CMS Price Transparency Data

Neurobehavioral status check

Facility: Williamson Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$164
about 0.7× the $221 Medicare rate · typically $90–$280
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
Below the fair price — a good deal
about $73 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $164 This hospital $91

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 TN hospitals compared.

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 $164 (about 0.7× the $221 Medicare rate). Williamson Medical Center charges insurers about $91 — below the fair price — a good deal. Located in Franklin, TN.

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 $79 - $298 36%
Blue Cross Blue Shieldmajor $79 - $307 36%
Aetnamajor $79 - $298 36%
Cignamajor $79 - $780 36%
Humanamajor $79 - $298 36%
Ambetter (Centene) $79 - $492 36%
Amerigroup $79 - $307 36%
Devoted Health $79 - $304 36%
WellCare $79 - $304 36%
+ 5 smaller / regional plans $79 - $373

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Facility Profile & Credentials

  • Address: 4321 Carothers Parkway, Franklin, TN 37067
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals