CMS Price Transparency Data

Neurobehavioral status check

Facility: Metropolitan Hospital Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$239
about 1.1× the $221 Medicare rate · typically $144–$353
modeled estimate · not a bill or quote
What this hospital charges insurers
$193
Below the fair price — a good deal
about $46 under the fair price · 0.9× Medicare
Medicare pays $221 Fair price $239 This hospital $193 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 $193

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 $239 (about 1.1× the $221 Medicare rate). Metropolitan Hospital Center charges insurers about $193 — below the fair price — a good deal. Located in New York, 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 - $242 50%
Blue Cross Blue Shieldmajor $170 - $435 77%
Aetnamajor $74 - $257 34%
Cignamajor $618 280%
Fidelis Care $193 - $523 87%
MagnaCare $618 280%
Oscar Health $553 251%
WellCare $92 42%
+ 14 smaller / regional plans $68 - $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.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals