CMS Price Transparency Data

Neurobehavioral status check

Facility: Affiliate of Vitruvian Health

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$207
about 0.9× the $221 Medicare rate · typically $147–$263
modeled estimate · not a bill or quote
What this hospital charges insurers
$205
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $207 This hospital $205

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 $205

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 $207 (about 0.9× the $221 Medicare rate). Affiliate of Vitruvian Health charges insurers about $205 — about the fair price. Located in Cleveland, 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 $208 94%
Blue Cross Blue Shieldmajor $128 - $198 58%
Aetnamajor $204 92%
Cignamajor $338 - $364 153%
Ambetter (Centene) $336 152%
WellCare $206 93%

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Facility Profile & Credentials

  • Address: 2305 Chambliss Ave Nw, Cleveland, TN 37311
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals