CMS Price Transparency Data

Neurobehavioral status check

Facility: Mississippi Methodist Rehab Ctr

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $281
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Mississippi Methodist Rehab Ctr is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.27x the Medicare baseline. Located in 1350 E Woodrow Wilson Dr, Jackson, MS.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$281

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: $122 (55%)
Insurance Median: $281 (127%)
Cash: $122 (55% of Medicare)
Ins. Median: $281 (127% 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
Blue Cross Blue Shield $193 - $351 87%
Molina Mcaid/Chip $199 - $468 90%
Mpcn - All Plans $258 - $374 117%
American Hlth Adv Mcr - All Plans $272 123%
Humana $272 123%
Molina Marketplace - All Other Plans $272 123%
Molina Mcr Adv $272 123%
Shared Health Dsnp - All Plans $272 123%
UnitedHealthcare $272 - $468 123%
Va Ccn - All Plans $272 123%
Wellcare Mcr Adv - All Plans $272 123%
Cigna $278 - $538 126%
Magnolia Mcaid - All Plans $322 - $468 146%
First Choice - All Plans $409 185%
Ambetter / Centene $467 - $678 212%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 E Woodrow Wilson Dr, Jackson, MS 39216
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals