CMS Price Transparency Data

Neurobehavioral status check

Facility: Harlem Hospital Center

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$264
about 1.2× the $221 Medicare rate · typically $136–$360
modeled estimate · not a bill or quote
What this hospital charges insurers
$210
Below the fair price — a good deal
about $54 under the fair price · 1.0× Medicare
Medicare pays $221 Fair price $264 This hospital $210

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 $210

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 $264 (about 1.2× the $221 Medicare rate). Harlem Hospital Center charges insurers about $210 — 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.

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 $59 - $262 27%
Blue Cross Blue Shieldmajor $210 - $472 95%
Aetnamajor $122 - $368 55%
Fidelis Care $84 - $523 38%
Oscar Health $553 251%
WellCare $91 41%
+ 11 smaller / regional plans $67 - $737
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals