CMS Price Transparency Data

Neurobehavioral status check

Facility: Bayshore Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$346
about 1.6× the $221 Medicare rate · typically $191–$380
modeled estimate · not a bill or quote
What this hospital charges insurers
$369
About the fair price
about $23 over the fair price · 1.7× Medicare
Medicare pays $221 Fair price $346 This hospital $369 Cash price $345 Hospital's list price $650

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 $369

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 $346 (about 1.6× the $221 Medicare rate). Bayshore Medical Center charges insurers about $369, or about $345 in cash — about the fair price. Located in Holmdel, 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 $362 - $468 164%
Blue Cross Blue Shieldmajor $345 156%
Aetnamajor $107 - $585 49%
Cignamajor $520 - $622 236%
AmeriHealth $558 - $633 253%
Clover Health $117 53%
WellCare $345 156%
+ 6 smaller / regional plans $122 - $585
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals