CMS Price Transparency Data

Neurobehavioral status check

Facility: Sparrow Ionia Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$129
about 0.6× the $221 Medicare rate · typically $95–$330
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
About the fair price
about $11 over the fair price · 0.6× Medicare
Medicare pays $221 Fair price $129 This hospital $140 Cash price $91 Hospital's list price $182

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 $140

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 $129 (about 0.6× the $221 Medicare rate). Sparrow Ionia Hospital charges insurers about $140, or about $91 in cash — about the fair price. Located in Ionia, MI.

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 $140 - $438 63%
Blue Cross Blue Shieldmajor $114 - $457 52%
Aetnamajor $46 - $428 21%
Cignamajor $144 - $452 65%
Humanamajor $48 - $463 22%
Priority Health $221 100%
+ 8 smaller / regional plans $46 - $509
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3565 S State Road, Ionia, MI 48846
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals