Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
EXAM OF NEUROBEHAVIORAL STATUS; FIRST HOUR
Wheeling, WV
See all hospitals reporting CPT 96116 →Price type
Wheeling Hospital, Inc.’s median price of $218 is 19% below the median hospital's median price ($269), higher than 34% of the 1,610 hospitals reporting CPT 96116. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 39 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark chip facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Highmark mgd mcaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Highmark chip professional · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 4 | Highmark mgd mcaid professional · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 5 | Aetna better health mgd medicaid facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Aetna better health mgd medicaid professional · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Aetna Better Health chip facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 8 | Aetna Better Health chip professional · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Amerihealth Caritas managed medicaid facility · other · outpatient | $118 | $118 | — | — | 1–10 | $118 – $118 |
| 10 | Caresource managed medicaid facility · other · outpatient | $121 | $121 | $9 | 7% | 2–20 | $112 – $130 |
| 11 | Molina managed medicaid facility · other · outpatient | $130 | $130 | — | — | 1–10 | $130 – $130 |
| 12 | Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 13 | Highmark highmark wholecare pennsylvania medicaid professional · other · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Anthem anthem pathway facility · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 15 | Anthem anthem pathway professional · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 16 | Caresource all plans facility · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 17 | Caresource all plans professional · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 18 | Molina all plans facility · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 19 | Molina all plans professional · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 20 | Anthem hmo facility · other · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 21 | Anthem hmo professional · other · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 22 | Highmark all pla facility · other · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 23 | Highmark all pla professional · other · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 24 | Highmark all plans facility · other · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 25 | Highmark all plans professional · other · outpatient | $216 | $216 | — | — | — | $216 – $216 |
Last updated: Jul 9, 2026
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