CMS Price Transparency Data

Neurobehavioral status check

Facility: The East Alabama Healthcare Authority

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 0.5× the $221 Medicare rate · typically $85–$224
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
Below the fair price — a good deal
about $22 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $106 This hospital $84

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Lowest price of the 9 AL hospitals we have prices for — a strong deal.

Cheapest $84 Priciest $194

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $106 (about 0.5× the $221 Medicare rate). The East Alabama Healthcare Authority charges insurers about $84 — below the fair price — a good deal. Located in Opelika, AL.

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✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $74 - $563 34%
Aetnamajor $74 - $590 34%
Cignamajor $74 - $555 34%
Humanamajor $74 - $556 34%
+ 3 smaller / regional plans $74 - $701

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Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals