CMS Price Transparency Data
Neurobehavioral status check
Facility: Phoebe Putney Memorial Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$225
about 1.0× the $221 Medicare rate · typically $188–$350
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $225 Cash price $124 Hospital's list price $206
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 | $208 | 94% |
| Aetnamajor | $212 - $322 | 96% |
| Humanamajor | $218 | 99% |
| Ambetter (Centene) | $364 | 165% |
| Clover Health | $214 | 97% |
| + 1 smaller / regional plan | $302 |
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Other Procedures at Phoebe Putney Memorial Hospital
Compare: Neurobehavioral status check at other GA hospitals
- Atrium Health Navicent Peach · Byron $88
- Grady Memorial Hospital · Atlanta $92
- Bacon County Hospital · Alma $93
- Shepherd Center, Inc. · Atlanta $120
- Northeast Georgia Medical Center Habersham · Demorest $194
- Navicent Health Baldwin · Milledgeville $209
- Atrium Health Navicent the Medical Center · Macon $213
- Atrium Health Navicent Rehabilitation Hopsital · Macon $213
Insurance negotiated median for the same procedure, sorted lowest first.