CMS Price Transparency Data

Blood antibody screen

Facility: Garnet Health Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$35
about 0.7× the $53 Medicare rate · typically $12–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Below the fair price — a good deal
about $12 under the fair price · 0.4× Medicare
Medicare pays $53 Fair price $35 This hospital $23 Cash price $60 Hospital's list price $238

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 $6 Priciest $23

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $35 (about 0.7× the $53 Medicare rate). Garnet Health Medical Center charges insurers about $23, or about $60 in cash — below the fair price — a good deal. Located in Middletown, 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 $10 19%
Blue Cross Blue Shieldmajor $13 24%
Aetnamajor $5 - $65 9%
Cignamajor $8 15%
Fidelis Care $66 124%
Geisinger $163 306%
MVP Health Care $32 60%
WellCare $67 126%
+ 3 smaller / regional plans $5 - $133

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Facility Profile & Credentials

  • Address: 707 East Main Street, Middletown, NY 10940
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals