Neurobehavioral status check
Facility: Mercy Health Saint Mary's
Billing Code: 96116 (CPT)
This hospital's typical commercial price is $90 compared to the $95 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.95× fair market pricing.
On the higher side — 6 of 8 other MI hospitals charge less.
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 $95 (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
- University of Michigan Health System · Ann Arbor $77
- Charlevoix Area Hospital · Charlevoix $84
- Munson Healthcare Otsego Memorial Hospital · Gaylord $85
- Hurley Medical Center · Flint $89
- Henry Ford Allegiance Health · Jackson $92
- Trinity Health Ann Arbor Hospital · Ann Arbor $93
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Health Saint Mary's (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $101
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $101).
Self-Pay Cash Rate ($210) Beats Your Bill
Mercy Health Saint Mary's's published 45 CFR § 180 self-pay cash rate is $210 (vs. $90 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $95 Fair BaseRate ($221 Medicare)
Your bill ($278) is $183 above the denoised Fair BaseRate ($95) and 1.3× the $221 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.