CMS Price Transparency Data

Neurobehavioral status check

Facility: East Cooper Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$218
about 1.0× the $221 Medicare rate · typically $202–$393
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $218 This hospital $209 Cash price $520

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 5 charge more and 3 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 $218 (about 1.0× the $221 Medicare rate). East Cooper Medical Center charges insurers about $209, or about $520 in cash — about the fair price. Located in Mount Pleasant, 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 $130 - $290 59%
Blue Cross Blue Shieldmajor $376 - $708 170%
Aetnamajor $201 91%
Cignamajor $207 94%
Humanamajor $201 91%
Clover Health $209 95%
Devoted Health $201 91%
Molina $205 - $291 93%
SelectHealth $211 - $384 96%
+ 1 smaller / regional plan $201 - $331

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Facility Profile & Credentials

  • Address: 2000 Hospital Dr, Mount Pleasant, SC 29464
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals