CMS Price Transparency Data

Neurobehavioral status check

Facility: Tristar Summit Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$178
about 0.8× the $221 Medicare rate · typically $100–$357
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
Below the fair price — a good deal
about $28 under the fair price · 0.7× Medicare
Medicare pays $221 Fair price $178 This hospital $150

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 $150

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 $178 (about 0.8× the $221 Medicare rate). Tristar Summit Medical Center charges insurers about $150 — below the fair price — a good deal. Located in Hermitage, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $138 - $258 63%

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Facility Profile & Credentials

  • Address: 5655 Frist Blvd, Hermitage, TN 37076
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals