Neurobehavioral status check
Facility: Mercy Health Saint Mary's
Billing Code: 96116 (CPT)
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $98 (about 0.4× the $221 Medicare rate). Mercy Health Saint Mary's charges insurers about $90, or about $210 in cash — about the fair price. Located in Grand Rapids, MI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $60 - $323 | 27% |
| Blue Cross Blue Shieldmajor | $60 - $156 | 27% |
| Aetnamajor | $60 - $256 | 27% |
| Cignamajor | $60 - $236 | 27% |
| Humanamajor | $60 - $323 | 27% |
| Kaiser Permanentemajor | $156 | 71% |
| Ambetter (Centene) | $60 | 27% |
| AmeriHealth | $135 - $246 | 61% |
| CareSource | $211 | 96% |
| Clover Health | $90 | 41% |
| Dean Health Plan | $124 - $236 | 56% |
| GEHA | $112 - $245 | 51% |
| Health Net | $60 - $135 | 27% |
| HealthPartners | $60 - $93 | 27% |
| MagnaCare | $135 | 61% |
| Medical Mutual | $135 - $203 | 61% |
| Meridian | $60 - $90 | 27% |
| Molina | $60 - $124 | 27% |
| MVP Health Care | $124 - $236 | 56% |
| Oscar Health | $124 | 56% |
| Paramount | $60 - $236 | 27% |
| Presbyterian | $60 - $90 | 27% |
| Priority Health | $134 - $638 | 61% |
| Tufts Health Plan | $60 - $93 | 27% |
| UniCare | $135 - $246 | 61% |
| WellMed | $90 | 41% |
| WellSense | $60 | 27% |
| + 425 smaller / regional plans | $60 - $323 |
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.
Other Procedures at Mercy Health Saint Mary's
Compare: Neurobehavioral status check at other MI hospitals
- Huron Valley-Sinai Hospital · Commerce Township $59
- Harper University Hospital · Detroit $61
- Henry Ford Allegiance Health · Jackson $74
- University of Michigan Health System · Ann Arbor $77
- Henry Ford Macomb Hospital · Clinton Township $78
- Henry Ford Health West Bloomfield Hospital · W Bloomfield $78
- Charlevoix Area Hospital · Charlevoix $84
- Munson Healthcare Otsego Memorial Hospital · Gaylord $85
Insurance negotiated median for the same procedure, sorted lowest first.