CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Garnet Health Medical Center

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$82
about 2.8× the $29 Medicare rate · typically $35–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $8 under the fair price · 2.6× Medicare
Medicare pays $29 Fair price $82 This hospital $74 Cash price $57 Hospital's list price $228

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 $28 Priciest $74

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 (therapeutic exercise) is about $82 (about 2.8× the $29 Medicare rate). Garnet Health Medical Center charges insurers about $74, or about $57 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 $158 - $232 544%
Aetnamajor $31 - $71 107%
Fidelis Care $32 110%
Geisinger $78 268%
MagnaCare $81 - $129 279%
MVP Health Care $149 513%
WellCare $32 110%
+ 4 smaller / regional plans $54 - $151

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