CMS Price Transparency Data

Neurobehavioral status check

Facility: St Mary Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$224
about 1.0× the $221 Medicare rate · typically $203–$265
modeled estimate · not a bill or quote
What this hospital charges insurers
$234
About the fair price
about $10 over the fair price · 1.1× Medicare
Medicare pays $221 Fair price $224 This hospital $234

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 $234

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 $224 (about 1.0× the $221 Medicare rate). St Mary Medical Center charges insurers about $234 — about the fair price. Located in Galesburg, IL.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $236 107%
Aetnamajor $234 106%
Humanamajor $231 105%

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Facility Profile & Credentials

  • Address: 3333 North Seminary, Galesburg, IL 61401
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals