CMS Price Transparency Data

Neurobehavioral status check

Facility: Howard County Medical Center

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $119
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Howard County Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.54x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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%)
Insurance Median: $119 (54%)
Ins. Median: $119 (54% 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
Humana $63 29%
Aetna $74 - $256 34%
Blue Cross Blue Shield $74 - $411 34%
Great Plains $74 34%
Medica Chi $74 34%
Tricare $74 34%
UnitedHealthcare $74 - $315 34%
Medica Elevate $75 - $146 34%
Medica Standard Premier $75 34%
Nebraska Total Care - Wellcare $76 34%
Molina Healthcare $77 - $120 35%
Nebraska Total Care $118 53%
Oscar Health $129 58%
Ambetter / Centene $147 67%
Beshp $147 67%
Medica Ifb Aco $149 68%
Medica Chi Aco $154 70%
Medica Choice National $164 74%
Midland'S Choice $178 81%
Medica Ifb Open Access $190 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals