CMS Price Transparency Data

Neurobehavioral status check

Facility: Elmhurst Hospital Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$240
about 1.1× the $221 Medicare rate · typically $143–$353
modeled estimate · not a bill or quote
What this hospital charges insurers
$195
Below the fair price — a good deal
about $45 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $240 This hospital $195 Hospital's list price $824

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 $195

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 $240 (about 1.1× the $221 Medicare rate). Elmhurst Hospital Center charges insurers about $195 — below the fair price — a good deal. Located in Elmhurst, NY.

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 $111 - $244 50%
Blue Cross Blue Shieldmajor $168 - $439 76%
Aetnamajor $74 - $257 34%
Cignamajor $618 280%
Fidelis Care $195 - $523 88%
MagnaCare $618 280%
Oscar Health $553 251%
WellCare $91 41%
+ 14 smaller / regional plans $67 - $700
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: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals