CMS Price Transparency Data

Neurobehavioral status check

Facility: Hospital for Special Surgery

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$285
about 1.3× the $221 Medicare rate · typically $105–$471
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
Below the fair price — a good deal
about $181 under the fair price · 0.5× Medicare
Medicare pays $221 Fair price $285 This hospital $104 Cash price $300 Hospital's list price $300

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 $104

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 $285 (about 1.3× the $221 Medicare rate). Hospital for Special Surgery charges insurers about $104, or about $300 in cash — 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 $79 - $261 36%
Blue Cross Blue Shieldmajor $193 - $227 87%
Aetnamajor $236 - $255 107%
Cignamajor $177 - $207 80%
Fidelis Care $59 - $94 27%
+ 4 smaller / regional plans $55 - $257

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: 535 East 70Th Street, New York, NY 10021
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals