CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Garnet Health Medical Center

Billing Code: 72148 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$553
about 2.3× the $244 Medicare rate · typically $336–$1,245
modeled estimate · not a bill or quote
What this hospital charges insurers
$543
About the fair price
about $10 under the fair price · 2.2× Medicare
Medicare pays $244 Fair price $553 This hospital $543 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 $74 Priciest $543

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

A fair price for a MRI, lower back (no contrast) is about $553 (about 2.3× the $244 Medicare rate). Garnet Health Medical Center charges insurers about $543, 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 $2,005 - $2,931 822%
Aetnamajor $298 - $941 122%
Fidelis Care $304 125%
Geisinger $745 306%
MagnaCare $352 - $564 144%
MVP Health Care $479 196%
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