CMS Price Transparency Data

Neurobehavioral status check

Facility: Fayette Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$187
about 0.8× the $221 Medicare rate · typically $154–$283
modeled estimate · not a bill or quote
What this hospital charges insurers
$194
About the fair price
about $7 over the fair price · 0.9× Medicare
Medicare pays $221 Fair price $187 This hospital $194

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

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 $187 (about 0.8× the $221 Medicare rate). Fayette Medical Center charges insurers about $194 — about the fair price. Located in Fayette, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $194 88%
Blue Cross Blue Shieldmajor $194 88%
Aetnamajor $198 90%
Humanamajor $194 88%
+ 2 smaller / regional plans $194 - $330
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1653 Temple Avenue North, Fayette, AL 35555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals