CMS Price Transparency Data

Neurobehavioral status check

Facility: Saratoga Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 0.5× the $221 Medicare rate · typically $96–$269
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $9 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $103 This hospital $94 Cash price $170 Hospital's list price $339

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NY hospitals compared.

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 $103 (about 0.5× the $221 Medicare rate). Saratoga Hospital charges insurers about $94, or about $170 in cash — about the fair price. Located in Saratoga Springs, 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 $75 - $305 34%
Blue Cross Blue Shieldmajor $62 - $357 28%
Aetnamajor $77 - $100 35%
Cignamajor $119 - $165 54%
CDPHP $51 - $434 23%
Fidelis Care $56 - $434 25%
MagnaCare $305 - $322 138%
MVP Health Care $76 - $386 34%
+ 5 smaller / regional plans $70 - $501
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.

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Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals