CMS Price Transparency Data

Neurobehavioral status check

Facility: McLaren Lapeer Region

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$150
about 0.7× the $221 Medicare rate · typically $81–$291
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
Below the fair price — a good deal
about $45 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $150 This hospital $105 Cash price $118 Hospital's list price $235

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $59 Priciest $105

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 $150 (about 0.7× the $221 Medicare rate). McLaren Lapeer Region charges insurers about $105, or about $118 in cash — below the fair price — a good deal. Located in Lapeer, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $102 46%
Blue Cross Blue Shieldmajor $126 57%
Aetnamajor $95 43%
Humanamajor $72 - $304 33%
Priority Health $107 49%
+ 4 smaller / regional plans $78 - $304
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1375 N Main St, Lapeer, MI 48446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals