CMS Price Transparency Data

Neurobehavioral status check

Facility: St Johns Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$243
about 1.1× the $221 Medicare rate · typically $227–$307
modeled estimate · not a bill or quote
What this hospital charges insurers
$237
About the fair price
about $6 under the fair price · 1.1× Medicare
Medicare pays $221 Fair price $243 This hospital $237 Cash price $672 Hospital's list price $934

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $237

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $243 (about 1.1× the $221 Medicare rate). St Johns Hospital charges insurers about $237, or about $672 in cash — about the fair price. Located in Springfield, IL.

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 $231 - $934 105%
Blue Cross Blue Shieldmajor $231 105%
Aetnamajor $231 - $506 105%
Cignamajor $532 241%
Humanamajor $231 - $740 105%
HealthLink $601 272%
Meridian $557 252%
Molina $243 - $531 110%
+ 19 smaller / regional plans $231 - $934
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 800 E Carpenter St, Springfield, IL 62769
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals