CMS Price Transparency Data

Neurobehavioral status check

Facility: St Josephs Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$234
about 1.1× the $221 Medicare rate · typically $155–$411
modeled estimate · not a bill or quote
What this hospital charges insurers
$231
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $234 This hospital $231 Cash price $349 Hospital's list price $485

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 $234 (about 1.1× the $221 Medicare rate). St Josephs Hospital charges insurers about $231, or about $349 in cash — about the fair price. Located in Breese, 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 - $485 105%
Blue Cross Blue Shieldmajor $231 105%
Aetnamajor $231 - $339 105%
Cignamajor $364 165%
Humanamajor $231 105%
HealthLink $402 182%
Meridian $485 220%
Molina $231 - $485 105%
+ 16 smaller / regional plans $136 - $578
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9515 Holy Cross Ln, Breese, IL 62230
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals