CMS Price Transparency Data

Neurobehavioral status check

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$257
about 1.2× the $221 Medicare rate · typically $188–$305
modeled estimate · not a bill or quote
What this hospital charges insurers
$257
About the fair price
1.2× Medicare
Medicare pays $221 Fair price $257 This hospital $257 Cash price $405 Hospital's list price $736

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $85 Priciest $257

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

A fair price for a Neurobehavioral status check is about $257 (about 1.2× the $221 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $257, or about $405 in cash — about the fair price. Located in Jefferson City, MO.

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 $215 97%
Blue Cross Blue Shieldmajor $153 - $361 69%
Humanamajor $220 100%
Ambetter (Centene) $216 98%
+ 4 smaller / regional plans $227 - $389

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Facility Profile & Credentials

  • Address: 2505 Mission Drive, Jefferson City, MO 65109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals