CMS Price Transparency Data

Neurobehavioral status check

Facility: Carle Health Pekin Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$241
about 1.1× the $221 Medicare rate · typically $216–$320
modeled estimate · not a bill or quote
What this hospital charges insurers
$231
About the fair price
about $10 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $241 This hospital $231

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 $231

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 $241 (about 1.1× the $221 Medicare rate). Carle Health Pekin Hospital charges insurers about $231 — about the fair price. Located in Pekin, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $83 - $231 38%
Blue Cross Blue Shieldmajor $231 105%
Aetnamajor $81 - $740 37%
Humanamajor $79 - $231 36%
Meridian $268 121%
Molina $231 105%
WellCare $231 105%

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: 600 South 13Th Street, Pekin, IL 61554
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals