CMS Price Transparency Data

Neurobehavioral status check

Facility: St Catherine of Siena Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$258
about 1.2× the $221 Medicare rate · typically $135–$313
modeled estimate · not a bill or quote
What this hospital charges insurers
$157
Below the fair price — a good deal
about $101 under the fair price · 0.7× Medicare
Medicare pays $221 Fair price $258 This hospital $157 Hospital's list price $1,715

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 $157

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 $258 (about 1.2× the $221 Medicare rate). St Catherine of Siena Hospital charges insurers about $157 — below the fair price — a good deal. Located in Smithtown, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 - $1,115 27%
Blue Cross Blue Shieldmajor $227 - $368 103%
Aetnamajor $368 - $1,372 167%
Cignamajor $858 - $1,115 389%
Humanamajor $376 170%
AmeriHealth $829 376%
Cigna HealthSpring $368 167%
Fidelis Care $59 - $368 27%
Independent Health $59 - $368 27%
MVP Health Care $59 - $858 27%
Oscar Health $703 319%
UniCare $1,115 505%
WellCare $405 184%
+ 44 smaller / regional plans $59 - $1,715
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals