CMS Price Transparency Data

Neurobehavioral status check

Facility: Memorial Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$107
about 0.5× the $221 Medicare rate · typically $92–$277
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
Below the fair price — a good deal
about $15 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $107 This hospital $92 Cash price $201 Hospital's list price $287

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 $92

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 $107 (about 0.5× the $221 Medicare rate). Memorial Medical Center charges insurers about $92, or about $201 in cash — below the fair price — a good deal. Located in Port Lavaca, 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 $72 - $386 33%
Blue Cross Blue Shieldmajor $69 - $74 31%
Aetnamajor $89 - $386 40%
Cignamajor $137 - $362 62%
Humanamajor $74 - $386 34%
Ambetter (Centene) $30 - $162 14%
Amerigroup $72 - $231 33%
Health Net $137 - $386 62%
Healthcare Highways $60 - $386 27%
Molina $92 - $231 42%
+ 13 smaller / regional plans $72 - $410
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals