CMS Price Transparency Data

Neurobehavioral status check

Facility: Landmark Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$283
about 1.3× the $221 Medicare rate · typically $174–$359
modeled estimate · not a bill or quote
What this hospital charges insurers
$242
Below the fair price — a good deal
about $41 under the fair price · 1.1× Medicare
Medicare pays $221 Fair price $283 This hospital $242 Cash price $241 Hospital's list price $1,102

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Lowest price of the 3 RI hospitals we have prices for — a strong deal.

Cheapest $242 Priciest $609

Black dot = this hospital, among the 3 RI hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $283 (about 1.3× the $221 Medicare rate). Landmark Medical Center charges insurers about $242, or about $241 in cash — below the fair price — a good deal. Located in Woonsocket, RI.

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 $81 - $242 37%
Blue Cross Blue Shieldmajor $280 - $406 127%
Aetnamajor $242 110%
Humanamajor $242 110%
Tufts Health Plan $203 - $390 92%
WellCare $246 112%
+ 3 smaller / regional plans $215 - $338
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 115 Cass Avenue, Woonsocket, RI 02895
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals