CMS Price Transparency Data

Neurobehavioral status check

Facility: St James Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$192
about 0.9× the $221 Medicare rate · typically $96–$286
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Above the fair price
about $97 over the fair price · 1.3× Medicare
Medicare pays $221 Fair price $192 This hospital $289

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 $289

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 $192 (about 0.9× the $221 Medicare rate). St James Hospital charges insurers about $289 — above the fair price. Located in Hornell, 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 $192. 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.

5 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 $59 - $289 27%
Blue Cross Blue Shieldmajor $59 - $645 27%
Aetnamajor $289 131%
Cignamajor $649 294%
Humanamajor $289 131%
Fidelis Care $59 27%
Molina $59 - $134 27%
MVP Health Care $611 - $627 277%
+ 1 smaller / regional plan $609
Government programs also on file: Medicare, Medicaid.

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.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals