CMS Price Transparency Data

Neurobehavioral status check

Facility: Southwestern Vermont Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$105
about 0.5× the $221 Medicare rate · typically $85–$221
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $4 over the fair price · 0.5× Medicare
Medicare pays $221 Fair price $105 This hospital $109 Cash price $263 Hospital's list price $375

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

On the higher side — 2 of 3 other VT hospitals charge less.

Cheapest $87 Priciest $189

Black dot = this hospital, among the 4 VT hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $105 (about 0.5× the $221 Medicare rate). Southwestern Vermont Medical Center charges insurers about $109, or about $263 in cash — about the fair price. Located in Bennington, VT.

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 $70 - $318 32%
Blue Cross Blue Shieldmajor $86 - $318 39%
Aetnamajor $86 - $318 39%
Cignamajor $86 - $318 39%
Humanamajor $86 - $318 39%
CDPHP $51 - $318 23%
Fidelis Care $86 - $334 39%
Harvard Pilgrim $127 58%
MVP Health Care $59 - $318 27%
Tufts Health Plan $129 58%
WellCare $86 - $318 39%
+ 3 smaller / regional plans $75 - $318

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Bennington, VT 05201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals