CMS Price Transparency Data

Neurobehavioral status check

Facility: Wellstar Spalding Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$352
about 1.6× the $221 Medicare rate · typically $187–$519
modeled estimate · not a bill or quote
What this hospital charges insurers
$375
About the fair price
about $23 over the fair price · 1.7× Medicare
Medicare pays $221 Fair price $352 This hospital $375 Cash price $556 Hospital's list price $1,426

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $88 Priciest $375

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

A fair price for a Neurobehavioral status check is about $352 (about 1.6× the $221 Medicare rate). Wellstar Spalding Medical Center charges insurers about $375, or about $556 in cash — about the fair price. Located in Griffin, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $221 - $825 100%
Aetnamajor $217 98%
Cignamajor $227 103%
Ambetter (Centene) $381 173%
CareSource $424 192%
Clover Health $232 105%
Oscar Health $368 167%
+ 1 smaller / regional plan $401

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 601 South 8Th Street, Griffin, GA 30223
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals