CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Garnet Health Medical Center

Billing Code: 73721 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$568
about 2.3× the $244 Medicare rate · typically $335–$1,460
modeled estimate · not a bill or quote
What this hospital charges insurers
$575
About the fair price
about $7 over the fair price · 2.4× Medicare
Medicare pays $244 Fair price $568 This hospital $575 Cash price $890 Hospital's list price $3,560

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 $69 Priciest $575

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

A fair price for a MRI, knee or other leg joint is about $568 (about 2.3× the $244 Medicare rate). Garnet Health Medical Center charges insurers about $575, or about $890 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 $374 153%
Blue Cross Blue Shieldmajor $2,006 - $2,934 823%
Aetnamajor $298 - $941 122%
Fidelis Care $304 125%
Geisinger $745 306%
MagnaCare $405 - $648 166%
MVP Health Care $540 222%
WellCare $305 125%
+ 4 smaller / regional plans $521 - $941

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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