CMS Price Transparency Data

Neurobehavioral status check

Facility: Cleveland Clinic Avon Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$212
about 1.0× the $221 Medicare rate · typically $144–$288
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Above the fair price
about $77 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $212 This hospital $289 Cash price $1,260 Hospital's list price $1,938

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 $289

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $212 (about 1.0× the $221 Medicare rate). Cleveland Clinic Avon Hospital charges insurers about $289, or about $1,260 in cash — above the fair price. Located in Avon, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $212. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $156 - $1,202 71%
Blue Cross Blue Shieldmajor $153 - $1,549 69%
Aetnamajor $289 - $1,938 131%
Cignamajor $297 - $1,010 135%
Humanamajor $289 131%
CareSource $156 71%
Devoted Health $289 131%
Molina $153 69%
Oscar Health $584 - $745 265%
UniCare $303 137%
UPMC Health Plan $289 - $1,163 131%
+ 17 smaller / regional plans $153 - $1,744
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 33300 Cleveland Clinic Blvd, Avon, OH 44011
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals