CMS Price Transparency Data

Neurobehavioral status check

Facility: Madison Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$125
about 0.6× the $221 Medicare rate · typically $84–$364
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Below the fair price — a good deal
about $44 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $125 This hospital $81

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Lowest price of the 9 MN hospitals we have prices for — a strong deal.

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 $125 (about 0.6× the $221 Medicare rate). Madison Hospital charges insurers about $81 — below the fair price — a good deal. Located in Madison, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $59 - $221 27%
Blue Cross Blue Shieldmajor $59 - $133 27%
Aetnamajor $94 43%
Humanamajor $79 36%
HealthPartners $59 - $95 27%
Medica $79 - $94 36%
+ 1 smaller / regional plan $63 - $171
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals