CMS Price Transparency Data

Neurobehavioral status check

Facility: Kaleida Health

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$135
about 0.6× the $221 Medicare rate · typically $90–$293
modeled estimate · not a bill or quote
What this hospital charges insurers
$291
Well above the fair price
about $156 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $135 This hospital $291 Cash price $429 Hospital's list price $429

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $59 Priciest $291

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Neurobehavioral status check is about $135 (about 0.6× the $221 Medicare rate). Kaleida Health charges insurers about $291, or about $429 in cash — well above the fair price. Located in Buffalo, NY.

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 $135. 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.

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 $292 132%
Blue Cross Blue Shieldmajor $184 - $1,006 83%
Aetnamajor $94 - $286 43%
Cignamajor $315 - $383 143%
Fidelis Care $291 132%
Independent Health $157 - $710 71%
MagnaCare $94 - $139 43%
WellCare $280 127%
+ 4 smaller / regional plans $90 - $376
Government programs also on file: Military & VA.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals