CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Garnet Health Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$98
about 2.8× the $35 Medicare rate · typically $43–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$86
Below the fair price — a good deal
about $12 under the fair price · 2.5× Medicare
Medicare pays $35 Fair price $98 This hospital $86 Cash price $50 Hospital's list price $200

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 $13 Priciest $86

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

A fair price for a Occupational therapy (therapeutic activities) is about $98 (about 2.8× the $35 Medicare rate). Garnet Health Medical Center charges insurers about $86, or about $50 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.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $175 - $255 499%
Aetnamajor $38 - $76 108%
Fidelis Care $38 108%
Geisinger $94 268%
MagnaCare $98 - $156 279%
MVP Health Care $194 553%
WellCare $39 111%
+ 4 smaller / regional plans $66 - $183

Self-Pay How to get the cash price

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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