CMS Price Transparency Data

Neurobehavioral status check

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$291
about 1.3× the $221 Medicare rate · typically $172–$491
modeled estimate · not a bill or quote
What this hospital charges insurers
$316
About the fair price
about $25 over the fair price · 1.4× Medicare
Medicare pays $221 Fair price $291 This hospital $316

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $73 Priciest $316

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

A fair price for a Neurobehavioral status check is about $291 (about 1.3× the $221 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $316 — about the fair price. Located in Milwaukee, WI.

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✓ Humana CignaKaiser 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 $316 143%
Blue Cross Blue Shieldmajor $316 143%
Aetnamajor $323 146%
Humanamajor $316 143%
HealthPartners $316 143%
Molina $316 143%
Priority Health $316 143%
Quartz $316 143%
Security Health Plan $316 143%
WellCare $323 146%
+ 5 smaller / regional plans $316 - $326

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Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals