CMS Price Transparency Data

Neurobehavioral status check

Facility: Charlevoix Area Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.4× the $221 Medicare rate · typically $81–$285
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $3 over the fair price · 0.4× Medicare
Medicare pays $221 Fair price $81 This hospital $84

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

On the higher side — 6 of 8 other MI hospitals charge less.

Cheapest $59 Priciest $86

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 $81 (about 0.4× the $221 Medicare rate). Charlevoix Area Hospital charges insurers about $84 — about the fair price. Located in Charlevoix, 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✓ Cigna HumanaKaiser 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 $50 - $152 23%
Blue Cross Blue Shieldmajor $51 - $152 23%
Aetnamajor $72 33%
Cignamajor $108 49%
Meridian $50 - $152 23%
Molina $72 33%
Priority Health $50 - $152 23%
+ 8 smaller / regional plans $50 - $324
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals