CMS Price Transparency Data

Neurobehavioral status check

Facility: Erlanger Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$147
about 0.7× the $221 Medicare rate · typically $105–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $9 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $147 This hospital $138 Cash price $107 Hospital's list price $203

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $77 Priciest $138

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 $147 (about 0.7× the $221 Medicare rate). Erlanger Medical Center charges insurers about $138, or about $107 in cash — about the fair price. Located in Chattanooga, 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 $77 - $300 35%
Blue Cross Blue Shieldmajor $93 - $286 42%
Aetnamajor $113 - $294 51%
Cignamajor $91 - $551 41%
Humanamajor $78 - $286 35%
Ambetter (Centene) $140 - $357 63%
Amerigroup $91 - $237 41%
CareSource $91 - $571 41%
Clover Health $112 - $286 51%
Devoted Health $117 - $297 53%
UPMC Health Plan $112 - $286 51%
+ 13 smaller / regional plans $86 - $714
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals