CMS Price Transparency Data

Neurobehavioral status check

Facility: Lake Huron Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$198
about 0.9× the $221 Medicare rate · typically $109–$300
modeled estimate · not a bill or quote
What this hospital charges insurers
$214
About the fair price
about $16 over the fair price · 1.0× Medicare
Medicare pays $221 Fair price $198 This hospital $214 Cash price $214 Hospital's list price $997

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 $214

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 $198 (about 0.9× the $221 Medicare rate). Lake Huron Medical Center charges insurers about $214, or about $214 in cash — about the fair price. Located in Port Huron, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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%
Aetnamajor $117 - $218 53%
Priority Health $115 52%
+ 6 smaller / regional plans $115 - $300
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2601 Electric Avenue, Port Huron, MI 48060
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals