CMS Price Transparency Data

Neurobehavioral status check

Facility: Elizabethtown Community Hospital

Billing Code: 96116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$116
about 0.5× the $221 Medicare rate · typically $73–$400
modeled estimate · not a bill or quote
What this hospital charges insurers
$87
Below the fair price — a good deal
about $29 under the fair price · 0.4× Medicare
Medicare pays $221 Fair price $116 This hospital $87 Cash price $559 Hospital's list price $559

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 5 charge more and 3 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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Neurobehavioral status check is about $116 (about 0.5× the $221 Medicare rate). Elizabethtown Community Hospital charges insurers about $87, or about $559 in cash — below the fair price — a good deal. Located in Elizabethtown, 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 $61 - $211 28%
Blue Cross Blue Shieldmajor $72 - $120 33%
Aetnamajor $75 - $475 34%
Humanamajor $71 32%
Fidelis Care $64 - $102 29%
Harvard Pilgrim $447 203%
MagnaCare $447 203%
MVP Health Care $64 - $211 29%
+ 3 smaller / regional plans $59 - $141
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 75 Park Street, Elizabethtown, NY 12932
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals