CMS Price Transparency Data

Neurobehavioral status check

Facility: Beth Israel Deaconess Hospital - Milton

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$314
about 1.4× the $221 Medicare rate · typically $93–$453
modeled estimate · not a bill or quote
What this hospital charges insurers
$376
Above the fair price
about $62 over the fair price · 1.7× Medicare
Medicare pays $221 Fair price $314 This hospital $376

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

On the higher side — 7 of 8 other MA hospitals charge less.

Cheapest $211 Priciest $382

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

A fair price for a Neurobehavioral status check is about $314 (about 1.4× the $221 Medicare rate). Beth Israel Deaconess Hospital - Milton charges insurers about $376 — above the fair price. Located in Milton, MA.

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 $314. 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.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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
Blue Cross Blue Shieldmajor $376 170%
Cignamajor $456 207%
Harvard Pilgrim $376 170%
UniCare $134 61%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 199 Reedsdale Road, Milton, MA 02186
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals