CMS Price Transparency Data

Neurobehavioral status check

Facility: Titus Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.4× the $221 Medicare rate · typically $78–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
Below the fair price — a good deal
about $14 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $92 This hospital $78 Cash price $191 Hospital's list price $319

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $53 Priciest $78

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $92 (about 0.4× the $221 Medicare rate). Titus Regional Medical Center charges insurers about $78, or about $191 in cash — below the fair price — a good deal. Located in Mount Pleasant, TX.

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 $58 - $250 26%
Blue Cross Blue Shieldmajor $78 - $132 35%
Aetnamajor $123 56%
Cignamajor $255 116%
Humanamajor $58 26%
Healthcare Highways $107 49%
+ 5 smaller / regional plans $58 - $97
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals