CMS Price Transparency Data

Neurobehavioral status check

Facility: Lima Memorial Health System

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$269
about 1.2× the $221 Medicare rate · typically $213–$433
modeled estimate · not a bill or quote
What this hospital charges insurers
$350
Above the fair price
about $81 over the fair price · 1.6× Medicare
Medicare pays $221 Fair price $269 This hospital $350 Cash price $332 Hospital's list price $369

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $350

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

A fair price for a Neurobehavioral status check is about $269 (about 1.2× the $221 Medicare rate). Lima Memorial Health System charges insurers about $350, or about $332 in cash — above the fair price. Located in Lima, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $269. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $853 - $948 387%
Aetnamajor $206 - $247 93%
CareSource $361 164%
Devoted Health $208 94%
+ 1 smaller / regional plan $350

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: 1001 Bellefontaine Avenue, Lima, OH 45804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals