CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Garnet Health Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$201
about 1.5× the $136 Medicare rate · typically $117–$391
modeled estimate · not a bill or quote
What this hospital charges insurers
$343
Above the fair price
about $142 over the fair price · 2.5× Medicare
Medicare pays $136 Fair price $201 This hospital $343 Cash price $208 Hospital's list price $833

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 $72 Priciest $343

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

A fair price for a Office visit, established patient (30-39 min) is about $201 (about 1.5× the $136 Medicare rate). Garnet Health Medical Center charges insurers about $343, or about $208 in cash — above the fair price. Located in Middletown, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $201. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $197 145%
MagnaCare $264 - $422 195%
MVP Health Care $494 364%
+ 2 smaller / regional plans $197 - $492

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 707 East Main Street, Middletown, NY 10940
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals