CMS Price Transparency Data

Neurobehavioral status check

Facility: Hancock County Hospital

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $390
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Hancock County Hospital is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.77x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$390

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)
Cash / Self-Pay: $126 (57%)
Insurance Median: $390 (177%)
Cash: $126 (57% of Medicare)
Ins. Median: $390 (177% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $77 - $871 35%
Blue Cross Blue Shield $102 - $548 46%
Sentara Health $141 - $389 64%
Cigna $254 - $409 115%
Medcost $261 118%
Amerigroup $350 - $389 159%
Aetna $389 - $879 176%
Ambetter / Centene $389 176%
Managed Medicaire $389 176%
Medicare (plans) $389 176%
United Mine Workers Of America $389 176%
Wellcare $389 - $548 176%
Humana $395 179%
Devoted Health Plan $409 185%
Molina Healthcare $409 - $888 185%
Nhc Advantage $409 185%
First Health Coventry $438 199%
Seven Corners, Inc. $548 248%
Optima Health $872 395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1519 Main Street Hwy 33, Sneedville, TN 37869
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals