CMS Price Transparency Data

Neurobehavioral status check

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$182
about 0.8× the $221 Medicare rate · typically $115–$307
modeled estimate · not a bill or quote
What this hospital charges insurers
$305
Above the fair price
about $123 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $182 This hospital $305

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 $305

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 $182 (about 0.8× the $221 Medicare rate). Ascension Providence Hospital, Southfield and Novi charges insurers about $305 — above the fair price. Located in Southfield, MI.

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 $182. 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.

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $177 80%
Aetnamajor $305 138%
Humanamajor $308 140%
Ambetter (Centene) $381 173%
AmeriHealth $262 - $302 119%
Molina $116 - $381 53%
WellCare $320 145%
+ 10 smaller / regional plans $101 - $421
Government programs also on file: Medicaid, Military & VA.

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: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals