CMS Price Transparency Data

Neurobehavioral status check

Facility: Marshall Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$206
about 0.9× the $221 Medicare rate · typically $121–$294
modeled estimate · not a bill or quote
What this hospital charges insurers
$136
Below the fair price — a good deal
about $70 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $206 This hospital $136

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 $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 $206 (about 0.9× the $221 Medicare rate). Marshall Medical Center charges insurers about $136 — below the fair price — a good deal. Located in Lewisburg, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $102 - $275 46%
Blue Cross Blue Shieldmajor $120 - $151 54%

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Facility Profile & Credentials

  • Address: 1080 North Ellington Parkway, Lewisburg, TN 37091
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals