CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Garnet Health Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$92
about 2.8× the $33 Medicare rate · typically $40–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $9 under the fair price · 2.5× Medicare
Medicare pays $33 Fair price $92 This hospital $83 Cash price $48 Hospital's list price $190

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 $30 Priciest $83

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 (neuromuscular re-education) is about $92 (about 2.8× the $33 Medicare rate). Garnet Health Medical Center charges insurers about $83, or about $48 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.

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 $166 - $243 507%
Aetnamajor $37 - $74 113%
Fidelis Care $38 116%
Geisinger $93 284%
MagnaCare $90 - $143 275%
MVP Health Care $173 529%
WellCare $38 116%
+ 4 smaller / regional plans $65 - $168

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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