CMS Price Transparency Data

Neurobehavioral status check

Facility: Seattle Children's Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$314

about 1.4× the $221 Medicare rate · typically $116–$468

modeled estimate · not a bill or quote

What this hospital charges insurers

$167

Below the fair price — a good deal

about $147 under the fair price · 0.8× Medicare

Medicare pays $221 Fair price $314 This hospital $167 Hospital's list price $436

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 7 of 8 other WA hospitals charge more for the same procedure.

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 $314 (about 1.4× the $221 Medicare rate). Seattle Children's Hospital charges insurers about $167 — below the fair price — a good deal. Located in Seattle, 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	$50 - $208	23%
Blue Cross Blue Shieldmajor	$47 - $154	21%
Aetnamajor	$167 - $349	76%
Cignamajor	$129 - $194	58%
Humanamajor	$349	158%
Kaiser Permanentemajor	$47 - $187	21%
Medical Mutual	$349	158%
Moda Health	$167 - $349	76%
Molina	$47 - $128	21%
Providence Health Plan	$167 - $194	76%
SelectHealth	$349	158%
Tufts Health Plan	$194	88%
+ 47 smaller / regional plans	$45 - $349

Government programs also on file: Medicaid.

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, 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 Seattle Children's Hospital 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 Seattle Children's Hospital

Compare: Neurobehavioral status check at other WA hospitals

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