CMS Price Transparency Data

Neurobehavioral status check

Facility: Grinnell Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$189

about 0.9× the $221 Medicare rate · typically $102–$289

modeled estimate · not a bill or quote

What this hospital charges insurers

$195

About the fair price

about $6 over the fair price · 0.9× Medicare

Medicare pays $221 Fair price $189 This hospital $195 Cash price $218 Hospital's list price $273

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 $195

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 $189 (about 0.9× the $221 Medicare rate). Grinnell Regional Medical Center charges insurers about $195, or about $218 in cash — about the fair price. Located in Grinnell, 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 - $305	35%
Blue Cross Blue Shieldmajor	$75 - $296	34%
Aetnamajor	$74 - $296	34%
Cignamajor	$195	88%
Humanamajor	$78 - $305	35%
Amerigroup	$310	141%
HealthPartners	$162	73%
Molina	$75 - $296	34%
+ 2 smaller / regional plans	$78 - $310

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 218), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Grinnell Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grinnell Regional Medical Center

Compare: Neurobehavioral status check at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.