CMS Price Transparency Data

Neurobehavioral status check

Facility: Decatur Morgan Hospital - Decatur Campus

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$180
about 0.8× the $221 Medicare rate · typically $136–$268
modeled estimate · not a bill or quote
What this hospital charges insurers
$201
About the fair price
about $21 over the fair price · 0.9× Medicare
Medicare pays $221 Fair price $180 This hospital $201 Cash price $322 Hospital's list price $322

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 $201

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 $180 (about 0.8× the $221 Medicare rate). Decatur Morgan Hospital - Decatur Campus charges insurers about $201, or about $322 in cash — about the fair price. Located in Decatur, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $108 - $202 49%
Blue Cross Blue Shieldmajor $197 - $1,286 89%
Aetnamajor $201 - $251 91%
Cignamajor $150 - $203 68%
Humanamajor $197 89%
Ambetter (Centene) $322 146%
Devoted Health $203 92%
WellCare $217 98%
+ 1 smaller / regional plan $177 - $197

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Facility Profile & Credentials

  • Address: 1201 7Th Street Se, Decatur, AL 35601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals