CMS Price Transparency Data

Neurobehavioral status check

Facility: Capital Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$489

about 2.2× the $221 Medicare rate · typically $320–$626

modeled estimate · not a bill or quote

What this hospital charges insurers

$626

Above the fair price

about $137 over the fair price · 2.8× Medicare

Medicare pays $221 Fair price $489 This hospital $626 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 $626

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 $489 (about 2.2× the $221 Medicare rate). Capital Medical Center charges insurers about $626, or about $544 in cash — above the fair price. Located in Olympia, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $489. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$352 - $1,579	160%
Blue Cross Blue Shieldmajor	$342 - $825	155%
Aetnamajor	$349 - $1,011	158%
Cignamajor	$764	346%
Kaiser Permanentemajor	$1,171	531%
Ambetter (Centene)	$626	284%
Molina	$440 - $626	199%
PacificSource	$476 - $686	216%
WellCare	$355	161%
+ 3 smaller / regional plans	$338 - $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 Capital 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 Capital Medical Center

Compare: Neurobehavioral status check at other WA hospitals

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