CMS Price Transparency Data

Neurobehavioral status check

Facility: Gaylord Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$150
about 0.7× the $221 Medicare rate · typically $109–$313
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
Below the fair price — a good deal
about $32 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $150 This hospital $118 Cash price $611 Hospital's list price $873

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 6 CT hospitals we have prices for — a strong deal.

Cheapest $118 Priciest $372

Black dot = this hospital, among the 6 CT 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 $150 (about 0.7× the $221 Medicare rate). Gaylord Hospital charges insurers about $118, or about $611 in cash — below the fair price — a good deal. Located in Wallingford, CT.

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 $74 - $3,819 34%
Blue Cross Blue Shieldmajor $74 - $3,856 34%
Aetnamajor $74 - $3,198 34%
Cignamajor $132 - $3,722 60%
Harvard Pilgrim $264 - $3,940 120%
+ 2 smaller / regional plans $74 - $4,218
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL