CMS Price Transparency Data

Neurobehavioral status check

Facility: Gundersen Lutheran Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$215
about 1.0× the $221 Medicare rate · typically $160–$492
modeled estimate · not a bill or quote
What this hospital charges insurers
$299
Above the fair price
about $84 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $215 This hospital $299 Cash price $150 Hospital's list price $397

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $73 Priciest $299

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $215 (about 1.0× the $221 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $299, or about $150 in cash — above the fair price. Located in La Crosse, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $215. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $264 - $324 120%
Blue Cross Blue Shieldmajor $127 - $612 58%
Aetnamajor $175 - $377 79%
Cignamajor $326 148%
Humanamajor $377 171%
Amerigroup $264 - $308 120%
Dean Health Plan $166 75%
HealthPartners $198 - $351 90%
Medica $133 - $304 60%
Molina $264 - $301 120%
Quartz $168 76%
UCare $159 - $324 72%
+ 15 smaller / regional plans $264 - $357
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals