CMS Price Transparency Data

Neurobehavioral status check

Facility: Jones Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$141
about 0.6× the $221 Medicare rate · typically $104–$240
modeled estimate · not a bill or quote
What this hospital charges insurers
$128
About the fair price
about $13 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $141 This hospital $128 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 $128

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 $141 (about 0.6× the $221 Medicare rate). Jones Regional Medical Center charges insurers about $128, or about $218 in cash — about the fair price. Located in Anamosa, 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 - $220 35%
Blue Cross Blue Shieldmajor $75 - $151 34%
Aetnamajor $74 - $222 34%
Cignamajor $195 88%
Humanamajor $74 34%
HealthPartners $162 73%
+ 2 smaller / regional plans $74 - $78

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Facility Profile & Credentials

  • Address: 1795 Highway 64 East, Anamosa, IA 52205
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals