CMS Price Transparency Data

Neurobehavioral status check

Facility: Decatur County Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$248

about 1.1× the $221 Medicare rate · typically $96–$508

modeled estimate · not a bill or quote

Medicare pays $221 Fair price $248 Cash price $142 Hospital's list price $178

How we calculate the fair BaseRate →

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	$107 - $151	49%
Blue Cross Blue Shieldmajor	$57 - $1,370	26%
Aetnamajor	$96 - $141	44%
Cignamajor	$153	69%
Humanamajor	$130	59%
Amerigroup	$187	85%
HealthPartners	$164	74%
Medica	$142	64%
Medical Mutual	$157	71%
Priority Health	$178	81%
+ 17 smaller / regional plans	$93 - $182

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 142), 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 Decatur County Hospital 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 Decatur County Hospital

Compare: Neurobehavioral status check at other IA hospitals

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