CMS Price Transparency Data

Neurobehavioral status check

Facility: Saint Joseph Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$364
about 1.6× the $221 Medicare rate · typically $156–$508
modeled estimate · not a bill or quote
What this hospital charges insurers
$320
Below the fair price — a good deal
about $44 under the fair price · 1.4× Medicare
Medicare pays $221 Fair price $364 This hospital $320 Cash price $394 Hospital's list price $836

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $105 Priciest $320

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $364 (about 1.6× the $221 Medicare rate). Saint Joseph Hospital charges insurers about $320, or about $394 in cash — below the fair price — a good deal. Located in Lexington, KY.

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 $230 - $610 104%
Blue Cross Blue Shieldmajor $237 - $306 107%
Aetnamajor $226 - $527 102%
Cignamajor $527 239%
Humanamajor $221 - $306 100%
CareSource $612 277%
Molina $196 - $321 89%
WellCare $232 - $306 105%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals