CMS Price Transparency Data

Neurobehavioral status check

Facility: CHI Saint Joseph Berea Nf

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$294
about 1.3× the $221 Medicare rate · typically $202–$505
modeled estimate · not a bill or quote
What this hospital charges insurers
$192
Below the fair price — a good deal
about $102 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $294 This hospital $192 Cash price $172 Hospital's list price $356

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 5 charge more and 3 charge less, among the 9 KY hospitals compared.

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 $294 (about 1.3× the $221 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $192, or about $172 in cash — below the fair price — a good deal. Located in Berea, 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 $102 - $192 46%
Blue Cross Blue Shieldmajor $100 - $116 45%
Aetnamajor $103 - $285 47%
Cignamajor $246 112%
Humanamajor $100 - $206 45%
CareSource $199 90%
Molina $105 - $113 48%
WellCare $98 - $100 44%
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: 305 Estill Street, Berea, KY 40403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals