CMS Price Transparency Data

Neurobehavioral status check

Facility: Lafayette Regional Health Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$153
about 0.7× the $221 Medicare rate · typically $90–$470
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
Below the fair price — a good deal
about $60 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $153 This hospital $93

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

A typical price — 1 charge more and 3 charge less, among the 9 MO hospitals compared.

Cheapest $85 Priciest $161

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 $153 (about 0.7× the $221 Medicare rate). Lafayette Regional Health Center charges insurers about $93 — below the fair price — a good deal. Located in Lexington, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $89 - $98 40%
Aetnamajor $93 42%
Amerigroup $93 42%
UniCare $93 42%
+ 2 smaller / regional plans $91 - $93
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 1500 State Street, Lexington, MO 64067
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals