CMS Price Transparency Data

X-ray, shoulder

Facility: Garnet Health Medical Center

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$129
about 1.4× the $89 Medicare rate · typically $80–$226
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $9 under the fair price · 1.3× Medicare
Medicare pays $89 Fair price $129 This hospital $120 Cash price $76 Hospital's list price $303

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 $15 Priciest $120

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, shoulder is about $129 (about 1.4× the $89 Medicare rate). Garnet Health Medical Center charges insurers about $120, or about $76 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 $123 - $180 138%
Aetnamajor $55 - $109 62%
Fidelis Care $111 125%
Geisinger $272 306%
MagnaCare $73 - $117 82%
MVP Health Care $85 96%
WellCare $111 125%
+ 4 smaller / regional plans $55 - $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