CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Garnet Health Medical Center

Billing Code: 72040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.5× the $89 Medicare rate · typically $97–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
about $3 over the fair price · 1.5× Medicare
Medicare pays $89 Fair price $132 This hospital $135 Cash price $87 Hospital's list price $348

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 $18 Priciest $135

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, neck (cervical spine) is about $132 (about 1.5× the $89 Medicare rate). Garnet Health Medical Center charges insurers about $135, or about $87 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 $139 156%
Blue Cross Blue Shieldmajor $161 - $235 181%
Aetnamajor $62 - $109 70%
Fidelis Care $111 125%
Geisinger $272 306%
MagnaCare $82 - $132 92%
MVP Health Care $97 109%
WellCare $111 125%
+ 4 smaller / regional plans $62 - $223

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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