CMS Price Transparency Data

Neurobehavioral status check

Facility: Glens Falls Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$95

about 0.4× the $221 Medicare rate · typically $95–$305

modeled estimate · not a bill or quote

What this hospital charges insurers

$100

About the fair price

about $5 over the fair price · 0.5× Medicare

Medicare pays $221 Fair price $95 This hospital $100 Cash price $221 Hospital's list price $441

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 $100

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 $95 (about 0.4× the $221 Medicare rate). Glens Falls Hospital charges insurers about $100, or about $221 in cash — about the fair price. Located in Glens Falls, 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	$56 - $375	25%
Blue Cross Blue Shieldmajor	$69 - $376	31%
Aetnamajor	$75 - $372	34%
Cignamajor	$119 - $165	54%
CDPHP	$51 - $447	23%
Fidelis Care	$75 - $447	34%
MagnaCare	$331 - $368	150%
MVP Health Care	$76 - $441	34%
+ 5 smaller / regional plans	$64 - $376

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 221), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 96116.

Insurance Before you use insurance

Call your insurance company to confirm Glens Falls Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 96116.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Glens Falls Hospital

Compare: Neurobehavioral status check at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.