CMS Price Transparency Data
Neurobehavioral status check
Facility: Phoebe Sumter Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$245
about 1.1× the $221 Medicare rate · typically $165–$343
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $245 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.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $193 - $293 | 87% |
| Ambetter (Centene) | $331 | 150% |
| Clover Health | $195 | 88% |
| + 2 smaller / regional plans | $199 - $274 |
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Other Procedures at Phoebe Sumter Medical Center
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.