CMS Price Transparency Data

Neurobehavioral status check

Facility: Fillmore County Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$102
about 0.5× the $221 Medicare rate · typically $87–$457
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $5 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $102 This hospital $97

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 6 of 8 other NE hospitals charge more for the same procedure.

Cheapest $88 Priciest $197

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $102 (about 0.5× the $221 Medicare rate). Fillmore County Hospital charges insurers about $97 — about the fair price. Located in Geneva, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $118 53%
Blue Cross Blue Shieldmajor $74 - $284 34%
Aetnamajor $74 - $77 34%
Ambetter (Centene) $74 - $118 34%
Medica $74 - $139 34%
Molina $118 53%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: P O Box 193, 1900 F Street, Geneva, NE 68361
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals