CMS Price Transparency Data

Neurobehavioral status check

Facility: University of Missouri Health Care

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $308
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at University of Missouri Health Care is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.40x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$308

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)
Cash / Self-Pay: $292 (132%)
Insurance Median: $308 (140%)
Cash: $292 (132% of Medicare)
Ins. Median: $308 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $132 - $375 60%
Medica With Mu Health $134 - $170 61%
Immergun $170 77%
UnitedHealthcare $296 134%
Blue Cross Blue Shield $298 - $321 135%
American Health Management $302 137%
Humana $302 137%
Wellcare $302 137%
Provider Partners Health Plan $308 140%
Coventry Health Plan $317 144%
Healthlink $317 144%
Coventry Health Plan National $365 165%
Mercy $365 165%
Cox Health Network $390 177%
Healthy Blue $398 180%
United Community $398 180%
Cigna $414 188%
Home State $425 193%
Multiplan $429 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Columbia, MO 65212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals