CMS Price Transparency Data

Neurobehavioral status check

Facility: Ochsner Laird Hospital

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96116
Insurance Median: $293
Cash Discount Price: $227
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Neurobehavioral status check at Ochsner Laird Hospital is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.33x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $227 (103%)

Insurance Median: $293 (133%)

Cash: $227 (103% of Medicare)

Ins. Median: $293 (133% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$61 - $359	28%
Cigna	$74 - $359	34%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$74 - $362	34%
Medicaid / KanCare	$74	34%
Medicare (plans)	$74 - $412	34%
UnitedHealthcare	$74 - $359	34%
Shared Health Mississippi	$77 - $377	35%
Prime Health Services Ppo	$85 - $455	39%
Ambetter / Centene	$103 - $362	47%
Primewell Health Services - Commercial	$118 - $478	53%
Primewell Health Services Commercial Exchange Plan	$118 - $478	53%
Select Administrative Services Network	$122 - $521	55%
Blue Cross Blue Shield	$126 - $665	57%
Aetna	$150 - $370	68%
Prime Health Services Ppo -Workers Comp	$151 - $340	68%
Cor Vel	$153 - $348	69%
Zelis	$205 - $427	93%
Claritev D/B/A Multiplan/Phcs/American Life Care	$248 - $427	112%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $227.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96116.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Laird Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 96116.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.