CMS Price Transparency Data

X-ray, lower back

Facility: Garnet Health Medical Center

Billing Code: 72110 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 1.6× the $107 Medicare rate · typically $126–$286
modeled estimate · not a bill or quote
What this hospital charges insurers
$171
About the fair price
about $1 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $170 This hospital $171 Cash price $65 Hospital's list price $260

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 $27 Priciest $171

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

A fair price for a X-ray, lower back is about $170 (about 1.6× the $107 Medicare rate). Garnet Health Medical Center charges insurers about $171, or about $65 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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
UnitedHealthcaremajor $171 160%
Blue Cross Blue Shieldmajor $234 - $342 219%
Aetnamajor $94 - $130 88%
Fidelis Care $133 125%
Geisinger $326 305%
MagnaCare $112 - $179 105%
MVP Health Care $129 121%
WellCare $134 125%
+ 4 smaller / regional plans $94 - $268

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