CMS Price Transparency Data

Neurobehavioral status check

Facility: Children's Specialized Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$294
about 1.3× the $221 Medicare rate · typically $116–$625
modeled estimate · not a bill or quote
What this hospital charges insurers
$252
Below the fair price — a good deal
about $42 under the fair price · 1.1× Medicare
Medicare pays $221 Fair price $294 This hospital $252 Cash price $445 Hospital's list price $889

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $82 Priciest $311

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 $294 (about 1.3× the $221 Medicare rate). Children's Specialized Hospital charges insurers about $252, or about $445 in cash — below the fair price — a good deal. Located in New Brunswick, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $430 - $871 195%
Aetnamajor $174 - $685 79%
Cignamajor $535 243%
AmeriHealth $674 306%
Fidelis Care $680 308%
+ 2 smaller / regional plans $605 - $693
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: 200 Somerset St, New Brunswick, NJ 08901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens