CMS Price Transparency Data

Neurobehavioral status check

Facility: Bronson Methodist Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 0.9× the $221 Medicare rate · typically $131–$281
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
Below the fair price — a good deal
about $21 under the fair price · 0.8× Medicare
Medicare pays $221 Fair price $188 This hospital $167 Cash price $220 Hospital's list price $275

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $59 Priciest $167

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

A fair price for a Neurobehavioral status check is about $188 (about 0.9× the $221 Medicare rate). Bronson Methodist Hospital charges insurers about $167, or about $220 in cash — below the fair price — a good deal. Located in Kalamazoo, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $75 - $855 34%
Blue Cross Blue Shieldmajor $75 - $304 34%
Aetnamajor $79 - $316 36%
Meridian $79 - $319 36%
Priority Health $75 - $304 34%
+ 12 smaller / regional plans $75 - $380
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 601 John Street, Kalamazoo, MI 49007
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals