Price Checker / CPT 96116
How much does Nubhvl Xm Phys/qhp 1st Hr cost?
CPT 96116 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2x the fair price. You have grounds to ask for a reduction.
Fair price
$360–$430
What this should cost
With insurance
~$870
Typical out-of-pocket
Overcharged if over
$540
Push back above this
The average hospital charge of $793 is $393 over the fair price (about 2x the fair rate).
What hospitals charge for Nubhvl Xm Phys/qhp 1st Hr
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Helen Hayes Hospital WEST HAVERSTRAW, NY | $573 | — | 1894% |
| Voyages Behavioral Health of Conroe CONROE, TX | $1,377 | — | 1362% |
| Voyages of Sugar Land , TX | $1,377 | — | 1362% |
| UM Rehabilitation & Orthopaedic Institute Baltimore, MD | $1,097 | — | 1065% |
| Gateways Hospital and Mental Health Center Los Angeles, CA | $532 | — | 465% |
| hebrew rehabilitation center hospital Boston, MA | $407 | — | 293% |
| Pine Rest Christian Mental Health Services GRAND RAPIDS, MI | $187 | $150 | 99% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Nubhvl Xm Phys/qhp 1st Hr
CPT code 96116 refers to nubhvl xm phys/qhp 1st hr (billing description: "Nubhvl xm phys/qhp 1st hr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $72 in a facility (hospital or surgery center) and $94 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.