CMS Price Transparency Data

Neurobehavioral status check

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$350
about 1.6× the $221 Medicare rate · typically $134–$366
modeled estimate · not a bill or quote
What this hospital charges insurers
$276
Below the fair price — a good deal
about $74 under the fair price · 1.2× Medicare
Medicare pays $221 Fair price $350 This hospital $276 Cash price $480 Hospital's list price $738

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 $276

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 $350 (about 1.6× the $221 Medicare rate). Cleveland Clinic Children's Hospital for Rehab charges insurers about $276, or about $480 in cash — below the fair price — a good deal. Located in Cleveland, OH.

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 $249 - $541 113%
Blue Cross Blue Shieldmajor $276 - $558 125%
Aetnamajor $474 - $738 215%
Cignamajor $125 - $319 57%
AmeriHealth $289 131%
CareSource $281 127%
Molina $276 125%
Oscar Health $222 - $284 101%
Paramount $270 122%
UPMC Health Plan $443 201%
+ 13 smaller / regional plans $251 - $664
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2801 Martin Luther King, Jr Drive, Cleveland, OH 44104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens