CMS Price Transparency Data
Neurobehavioral status check
Facility: Community First Medical Center
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$281
about 1.3× the $221 Medicare rate · typically $171–$347
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $281 Cash price $113 Hospital's list price $226
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 | $127 | 58% |
| Blue Cross Blue Shieldmajor | $62 - $712 | 28% |
| Aetnamajor | $68 - $733 | 31% |
| Cignamajor | $72 - $156 | 33% |
| Humanamajor | $113 - $912 | 51% |
| Meridian | $231 - $733 | 105% |
| Molina | $231 - $733 | 105% |
| + 7 smaller / regional plans | $231 - $733 |
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Other Procedures at Community First Medical Center
Compare: Neurobehavioral status check at other IL hospitals
- Kirby Medical Center · Monticello $73
- Washington County Hospital · Nashville $74
- Carle Eureka Hospital · Eureka $82
- Mc Donough District Hospital · Macomb $87
- Hamilton Memorial Hospital · McLeansboro $93
- John H Stroger Jr Hospital · Chicago $105
- Deaconess Illinois Crossroads · Mount Vernon $116
- University of Illinois Hospital and Clinics · Chicago $120
Insurance negotiated median for the same procedure, sorted lowest first.