CMS Price Transparency Data

Neurobehavioral status check

Facility: St. Patrick Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$256
about 1.2× the $221 Medicare rate · typically $207–$280
modeled estimate · not a bill or quote
What this hospital charges insurers
$227
Below the fair price — a good deal
about $29 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $256 This hospital $227

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 3 charge more and 2 charge less, among the 6 MT hospitals compared.

Cheapest $126 Priciest $523

Black dot = this hospital, among the 6 MT hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $256 (about 1.2× the $221 Medicare rate). St. Patrick Hospital charges insurers about $227 — below the fair price — a good deal. Located in Missoula, MT.

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $223 101%
Humanamajor $225 102%
PacificSource $227 103%
+ 2 smaller / regional plans $441 - $914

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals