CMS Price Transparency Data

Neurobehavioral status check

Facility: Baptist Medical Center - Nassau

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $394
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Baptist Medical Center - Nassau is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.79x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)
Insurance Median: $394 (179%)
Ins. Median: $394 (179% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Corvel $94 43%
Coventry Workers Comp $94 43%
Community Hospice Of Northeast Florida $313 142%
Pace $313 142%
Tomorrow'S Rainbow $313 142%
Va Ccn $313 142%
UnitedHealthcare $316 143%
Aetna $319 - $473 145%
Florida Community Care $328 - $434 149%
Devoted $331 150%
Upmc $344 156%
Amerigroup Of Georgia $394 179%
Daniel Memorial $394 179%
Humana $394 179%
Nassaua County Sheriff'S Office $394 179%
Simply Healthcare Plans $414 - $473 188%
Simply Healthcare Plans - Cha $414 188%
Amerihealth Caritas $434 197%
Sunshine State Health Plan $434 197%
United Community Plan $434 197%
Vivida Health $434 197%
Molina Healthcare Of Florida $469 213%
Ambetter / Centene $750 340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals