CMS Price Transparency Data
Neurobehavioral status check
Facility: SSM Health St Agnes Hospital-Fond Du Lac
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$344
about 1.6× the $221 Medicare rate · typically $177–$375
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $344 Cash price $89 Hospital's list price $162
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 | $214 | 97% |
| Molina | $160 | 73% |
| WellCare | $218 | 99% |
| + 1 smaller / regional plan | $412 |
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Other Procedures at SSM Health St Agnes Hospital-Fond Du Lac
Compare: Neurobehavioral status check at other WI hospitals
- Beloit Health System · Beloit $73
- Richland Hospital · Richland Center $81
- Memorial Hospital of Lafayette County · Darlington $87
- Norwood Health Center · Marshfield $108
- SSM Health St Clare Hospital - Baraboo · Baraboo $184
- SSM Health St Mary's Hospital - Madison · Madison $184
- The Monroe Clinic · Monroe $210
- Watertown Memorial Hospital · Watertown $214
Insurance negotiated median for the same procedure, sorted lowest first.