Neurobehavioral status check
Facility: St Luke's Warren Hospital
Billing Code: 96116 (CPT)
This hospital's typical commercial price is $350 compared to the $253 fair price benchmark.
5-Star CMS clinical quality rating paired with 1.38× fair market pricing.
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
Note: 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 $253 (about 1.1× the $221 Medicare rate). St Luke's Warren Hospital charges insurers about $350, or about $1,307 in cash — above the fair price. Located in Phillipsburg, NJ.
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 $253. 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.
5 of 6 major insurers have a published price at this hospital
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 | $343 - $392 | 155% |
| Blue Cross Blue Shieldmajor | $341 - $1,359 | 155% |
| Aetnamajor | $350 - $507 | 159% |
| Cignamajor | $395 | 179% |
| Humanamajor | $357 | 162% |
| AmeriHealth | $82 | 37% |
| Geisinger | $81 - $408 | 37% |
| Oscar Health | $378 | 171% |
| UPMC Health Plan | $82 - $398 | 37% |
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.
Other Procedures at St Luke's Warren Hospital
Compare: Neurobehavioral status check at other NJ hospitals
- Morristown Medical Center · Morristown $82
- Jefferson Stratford Hospital · Stratford $82
- AHS Hospital Corp · Hackettstown $82
- Bergen New Bridge Medical Center · Paramus $127
- St Joseph's University Medical Center Inc · Paterson $136
- Inspira Medical Center Vineland · Vineland $243
- Shore Medical Center · Somers Point $243
- Inspira Medical Center Mullica Hill · Elmer $243
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at St Luke's Warren Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $527
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $527).
Self-Pay Cash Rate ($1,307) Beats Your Bill
St Luke's Warren Hospital's published 45 CFR § 180 self-pay cash rate is $1,307 (vs. $350 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $253 Fair BaseRate ($221 Medicare)
Your bill ($1,452) is $1,199 above the denoised Fair BaseRate ($253) and 6.6× the $221 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.