CMS Price Transparency Data

Neurobehavioral status check

Facility: Carewell Health Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$315
about 1.4× the $221 Medicare rate · typically $178–$341
modeled estimate · not a bill or quote
What this hospital charges insurers
$349
About the fair price
about $34 over the fair price · 1.6× Medicare
Medicare pays $221 Fair price $315 This hospital $349

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 $349

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 $315 (about 1.4× the $221 Medicare rate). Carewell Health Medical Center charges insurers about $349 — about the fair price. Located in East Orange, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $83 - $349 38%
Blue Cross Blue Shieldmajor $791 359%
Aetnamajor $349 - $576 158%
Clover Health $83 - $349 38%
WellCare $83 - $349 38%
+ 1 smaller / regional plan $83 - $349

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Facility Profile & Credentials

  • Address: 300 Central Ave, East Orange, NJ 07018
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals