CMS Price Transparency Data

Neurobehavioral status check

Facility: Christus Jasper Memorial Hospital

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $314
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Christus Jasper Memorial Hospital is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 1.42x the Medicare baseline. Located in 1275 Marvin Hancock Drive, Jasper, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$314

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%)
Insurance Median: $314 (142%)
Ins. Median: $314 (142% 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 $178 - $314 81%
Humana $209 - $314 95%
Aetna $314 142%
Allwell $314 142%
Arcadian Health Plan $314 142%
Blue Cross Blue Shield $314 142%
Christus Health $314 - $440 142%
Community Health Choice $314 142%
Coventry $314 142%
Molina $314 142%
Texas Healthspring $314 142%
Triwest $314 142%
Wellcare $314 142%
Provider Partners Health Plan $324 147%
Texas Independence Health Plan $324 147%
Shared Health Insurance Company $330 150%
Us Imaging Network $336 152%
Amerigroup $339 154%
Devoted Health Plan $339 154%
Imperial Health Plan $346 157%
Medicare (plans) $346 157%
Procare Advantage $346 157%
Adv Cardiovas Specialist $628 285%
Naphcare Inc. $628 285%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1275 Marvin Hancock Drive, Jasper, TX 75951
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals