CMS Price Transparency Data
Neurobehavioral status check
Facility: Trinity Health Muskegon Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$238
about 1.1× the $221 Medicare rate · typically $83–$388
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $238 Cash price $181 Hospital's list price $279
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
✓ 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 | $246 | 112% |
| Blue Cross Blue Shieldmajor | $136 | 62% |
| Aetnamajor | $117 - $189 | 53% |
| Cignamajor | $175 | 79% |
| Humanamajor | $220 | 100% |
| Kaiser Permanentemajor | $136 | 62% |
| AmeriHealth | $220 | 100% |
| CareSource | $176 | 80% |
| Dean Health Plan | $209 | 95% |
| GEHA | $189 - $246 | 86% |
| Medical Mutual | $220 | 100% |
| MVP Health Care | $209 | 95% |
| Paramount | $209 | 95% |
| Priority Health | $300 - $335 | 136% |
| UniCare | $220 | 100% |
| + 132 smaller / regional plans | $136 - $279 |
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Trinity Health Muskegon Hospital
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.