CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Garnet Health Medical Center

Billing Code: 97140 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 2.9× the $28 Medicare rate · typically $35–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
Below the fair price — a good deal
about $11 under the fair price · 2.5× Medicare
Medicare pays $28 Fair price $81 This hospital $70 Cash price $43 Hospital's list price $171

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 $26 Priciest $70

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

A fair price for a Physical therapy (manual therapy) is about $81 (about 2.9× the $28 Medicare rate). Garnet Health Medical Center charges insurers about $70, or about $43 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 $149 - $218 538%
Aetnamajor $31 - $65 112%
Fidelis Care $32 115%
Geisinger $78 281%
MagnaCare $76 - $122 274%
MVP Health Care $137 494%
WellCare $32 115%
+ 4 smaller / regional plans $55 - $143

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