CMS Price Transparency Data

Neurobehavioral status check

Facility: AHS Hospital Corp

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$250

about 1.1× the $221 Medicare rate · typically $98–$370

modeled estimate · not a bill or quote

What this hospital charges insurers

$82

Below the fair price — a good deal

about $168 under the fair price · 0.4× Medicare

Medicare pays $221 Fair price $250 This hospital $82 Cash price $828 Hospital's list price $828

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

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 $250 (about 1.1× the $221 Medicare rate). AHS Hospital Corp charges insurers about $82, or about $828 in cash — below the fair price — a good deal. Located in Hackettstown, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$369	167%
Blue Cross Blue Shieldmajor	$86 - $567	39%
Aetnamajor	$103 - $497	47%
Cignamajor	$662	300%
Humanamajor	$455	206%
Kaiser Permanentemajor	$455	206%
AmeriHealth	$82	37%
GEHA	$369	167%
Harvard Pilgrim	$369	167%
Health Net	$414 - $704	188%
MagnaCare	$414 - $662	188%
MVP Health Care	$662	300%
Oscar Health	$455	206%
Tufts Health Plan	$662	300%
+ 70 smaller / regional plans	$75 - $828

Government programs also on file: Medicaid.

Excludes 23 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 828), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm AHS Hospital Corp is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at AHS Hospital Corp

Compare: Neurobehavioral status check at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.