CMS Price Transparency Data

Neurobehavioral status check

Facility: Robert Wood Johnson University Hospital - Somerset

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$349
about 1.6× the $221 Medicare rate · typically $197–$356
modeled estimate · not a bill or quote
What this hospital charges insurers
$340
About the fair price
about $9 under the fair price · 1.5× Medicare
Medicare pays $221 Fair price $349 This hospital $340

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $82 Priciest $340

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

A fair price for a Neurobehavioral status check is about $349 (about 1.6× the $221 Medicare rate). Robert Wood Johnson University Hospital - Somerset charges insurers about $340 — about the fair price. Located in Somerville, 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✓ 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 $347 157%
Blue Cross Blue Shieldmajor $49 - $340 22%
Aetnamajor $340 154%
Humanamajor $340 154%
Clover Health $340 154%
Fidelis Care $340 154%
WellCare $677 307%
+ 1 smaller / regional plan $596

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Facility Profile & Credentials

  • Address: 110 Rehill Ave, Somerville, NJ 08876
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals