CMS Price Transparency Data

Neurobehavioral status check

Facility: SSM St Joseph Hospital West

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$219
about 1.0× the $221 Medicare rate · typically $125–$336
modeled estimate · not a bill or quote
What this hospital charges insurers
$218
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $219 This hospital $218

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 $218

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 $219 (about 1.0× the $221 Medicare rate). SSM St Joseph Hospital West charges insurers about $218 — about the fair price. Located in Lake Saint Louis, MO.

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 $219 99%
Blue Cross Blue Shieldmajor $91 - $503 41%
Aetnamajor $216 - $224 98%
Humanamajor $220 100%
Oscar Health $260 118%

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Facility Profile & Credentials

  • Address: 100 Medical Plaza, Lake Saint Louis, MO 63367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals