CMS Price Transparency Data

Neurobehavioral status check

Facility: Beacon Plainwell

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$190
about 0.9× the $221 Medicare rate · typically $86–$283
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
Below the fair price — a good deal
about $69 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $190 This hospital $121

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 $121

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 $190 (about 0.9× the $221 Medicare rate). Beacon Plainwell charges insurers about $121 — below the fair price — a good deal. Located in Plainwell, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $121 55%
Aetnamajor $121 55%
Cignamajor $973 441%
+ 2 smaller / regional plans $121
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 411 Naomi St, Plainwell, MI 49080
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL