CMS Price Transparency Data

Neurobehavioral status check

Facility: Geisinger-Lewistown Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$239
about 1.1× the $221 Medicare rate · typically $110–$355
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
Above the fair price
about $66 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $239 This hospital $305 Cash price $508 Hospital's list price $819

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $71 Priciest $305

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

A fair price for a Neurobehavioral status check is about $239 (about 1.1× the $221 Medicare rate). Geisinger-Lewistown Hospital charges insurers about $305, or about $508 in cash — above the fair price. Located in Lewistown, PA.

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 $239. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $363 165%
Blue Cross Blue Shieldmajor $269 - $911 122%
Aetnamajor $335 - $398 152%
Cignamajor $354 - $431 160%
Humanamajor $305 138%
Ambetter (Centene) $725 329%
AmeriHealth $76 34%
Geisinger $74 - $1,416 34%
HealthPartners $82 37%
UPMC Health Plan $81 - $11,890 37%
+ 3 smaller / regional plans $305 - $655
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 400 Highland Avenue, Lewistown, PA 17044
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals