CMS Price Transparency Data
Neurobehavioral status check
Facility: Legacy Salmon Creek Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$323
about 1.5× the $221 Medicare rate · typically $283–$400
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $323 Cash price $166 Hospital's list price $256
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $713 - $1,046 | 323% |
| Aetnamajor | $253 | 115% |
| Cignamajor | $265 | 120% |
| Kaiser Permanentemajor | $481 | 218% |
| Health Net | $255 | 116% |
| Moda Health | $269 | 122% |
| PacificSource | $260 | 118% |
| + 1 smaller / regional plan | $248 |
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Other Procedures at Legacy Salmon Creek 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.