CMS Price Transparency Data

Neurobehavioral status check

Facility: Washington County Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 0.5× the $221 Medicare rate · typically $79–$385
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
Below the fair price — a good deal
about $27 under the fair price · 0.3× Medicare
Medicare pays $221 Fair price $101 This hospital $74

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 7 of 8 other IL hospitals charge more for the same procedure.

Cheapest $73 Priciest $122

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 $101 (about 0.5× the $221 Medicare rate). Washington County Hospital charges insurers about $74 — below the fair price — a good deal. Located in Nashville, 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 $74 - $85 34%
Blue Cross Blue Shieldmajor $74 - $177 34%
Aetnamajor $74 - $87 34%
Cignamajor $100 45%
Humanamajor $74 34%
Ambetter (Centene) $74 34%
HealthLink $108 - $116 49%
Medica $74 - $92 34%
Meridian $74 34%
Molina $74 34%
WellCare $74 34%

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Facility Profile & Credentials

  • Address: 705 S Grand Ave, Nashville, IL 62263
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals