CMS Price Transparency Data

Neurobehavioral status check

Facility: Christus Mother Frances Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$259
about 1.2× the $221 Medicare rate · typically $220–$467
modeled estimate · not a bill or quote
What this hospital charges insurers
$294
About the fair price
about $35 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $259 This hospital $294

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 $294

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 $259 (about 1.2× the $221 Medicare rate). Christus Mother Frances Hospital charges insurers about $294 — about the fair price. Located in Tyler, 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 $139 - $294 63%
Blue Cross Blue Shieldmajor $294 133%
Aetnamajor $294 133%
Cignamajor $294 133%
Humanamajor $294 133%
Amerigroup $318 144%
WellCare $294 133%
+ 8 smaller / regional plans $294 - $412
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 East Dawson, Tyler, TX 75701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals