CMS Price Transparency Data

Neurobehavioral status check

Facility: Southwest General Health Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$218
about 1.0× the $221 Medicare rate · typically $126–$327
modeled estimate · not a bill or quote
What this hospital charges insurers
$193
Below the fair price — a good deal
about $25 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $218 This hospital $193

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $193

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $218 (about 1.0× the $221 Medicare rate). Southwest General Health Center charges insurers about $193 — below the fair price — a good deal. Located in Middleburg Heights, OH.

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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $193 87%
Blue Cross Blue Shieldmajor $193 87%
Humanamajor $193 87%
AmeriHealth $193 87%
CareSource $193 87%
Medical Mutual $124 - $131 56%
Molina $193 - $390 87%
+ 1 smaller / regional plan $193 - $390

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Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals