CMS Price Transparency Data

Neurobehavioral status check

Facility: Flushing Hospital Medical Center

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$262
about 1.2× the $221 Medicare rate · typically $123–$413
modeled estimate · not a bill or quote
What this hospital charges insurers
$271
About the fair price
about $9 over the fair price · 1.2× Medicare
Medicare pays $221 Fair price $262 This hospital $271 Cash price $545 Hospital's list price $545

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 $271

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 $262 (about 1.2× the $221 Medicare rate). Flushing Hospital Medical Center charges insurers about $271, or about $545 in cash — about the fair price. Located in Flushing, 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✓ Humana CignaKaiser 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 - $268 27%
Blue Cross Blue Shieldmajor $252 114%
Aetnamajor $268 121%
Humanamajor $271 - $284 123%
EmblemHealth $418 189%
Fidelis Care $255 - $268 116%
MagnaCare $308 - $500 140%
WellCare $279 126%
+ 15 smaller / regional plans $70 - $1,912

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Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals