CMS Price Transparency Data

Neurobehavioral status check

Facility: Blount Memorial Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$158
about 0.7× the $221 Medicare rate · typically $56–$359
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
Below the fair price — a good deal
about $75 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $158 This hospital $83 Cash price $148 Hospital's list price $476

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $77 Priciest $136

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

A fair price for a Neurobehavioral status check is about $158 (about 0.7× the $221 Medicare rate). Blount Memorial Hospital charges insurers about $83, or about $148 in cash — below the fair price — a good deal. Located in Maryville, TN.

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 $73 - $334 33%
Blue Cross Blue Shieldmajor $267 121%
Aetnamajor $428 194%
Cignamajor $262 - $275 119%
MVP Health Care $275 125%
+ 12 smaller / regional plans $110 - $443
Government programs also on file: Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals