CMS Price Transparency Data
Neurobehavioral status check
Facility: Fayette County Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$186
about 0.8× the $221 Medicare rate · typically $98–$467
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $186 Cash price $592 Hospital's list price $592
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 | $491 | 223% |
| Blue Cross Blue Shieldmajor | $497 - $1,150 | 225% |
| Aetnamajor | $385 - $1,150 | 175% |
| Cignamajor | $444 | 201% |
| Humanamajor | $189 | 86% |
| HealthLink | $189 - $414 | 86% |
| Meridian | $1,150 | 521% |
| + 3 smaller / regional plans | $189 - $1,150 |
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Fayette County Hospital
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.