CMS Price Transparency Data

Neurobehavioral status check

Facility: Henry Ford Macomb Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$76
about 0.3× the $221 Medicare rate · typically $64–$196
modeled estimate · not a bill or quote
What this hospital charges insurers
$78
About the fair price
about $2 over the fair price · 0.4× Medicare
Medicare pays $221 Fair price $76 This hospital $78 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 3 charge more and 4 charge less, among the 9 MI hospitals compared.

Cheapest $59 Priciest $86

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 $76 (about 0.3× the $221 Medicare rate). Henry Ford Macomb Hospital charges insurers about $78 — about the fair price. Located in Clinton Township, MI.

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 $78 - $305 35%
Blue Cross Blue Shieldmajor $42 - $305 19%
Aetnamajor $42 - $336 19%
Cignamajor $136 - $319 62%
Humanamajor $65 - $223 29%
AmeriHealth $50 - $299 23%
CareSource $50 - $305 23%
Meridian $42 - $223 19%
Molina $52 - $305 24%
Priority Health $42 - $305 19%
WellCare $78 - $79 35%
+ 14 smaller / regional plans $42 - $702
Government programs also on file: Military & VA.
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: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals