CMS Price Transparency Data

Neurobehavioral status check

Facility: St Gabriels Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$158
about 0.7× the $221 Medicare rate · typically $96–$423
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
About the fair price
about $8 under the fair price · 0.7× Medicare
Medicare pays $221 Fair price $158 This hospital $150 Cash price $153 Hospital's list price $263

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $81 Priciest $226

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

A fair price for a Neurobehavioral status check is about $158 (about 0.7× the $221 Medicare rate). St Gabriels Hospital charges insurers about $150, or about $153 in cash — about the fair price. Located in Little Falls, MN.

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 $192 - $210 87%
Blue Cross Blue Shieldmajor $79 - $150 36%
Humanamajor $95 43%
HealthPartners $87 - $158 39%
Medica $91 - $97 41%
Sanford Health Plan $250 113%
UCare $99 - $231 45%
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: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals