CMS Price Transparency Data
Neurobehavioral status check
Facility: Chelsea Hospital
Billing Code: 96116 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 96116
- Insurance Median: $209
- Cash Discount Price: $205
- vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Chelsea Hospital is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.95x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$205
Average discount available for prompt cash payment at this facility.
Insurance Median
$209
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: $205 (93%)
Insurance Median: $209 (95%)
Cash: $205 (93% of Medicare)
Ins. Median: $209 (95% 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
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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 | $75 - $117 | 34% |
| Wc Accident Fund | $83 | 38% |
| Wc Advantage | $83 | 38% |
| Wc Aig | $83 | 38% |
| Wc Allied | $83 | 38% |
| Wc Amerisure | $83 | 38% |
| Wc Amtrust | $83 | 38% |
| Wc Asu Risk Mgt | $83 | 38% |
| Wc Berkley Admin | $83 | 38% |
| Wc Broadspire | $83 | 38% |
| Wc Bunch & Associates | $83 | 38% |
| Wc Ccmsi | $83 | 38% |
| Wc Emc Insurance Company | $83 | 38% |
| Wc Esis | $83 | 38% |
| Wc Fcci | $83 | 38% |
| Wc Federated | $83 | 38% |
| Wc Gallagher Bassett | $83 | 38% |
| Wc Genex Care For Ohio | $83 | 38% |
| Wc Guard Insurance Company | $83 | 38% |
| Wc Hartford | $83 | 38% |
| Wc Liberty Mutual | $83 | 38% |
| Wc Meijers | $83 | 38% |
| Wc Michigan | $83 | 38% |
| Wc Mitchell Frankenmuth | $83 | 38% |
| Wc Pma | $83 | 38% |
| Wc Sedgwick | $83 | 38% |
| Wc Sentry | $83 | 38% |
| Wc Travelers | $83 | 38% |
| Wc Tristar | $83 | 38% |
| Wc Walmart | $83 | 38% |
| Wc Zurich | $83 | 38% |
| Bcn Domestic | $117 | 53% |
| Blue Benefit Administrators Of Massachusetts | $117 | 53% |
| Blue Care Network | $117 | 53% |
| Blue Distinction Transplant | $117 | 53% |
| Blue Shield - Ca | $117 | 53% |
| Blue Shield - Id (Regence) | $117 | 53% |
| Blue Shield - Ny Highmark Northeastern | $117 | 53% |
| Blue Shield - Ny Highmark Western | $117 | 53% |
| Blue Shield - Pa (Highmark) | $117 | 53% |
| Blue Shield - Wa (Regence) | $117 | 53% |
| Health Choices | $117 - $209 | 53% |
| Kaiser Domestic | $117 | 53% |
| Aetna | $147 - $173 | 67% |
| Geha | $173 - $212 | 78% |
| Meritain | $173 | 78% |
| U Of M Health Plan | $184 | 83% |
| Access Health | $209 | 95% |
| Acclaim | $209 | 95% |
| Administrative Concepts | $209 | 95% |
| Allegeant | $209 | 95% |
| Ameriben | $209 | 95% |
| American Family | $209 | 95% |
| American Healthcare Alliance | $209 | 95% |
| American National | $209 | 95% |
| American Republic | $209 | 95% |
| Amerihealth | $209 | 95% |
| Aultcare | $209 | 95% |
| Automated Benefit Services | $209 | 95% |
| Auxiant | $209 | 95% |
| Benefit Administrative Systems,Llc | $209 | 95% |
| Boon Chapman | $209 | 95% |
| Cam Administrative Services | $209 | 95% |
| Christian Brother Services | $209 | 95% |
| Christian Brothers Holy Cross | $209 | 95% |
| Comprehensive Benefits | $209 | 95% |
| Continental Life Insurance | $209 | 95% |
| Custom Benefit Administrators | $209 | 95% |
| Employee Benefit Concepts | $209 | 95% |
| Employee Benefit Management | $209 | 95% |
| Enterprise Group Planning | $209 | 95% |
| Freedom Life Insurance Company | $209 | 95% |
| Group Administrators | $209 | 95% |
| Group Marketing Services | $209 | 95% |
| Guardian | $209 | 95% |
| Health America | $209 | 95% |
| Healthcare Management Admin | $209 | 95% |
| Healthez | $209 | 95% |
| Humana | $209 | 95% |
| Insight | $209 | 95% |
| Intercare | $209 | 95% |
| Jfp Benefit Management | $209 | 95% |
| Jp Farley Corporation | $209 | 95% |
| Key Benefit Administrator | $209 | 95% |
| Liberty Union Life Assurance Co | $209 | 95% |
| Lucent Health | $209 | 95% |
| Luminare Health | $209 | 95% |
| Luminare Health (Detroit) | $209 | 95% |
| Magnacare | $209 | 95% |
| Medben | $209 | 95% |
| Medcost | $209 | 95% |
| Medical Mutual | $209 | 95% |
| Mutual Health Services | $209 | 95% |
| Mutual Of Omaha | $209 | 95% |
| Ncas | $209 | 95% |
| Nippon Life Ins | $209 | 95% |
| Nova | $209 | 95% |
| Painters Union Insurance Fund | $209 | 95% |
| Physicians Mutual | $209 | 95% |
| Plumbers Local 98 Insurance Fund | $209 | 95% |
| Prairie States | $209 | 95% |
| Preferred One | $209 | 95% |
| Primary Physician Care | $209 | 95% |
| Professional Benefit Administrators | $209 | 95% |
| Siho Insurance Services | $209 | 95% |
| Sisco Benefits | $209 | 95% |
| The Loomis Company | $209 | 95% |
| Unicare | $209 | 95% |
| Us Health And Life | $209 | 95% |
| Valenz | $209 | 95% |
| Western & Southern Financial Group | $209 | 95% |
| Wps | $209 | 95% |
| UnitedHealthcare | $212 | 96% |
| Coventry | $215 | 97% |
| First Health | $215 | 97% |
| Hospice Of Michigan | $220 | 100% |
| Cigna | $222 | 101% |
| 1199 National Benefit Fund | $236 | 107% |
| Allied National Global Care | $236 | 107% |
| Asrm - Reliance Standard Life Insurance | $236 | 107% |
| Christian Care Ministry | $236 | 107% |
| Dean Health | $236 | 107% |
| Fallon Health | $236 | 107% |
| Family Life Insurance Company | $236 | 107% |
| Ghc Scw | $236 | 107% |
| Group Pension Administrators | $236 | 107% |
| International Benefit Administrators | $236 | 107% |
| Lifetime Benefit Solutions | $236 | 107% |
| Manhattan Life | $236 | 107% |
| Medi Share | $236 | 107% |
| Multiplan | $236 | 107% |
| Mvp | $236 | 107% |
| Pai | $236 | 107% |
| Pan-American Life | $236 | 107% |
| Paramount Hmo | $236 | 107% |
| Phcs | $236 | 107% |
| Trinity Health Share | $236 | 107% |
| Asr Health Benefits | $238 | 108% |
| Caresource | $238 | 108% |
| Hap | $238 - $245 | 108% |
| Varipro | $238 | 108% |
| Health Partners | $245 | 111% |
| Tufts Health Plan | $245 | 111% |
| Prime Health Services | $252 | 114% |
| Three Rivers Provider Network | $284 | 129% |
| Cmh Detroit Wayne Integrated Health Network | $315 | 143% |
| Cmh Jackson County/Lifeways | $315 | 143% |
| Cmh Lenawee County | $315 | 143% |
| Cmh Livingston County | $315 | 143% |
| Cmh Misc | $315 | 143% |
| Cmh Monroe County | $315 | 143% |
| Cmh Washtenaw County | $315 | 143% |
| Magellan Behavioral Health | $315 | 143% |
| Priority Health | $516 - $574 | 234% |