CMS Price Transparency Data

Neurobehavioral status check

Facility: Beloit Health System

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$240
about 1.1× the $221 Medicare rate · typically $86–$441
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
Below the fair price — a good deal
about $167 under the fair price · 0.3× Medicare
Medicare pays $221 Fair price $240 This hospital $73 Cash price $185 Hospital's list price $615

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $73 Priciest $276

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 $240 (about 1.1× the $221 Medicare rate). Beloit Health System charges insurers about $73, or about $185 in cash — below the fair price — a good deal. Located in Beloit, WI.

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 $73 - $112 33%
Blue Cross Blue Shieldmajor $73 33%
Aetnamajor $73 - $608 33%
Cignamajor $608 276%
Humanamajor $296 134%
Dean Health Plan $73 33%
Quartz $73 - $365 33%
+ 6 smaller / regional plans $73 - $608
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1969 W Hart Rd, Beloit, WI 53511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals