CMS Price Transparency Data

Neurobehavioral status check

Facility: Palestine Regional Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$260
about 1.2× the $221 Medicare rate · typically $200–$337
modeled estimate · not a bill or quote
What this hospital charges insurers
$279
About the fair price
about $19 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $260 This hospital $279

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 $279

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 $260 (about 1.2× the $221 Medicare rate). Palestine Regional Medical Center charges insurers about $279 — about the fair price. Located in Palestine, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $217 98%
Ambetter (Centene) $221 - $336 100%
+ 1 smaller / regional plan $842

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Facility Profile & Credentials

  • Address: 2900 S Loop 256, Palestine, TX 75801
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals