CMS Price Transparency Data
Neurobehavioral status check
Facility: Winnmed
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$240
about 1.1× the $221 Medicare rate · typically $93–$474
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $240 Cash price $304 Hospital's list price $434
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $253 | 115% |
| Blue Cross Blue Shieldmajor | $391 - $1,507 | 177% |
| Aetnamajor | $391 - $421 | 177% |
| HealthPartners | $398 | 180% |
| Medica | $398 - $412 | 180% |
| + 1 smaller / regional plan | $412 |
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Other Procedures at Winnmed
Compare: Neurobehavioral status check at other IA hospitals
- Dallas County Hospital · Perry $54
- Mercyone Waterloo Medical Center · Waterloo $69
- Waverly Health Center · Waverly $70
- Clarke County Hospital · Osceola $85
- Mercyone North Iowa Medical Center · Mason City $87
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $104
- Henry County Health Center · Mount Pleasant $109
- Southeast Iowa Regional Medical Center · West Burlington $124
Insurance negotiated median for the same procedure, sorted lowest first.