CMS Price Transparency Data

Neurobehavioral status check

Facility: Lecom Medical Center and Behavioral Health Pav

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$238
about 1.1× the $221 Medicare rate · typically $80–$322
modeled estimate · not a bill or quote
What this hospital charges insurers
$252
About the fair price
about $14 over the fair price · 1.1× Medicare
Medicare pays $221 Fair price $238 This hospital $252 Cash price $450 Hospital's list price $899

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 $252

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 $238 (about 1.1× the $221 Medicare rate). Lecom Medical Center and Behavioral Health Pav charges insurers about $252, or about $450 in cash — about the fair price. Located in Erie, PA.

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✓ Cigna HumanaKaiser 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 $94 43%
Blue Cross Blue Shieldmajor $224 - $315 102%
Aetnamajor $494 224%
Cignamajor $620 281%
UPMC Health Plan $450 204%
+ 10 smaller / regional plans $450
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 5515 Peach Street, Erie, PA 16509
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals