CMS Price Transparency Data

Neurobehavioral status check

Facility: Anmed Health

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$102

about 0.5× the $221 Medicare rate · typically $92–$185

modeled estimate · not a bill or quote

What this hospital charges insurers

$106

About the fair price

about $4 over the fair price · 0.5× Medicare

Medicare pays $221 Fair price $102 This hospital $106 Cash price $110 Hospital's list price $220

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

One of the lower prices — 6 of 8 other SC hospitals charge more for the same procedure.

Cheapest $86 Priciest $337

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

A fair price for a Neurobehavioral status check is about $102 (about 0.5× the $221 Medicare rate). Anmed Health charges insurers about $106, or about $110 in cash — about the fair price. Located in Anderson, SC.

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	$73 - $144	33%
Blue Cross Blue Shieldmajor	$73 - $114	33%
Aetnamajor	$73 - $135	33%
Cignamajor	$75 - $143	34%
Humanamajor	$74 - $252	34%
Ambetter (Centene)	$104 - $120	47%
Bright Health	$87 - $122	39%
Devoted Health	$74 - $86	34%
GEHA	$126 - $144	57%
Molina	$75 - $122	34%
+ 18 smaller / regional plans	$76 - $147

Government programs also on file: Medicare, Military & VA.

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 110), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Anmed Health is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Anmed Health

Compare: Neurobehavioral status check at other SC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.