CMS Price Transparency Data

Neurobehavioral status check

Facility: Novant Health Hilton Head Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$193
about 0.9× the $221 Medicare rate · typically $193–$279
modeled estimate · not a bill or quote
What this hospital charges insurers
$211
About the fair price
about $18 over the fair price · 1.0× Medicare
Medicare pays $221 Fair price $193 This hospital $211 Cash price $520

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 3 charge more and 4 charge less, among the 9 SC hospitals compared.

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 $193 (about 0.9× the $221 Medicare rate). Novant Health Hilton Head Medical Center charges insurers about $211, or about $520 in cash — about the fair price. Located in Hilton Head Island, 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 $201 - $595 91%
Blue Cross Blue Shieldmajor $456 - $826 207%
Aetnamajor $201 91%
Cignamajor $207 94%
Humanamajor $201 91%
Clover Health $209 95%
Devoted Health $201 91%
Molina $205 - $351 93%
SelectHealth $211 - $450 96%
+ 1 smaller / regional plan $201 - $331

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Facility Profile & Credentials

  • Address: 25 Hospital Center Blvd, Hilton Head Island, SC 29926
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals