CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: Garnet Health Medical Center

Billing Code: G0145 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.5× the $26 Medicare rate · typically $30–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $6 under the fair price · 1.2× Medicare
Medicare pays $26 Fair price $38 This hospital $32

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 $23 Priciest $32

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

A fair price for a Colorectal cancer screening (alternative) is about $38 (about 1.5× the $26 Medicare rate). Garnet Health Medical Center charges insurers about $32 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $26 98%
Blue Cross Blue Shieldmajor $70 264%
Aetnamajor $26 - $32 98%
Fidelis Care $27 102%
Geisinger $66 249%
MVP Health Care $130 491%
WellCare $27 102%
+ 3 smaller / regional plans $32 - $54

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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