CMS Price Transparency Data

Neurobehavioral status check

Facility: Multicare Auburn Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$484

about 2.2× the $221 Medicare rate · typically $309–$609

modeled estimate · not a bill or quote

What this hospital charges insurers

$549

About the fair price

about $65 over the fair price · 2.5× Medicare

Medicare pays $221 Fair price $484 This hospital $549 Cash price $544 Hospital's list price $1,359

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $549

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 $484 (about 2.2× the $221 Medicare rate). Multicare Auburn Medical Center charges insurers about $549, or about $544 in cash — about the fair price. Located in Auburn, WA.

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✓ Kaiser Permanente Humana

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	$353 - $1,607	160%
Blue Cross Blue Shieldmajor	$350 - $1,441	159%
Aetnamajor	$350 - $1,453	159%
Cignamajor	$1,169	530%
Kaiser Permanentemajor	$1,171	531%
Ambetter (Centene)	$679	308%
Molina	$340 - $628	154%
PacificSource	$476 - $686	216%
WellCare	$357	162%
+ 3 smaller / regional plans	$340 - $1,610

Excludes 2 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 544), 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 Multicare Auburn Medical Center 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 Multicare Auburn Medical Center

Compare: Neurobehavioral status check at other WA hospitals

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