CMS Price Transparency Data

Neurobehavioral status check

Facility: Ellis Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$241
about 1.1× the $221 Medicare rate · typically $121–$383
modeled estimate · not a bill or quote
What this hospital charges insurers
$218
About the fair price
about $23 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $241 This hospital $218 Cash price $265 Hospital's list price $529

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 $218

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 $241 (about 1.1× the $221 Medicare rate). Ellis Hospital charges insurers about $218, or about $265 in cash — about the fair price. Located in Schenectady, 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✓ Aetna CignaHumanaKaiser 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 $229 - $618 104%
Blue Cross Blue Shieldmajor $113 - $282 51%
Aetnamajor $237 - $656 107%
CDPHP $121 55%
MVP Health Care $266 121%
+ 6 smaller / regional plans $54 - $695
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1101 Nott Street, Schenectady, NY 12308
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals