CMS Price Transparency Data

Neurobehavioral status check

Facility: Memorial Hospital of Lafayette County

Billing Code: 96116 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$123
about 0.6× the $221 Medicare rate · typically $55–$447
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
Below the fair price — a good deal
about $36 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $123 This hospital $87

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

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 $123 (about 0.6× the $221 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $87 — below the fair price — a good deal. Located in Darlington, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $87 - $113 39%
Blue Cross Blue Shieldmajor $87 - $108 39%
Aetnamajor $87 39%
Humanamajor $87 39%
Dean Health Plan $87 - $108 39%
Quartz $87 - $108 39%
+ 2 smaller / regional plans $87 - $108
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 211 Bev Anderson Dr, Darlington, WI 53530
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals