CMS Price Transparency Data
Neurobehavioral status check
Facility: Helen Newberry Joy Hospital
Billing Code: 96116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$150
about 0.7× the $221 Medicare rate · typically $92–$335
modeled estimate · not a bill or quote
Medicare pays $221 Fair price $150 Cash price $37 Hospital's list price $58
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $58 | 26% |
| Blue Cross Blue Shieldmajor | $82 - $126 | 37% |
| Aetnamajor | $53 - $82 | 24% |
| Cignamajor | $57 | 26% |
| Humanamajor | $82 | 37% |
| Priority Health | $58 | 26% |
| + 7 smaller / regional plans | $21 - $82 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Helen Newberry Joy 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.