CMS Price Transparency Data
Neurobehavioral status check
Facility: Henry Ford Health St John Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$190
about 0.9× the $221 Medicare rate · typically $105–$294
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $190 Cash price $137 Hospital's list price $244
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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 |
|---|---|---|
| Aetnamajor | $305 | 138% |
| Humanamajor | $308 | 140% |
| Ambetter (Centene) | $381 | 173% |
| AmeriHealth | $302 | 137% |
| Meridian | $116 | 53% |
| Molina | $320 - $381 | 145% |
| WellCare | $320 | 145% |
| + 6 smaller / regional plans | $101 - $580 |
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Henry Ford Health St John 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.