Garnet Health Medical Center
GARNET HEALTH MEDICAL CENTER in Middletown, NY charges 5.8x the Medicare reimbursement rate on average across 121 analyzed procedures at this nonprofit-private hospital.
Middletown, NY 10940 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.81x
Charge / Medicare rate
Max markup
9.81x
Worst procedure
Procedures analyzed
121
With pricing data
Outlier procedures
1.7%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $63,530 | $31,765 | — | 9.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $76,701 | $38,350 | — | 9.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $56,232 | $28,116 | — | 8.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $62,348 | $31,174 | — | 8.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $54,463 | $27,232 | — | 8.5x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $49,730 | $24,865 | — | 8.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $71,649 | $35,825 | — | 8.3x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $69,032 | $34,516 | — | 8.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $65,963 | $32,981 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $46,618 | $23,309 | — | 8x |
| HYPERTENSION WITH MCC | 304 | $97,249 | $48,625 | — | 8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $50,452 | $25,226 | — | 8x |
| RENAL FAILURE WITH CC | 683 | $55,254 | $27,627 | — | 7.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $47,705 | $23,852 | — | 7.9x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $64,694 | $32,347 | — | 7.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $53,660 | $26,830 | — | 7.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $32,967 | $16,483 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $45,507 | $22,754 | — | 7.5x |
| SEIZURES WITHOUT MCC | 101 | $58,443 | $29,221 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $31,297 | $15,648 | — | 7.4x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $43,966 | $21,983 | — | 7.4x |
| CHEST PAIN | 313 | $46,936 | $23,468 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $57,293 | $28,646 | — | 7.4x |
| DIABETES WITH CC | 638 | $52,202 | $26,101 | — | 7.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $50,759 | $25,380 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $48,153 | $24,077 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,255 | $22,128 | — | 7.1x |
| HYPERTENSION WITHOUT MCC | 305 | $41,176 | $20,588 | — | 7.1x |
| DIABETES WITH MCC | 637 | $87,964 | $43,982 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $52,834 | $26,417 | — | 7.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $41,307 | $20,653 | — | 6.9x |
| CELLULITIS WITHOUT MCC | 603 | $50,620 | $25,310 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,842 | $21,921 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,978 | $29,989 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $41,999 | $20,999 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $57,974 | $28,987 | — | 6.9x |
| SYNCOPE AND COLLAPSE | 312 | $45,673 | $22,837 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $36,738 | $18,369 | — | 6.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $51,573 | $25,786 | — | 6.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $57,347 | $28,673 | — | 6.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $69,347 | $34,674 | — | 6.5x |
| OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | 868 | $51,534 | $25,767 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $66,439 | $33,219 | — | 6.4x |
| PLEURAL EFFUSION WITH MCC | 186 | $84,954 | $42,477 | — | 6.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $137,868 | $68,934 | — | 6.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $85,012 | $42,506 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $73,275 | $36,638 | — | 6.3x |
| CELLULITIS WITH MCC | 602 | $75,550 | $37,775 | — | 6.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $55,716 | $27,858 | — | 6.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $57,453 | $28,726 | — | 6.2x |
Showing 50 of 121 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use