CMS Price Transparency Data
Neurobehavioral status check
Facility: Valley Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$567
about 2.6× the $221 Medicare rate · typically $264–$691
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $567 Cash price $559 Hospital's list price $798
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $867 | 393% |
| Blue Cross Blue Shieldmajor | $836 - $889 | 379% |
| Health Net | $867 | 393% |
| Moda Health | $867 | 393% |
| + 29 smaller / regional plans | $867 |
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Other Procedures at Valley Medical Center
Compare: Neurobehavioral status check at other WA hospitals
- Lake Chelan Community Hospital · Chelan $73
- Seattle Children's Hospital · Seattle $167
- Providence St Lukes Rehabilitation Medical Center · Spokane $256
- Providence St Mary Medical Center · Walla Walla $278
- Kadlec Regional Medical Center · Richland $289
- Cascade Medical Center · Leavenworth $323
- Virginia Mason Medical Center · Seattle $339
- Cascade Valley Hospital · Arlington $358
Insurance negotiated median for the same procedure, sorted lowest first.