CMS Price Transparency Data

Neurobehavioral status check

Facility: Dr Dan C Trigg Memorial Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$247
about 1.1× the $221 Medicare rate · typically $129–$361
modeled estimate · not a bill or quote
What this hospital charges insurers
$247
About the fair price
1.1× Medicare
Medicare pays $221 Fair price $247 This hospital $247

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

Cheapest $208 Priciest $374

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

A fair price for a Neurobehavioral status check is about $247 (about 1.1× the $221 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $247 — about the fair price. Located in Tucumcari, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $232 105%
Blue Cross Blue Shieldmajor $235 - $395 107%
Aetnamajor $237 107%
Humanamajor $246 112%
Molina $241 109%
Presbyterian $226 - $928 102%
+ 1 smaller / regional plan $248

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: 301 East Miel De Luna Avenue, Tucumcari, NM 88401
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals