CMS Price Transparency Data

Neurobehavioral status check

Facility: Montefiore Mount Vernon Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$257
about 1.2× the $221 Medicare rate · typically $123–$373
modeled estimate · not a bill or quote
What this hospital charges insurers
$270
About the fair price
about $13 over the fair price · 1.2× Medicare
Medicare pays $221 Fair price $257 This hospital $270

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 $270

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 $257 (about 1.2× the $221 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $270 — about the fair price. Located in Mount Vernon, NY.

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✓ Humana AetnaCignaKaiser 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 $84 - $270 38%
Blue Cross Blue Shieldmajor $223 - $426 101%
Humanamajor $296 134%
Fidelis Care $59 - $270 27%
Molina $372 169%
SelectHealth $68 31%
WellCare $60 - $275 27%
+ 11 smaller / regional plans $59 - $350
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals