CMS Price Transparency Data

Neurobehavioral status check

Facility: Hospital for Special Care

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$172

about 0.8× the $221 Medicare rate · typically $93–$365

modeled estimate · not a bill or quote

What this hospital charges insurers

$263

Above the fair price

about $91 over the fair price · 1.2× Medicare

Medicare pays $221 Fair price $172 This hospital $263 Cash price $793 Hospital's list price $793

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 2 charge more and 3 charge less, among the 6 CT hospitals compared.

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 $172 (about 0.8× the $221 Medicare rate). Hospital for Special Care charges insurers about $263, or about $793 in cash — above the fair price. Located in New Britain, CT.

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 $172. 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.

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	$263	119%
Blue Cross Blue Shieldmajor	$558 - $773	253%
Aetnamajor	$325 - $682	147%
Cignamajor	$714	324%
+ 2 smaller / regional plans	$571 - $714

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 793), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Hospital for Special Care is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Hospital for Special Care

Compare: Neurobehavioral status check at other CT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.