CMS Price Transparency Data

Neurobehavioral status check

Facility: St Joseph's University Medical Center Inc

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$305
about 1.4× the $221 Medicare rate · typically $124–$321
modeled estimate · not a bill or quote
What this hospital charges insurers
$136
Below the fair price — a good deal
about $169 under the fair price · 0.6× Medicare
Medicare pays $221 Fair price $305 This hospital $136 Cash price $1,099 Hospital's list price $1,099

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $82 Priciest $311

Black dot = this hospital, among the 9 NJ 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 $305 (about 1.4× the $221 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $136, or about $1,099 in cash — below the fair price — a good deal. Located in Paterson, NJ.

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 $58 - $343 26%
Blue Cross Blue Shieldmajor $77 - $958 35%
Aetnamajor $77 - $550 35%
Cignamajor $314 - $1,099 142%
Ambetter (Centene) $77 - $385 35%
AmeriHealth $77 - $700 35%
Clover Health $77 - $257 35%
Fidelis Care $58 - $269 26%
Health Net $111 - $989 50%
MagnaCare $769 349%
Oscar Health $1,035 469%
+ 4 smaller / regional plans $65 - $316
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals