CMS Price Transparency Data

Neurobehavioral status check

Facility: Montefiore St Luke's Cornwall

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$354

about 1.6× the $221 Medicare rate · typically $215–$585

modeled estimate · not a bill or quote

What this hospital charges insurers

$270

Below the fair price — a good deal

about $84 under the fair price · 1.2× Medicare

Medicare pays $221 Fair price $354 This hospital $270 Cash price $270

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 $270

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 $354 (about 1.6× the $221 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $270, or about $270 in cash — below the fair price — a good deal. Located in Newburgh, 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	$270	122%
Blue Cross Blue Shieldmajor	$270 - $1,093	122%
Aetnamajor	$267	121%
Humanamajor	$296	134%
CDPHP	$270	122%
Fidelis Care	$216 - $313	98%
Oscar Health	$270	122%
WellCare	$278	126%
+ 11 smaller / regional plans	$59 - $1,703

Government programs also on file: Medicaid.

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 270), 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 Montefiore St Luke's Cornwall 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 Montefiore St Luke's Cornwall

Compare: Neurobehavioral status check at other NY hospitals

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