill or quote
What this hospital charges insurers
$339
Below the fair price — a good deal
about $107 under the fair price · 1.5× Medicare
Medicare pays $221 Fair price $446 This hospital $339 Cash price $265 Hospital's list price $520

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 6 of 8 other WA hospitals charge less.

Cheapest $73 Priciest $404

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $446 (about 2.0× the $221 Medicare rate). Virginia Mason Medical Center charges insurers about $339, or about $265 in cash — below the fair price — a good deal. Located in Seattle, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $81 - $1,147 37%
Blue Cross Blue Shieldmajor $84 - $1,068 38%
Aetnamajor $328 - $1,697 149%
Cignamajor $269 - $1,149 122%
Humanamajor $82 - $339 37%
Kaiser Permanentemajor $82 - $830 37%
+ 3 smaller / regional plans $84 - $1,667
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 925 Seneca St, Seattle, WA 98101
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals