CMS Price Transparency Data

Neurobehavioral status check

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 96116 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96116
  • Insurance Median: $90
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Neurobehavioral status check at Henry Ford Health West Bloomfield Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $220.6, this hospital’s rate is 0.41x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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%)
Insurance Median: $90 (41%)
Ins. Median: $90 (41% 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
Aetna $42 - $336 19%
Blue Cross Blue Shield $42 - $305 19%
Hap $42 - $223 19%
Mclaren $42 19%
Meridian Health Plan Of Mi $42 - $223 19%
Priority Health $42 - $305 19%
Amerihealth Michigan $50 - $299 23%
Hap Caresource $50 - $305 23%
Mclaren Health Plan Inc. $50 - $90 23%
Meridian $50 - $90 23%
Molina $52 - $223 24%
Priority $53 - $90 24%
Humana $65 - $223 29%
Pace Se Mi $74 - $86 34%
Bcn $78 - $305 35%
Cca Health Mi $78 - $90 35%
Health Alliance Plan Of Michigan $78 - $90 35%
Mount Carmel Health Plan $78 - $305 35%
United Behavioral Health, Inc. $78 - $90 35%
UnitedHealthcare $78 - $305 35%
Wellcare Ma $78 35%
Vaccn $87 - $102 39%
Vitalcore Physicians Group Of Mi $101 - $702 46%
Cofinity $111 50%
Cigna $116 - $181 53%
Mclaren Health $129 - $305 58%
Multiplan, Inc. $149 68%
University Of Michigan $178 81%
Cofinity Group Health $181 82%
Pace Of Se Mi $290 131%
Cca Health Michigan $305 138%
Erickson $305 138%
Molina Mi Health Link $305 138%
Wellcare $308 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6777 West Maple Road, W Bloomfield, MI 48322
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals