CMS Price Transparency Data

CT scan, pelvis

Facility: Garnet Health Medical Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$290
about 2.7× the $107 Medicare rate · typically $154–$645
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
About the fair price
about $1 under the fair price · 2.7× Medicare
Medicare pays $107 Fair price $290 This hospital $289 Cash price $471 Hospital's list price $1,882

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 $52 Priciest $289

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

A fair price for a CT scan, pelvis is about $290 (about 2.7× the $107 Medicare rate). Garnet Health Medical Center charges insurers about $289, or about $471 in cash — about the fair price. 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 $171 160%
Blue Cross Blue Shieldmajor $1,110 - $1,624 1039%
Aetnamajor $130 - $345 122%
Fidelis Care $133 125%
Geisinger $326 305%
MagnaCare $238 - $381 223%
MVP Health Care $310 290%
WellCare $134 125%
+ 4 smaller / regional plans $228 - $440

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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