CMS Price Transparency Data

Neurobehavioral status check

Facility: Texas Health Harris Methodist Hospital Cleburne

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$245
about 1.1× the $221 Medicare rate · typically $201–$375
modeled estimate · not a bill or quote
What this hospital charges insurers
$312
Above the fair price
about $67 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $245 This hospital $312

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 $312

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 $245 (about 1.1× the $221 Medicare rate). Texas Health Harris Methodist Hospital Cleburne charges insurers about $312 — above the fair price. Located in Cleburne, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $245. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $330 - $336 150%
Blue Cross Blue Shieldmajor $297 135%
Humanamajor $309 140%
Amerigroup $312 141%
Cigna HealthSpring $303 137%
Molina $312 141%
WellCare $312 - $327 141%
+ 1 smaller / regional plan $297

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 201 Walls Drive, Cleburne, TX 76031
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals