CMS Price Transparency Data

Neurobehavioral status check

Facility: Loring Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$269
about 1.2× the $221 Medicare rate · typically $92–$515
modeled estimate · not a bill or quote
What this hospital charges insurers
$197
Below the fair price — a good deal
about $72 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $269 This hospital $197 Cash price $158 Hospital's list price $197

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 $197

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 $269 (about 1.2× the $221 Medicare rate). Loring Hospital charges insurers about $197, or about $158 in cash — below the fair price — a good deal. Located in Sac City, 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 $138 - $197 63%
Blue Cross Blue Shieldmajor $118 - $197 53%
Aetnamajor $39 - $197 18%
Cignamajor $189 86%
Humanamajor $152 - $197 69%
HealthPartners $118 - $191 53%
Molina $182 - $197 83%
+ 8 smaller / regional plans $59 - $197
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 211 Highland Avenue Po Box 217, Sac City, IA 50583
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals