CMS Price Transparency Data

Neurobehavioral status check

Facility: Cascade Valley Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$483
about 2.2× the $221 Medicare rate · typically $262–$681
modeled estimate · not a bill or quote
What this hospital charges insurers
$358
Below the fair price — a good deal
about $125 under the fair price · 1.6× Medicare
Medicare pays $221 Fair price $483 This hospital $358 Cash price $438 Hospital's list price $547

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 7 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 $483 (about 2.2× the $221 Medicare rate). Cascade Valley Hospital charges insurers about $358, or about $438 in cash — below the fair price — a good deal. Located in Arlington, 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 $311 - $1,191 141%
Blue Cross Blue Shieldmajor $327 - $1,189 148%
Aetnamajor $410 186%
Cignamajor $397 180%
Humanamajor $46 - $327 21%
Kaiser Permanentemajor $678 307%
Amerigroup $358 162%
Molina $336 152%
+ 3 smaller / regional plans $336 - $498
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: 330 S Stillaguamish Ave, Arlington, WA 98223
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals