CMS Price Transparency Data

Neurobehavioral status check

Facility: Henry Ford Allegiance Health

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $85
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Henry Ford Allegiance Health is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.39x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$220.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $220.6 (100%)
Cash / Self-Pay: $106 (48%)
Insurance Median: $85 (39%)
Cash: $106 (48% of Medicare)
Ins. Median: $85 (39% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $220.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $40 - $315 18%
Hap Caresource $40 - $315 18%
Mclaren $40 18%
Meridian Health Plan Of Mi $40 - $425 18%
Priority Health $40 - $521 18%
Aetna $42 - $315 19%
Mclaren Health Plan Inc. $50 - $85 23%
Meridian $50 - $58 23%
Molina $52 - $180 24%
Priority $53 - $85 24%
Hap $63 - $318 29%
Humana $63 - $321 29%
Bcn $74 - $315 34%
Cca Health Mi $74 - $85 34%
Health Alliance Plan Of Michigan $74 - $85 34%
Thomas Pace $74 - $315 34%
Vaccn $77 - $93 35%
United Behavioral Health, Inc. $78 - $90 35%
Vitalcore Physicians Group Of Mi $96 - $702 44%
Cofinity $111 50%
Cigna $136 - $305 62%
Mclaren Health $172 - $315 78%
Jackson County Offiice Of The Sheriff $178 81%
Immergrun Inc $205 93%
Frontpath $225 - $533 102%
University Of Michigan $239 108%
UnitedHealthcare $253 - $315 115%
Veterans Evaluation Services $256 116%
Molina Mi Health Link $285 129%
Cofinity Group Health $308 140%
Multiplan, Inc. $308 140%
Cca Health Michigan $315 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 205 N East Ave, Jackson, MI 49201
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals