CMS Price Transparency Data

Neurobehavioral status check

Facility: Unitypoint Health - Marshalltown

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 0.8× the $221 Medicare rate · typically $106–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$191
About the fair price
about $21 over the fair price · 0.9× Medicare
Medicare pays $221 Fair price $170 This hospital $191 Cash price $469 Hospital's list price $586

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $54 Priciest $191

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

A fair price for a Neurobehavioral status check is about $170 (about 0.8× the $221 Medicare rate). Unitypoint Health - Marshalltown charges insurers about $191, or about $469 in cash — about the fair price. Located in Marshalltown, IA.

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 $78 - $427 35%
Blue Cross Blue Shieldmajor $75 - $293 34%
Aetnamajor $74 - $463 34%
Cignamajor $195 - $468 88%
Humanamajor $78 - $301 35%
Amerigroup $303 137%
HealthPartners $162 - $547 73%
Medica $251 - $281 114%
Molina $75 - $293 34%
+ 2 smaller / regional plans $78 - $303

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 55 Unitypoint Way, Marshalltown, IA 50158
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals