CMS Price Transparency Data

Neurobehavioral status check

Facility: Grace Surgical Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$394
about 1.8× the $221 Medicare rate · typically $243–$550
modeled estimate · not a bill or quote
What this hospital charges insurers
$443
About the fair price
about $49 over the fair price · 2.0× Medicare
Medicare pays $221 Fair price $394 This hospital $443

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 $443

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 $394 (about 1.8× the $221 Medicare rate). Grace Surgical Hospital charges insurers about $443 — about the fair price. Located in Lubbock, TX.

What each insurance company pays

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

6 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 $258 - $885 117%
Blue Cross Blue Shieldmajor $266 - $935 121%
Aetnamajor $253 - $256 115%
Cignamajor $295 134%
Humanamajor $261 118%
Kaiser Permanentemajor $246 - $369 112%
Amerigroup $270 122%
Providence Health Plan $625 283%
+ 3 smaller / regional plans $393 - $1,266

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Facility Profile & Credentials

  • Address: 2412 50Th St, Lubbock, TX 79412
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals