CMS Price Transparency Data

Neurobehavioral status check

Facility: Providence Holy Family Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$447
about 2.0× the $221 Medicare rate · typically $293–$501
modeled estimate · not a bill or quote
What this hospital charges insurers
$445
About the fair price
about $2 under the fair price · 2.0× Medicare
Medicare pays $221 Fair price $447 This hospital $445 Cash price $430 Hospital's list price $614

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 $445

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 $447 (about 2.0× the $221 Medicare rate). Providence Holy Family Hospital charges insurers about $445, or about $430 in cash — about the fair price. Located in Spokane, WA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Kaiser Permanente AetnaCignaHumana

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 $257 - $882 117%
Blue Cross Blue Shieldmajor $250 - $1,175 113%
Kaiser Permanentemajor $241 - $741 109%
Amerigroup $265 120%
Providence Health Plan $632 286%
+ 2 smaller / regional plans $385 - $445

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Facility Profile & Credentials

  • Address: 5633 North Lidgerwood, Spokane, WA 99208
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals