CMS Price Transparency Data

Neurobehavioral status check

Facility: Marshall County Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$181
about 0.8× the $221 Medicare rate · typically $77–$460
modeled estimate · not a bill or quote
What this hospital charges insurers
$153
Below the fair price — a good deal
about $28 under the fair price · 0.7× Medicare
Medicare pays $221 Fair price $181 This hospital $153 Cash price $184 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 6 of 8 other KY hospitals charge more for the same procedure.

Cheapest $105 Priciest $294

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 $181 (about 0.8× the $221 Medicare rate). Marshall County Hospital charges insurers about $153, or about $184 in cash — below the fair price — a good deal. Located in Benton, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $116 - $147 53%
Blue Cross Blue Shieldmajor $114 - $153 52%
Humanamajor $114 52%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 615 Old Symsonia Road, Benton, KY 42025
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals