GARNET HEALTH MEDICAL CENTER
MIDDLETOWN, NY 10940 · Acute Care Hospitals
121 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
121
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
2%
Compared to NY hospitals
Understanding Your Costs
When you receive a bill from GARNET HEALTH MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, GARNET HEALTH MEDICAL CENTER lists chargemaster rates that average 5.8x the corresponding Medicare reimbursement amount across 121 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in NY has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.1x to 12.4x. At 5.8x, this facility’s average ratio is above the state median. 124 hospitals in NY report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at GARNET HEALTH MEDICAL CENTER is Cirrhosis and Alcoholic Hepatitis with Complications (DRG 433). The listed chargemaster rate is $63,530, while Medicare reimburses $6,476 for the same procedure — a ratio of 9.8x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
2 of 121 procedures (2%) at this facility have listed rates above the 90th percentile compared to other NY hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
GARNET HEALTH MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Cirrhosis and Alcoholic Hepatitis with Complications | 433 | $63,530 | $6,476 | 9.8x | 1th | Compare your bill |
| Red Blood Cell Disorders without Major Complications | 812 | $76,701 | $8,028 | 9.6x | 1th | Compare your bill |
| Signs and Symptoms without Major Complications | 948 | $56,232 | $6,494 | 8.7x | 1th | Compare your bill |
| Disorders of Pancreas Except Malignancy with Complications | 439 | $62,348 | $7,246 | 8.6x | 1th | Compare your bill |
| Transient Ischemia without Thrombolytic | 069 | $54,463 | $6,407 | 8.5x | 1th | Compare your bill |
| Tendonitis, Myositis and Bursitis without Major Complications | 558 | $49,730 | $5,991 | 8.3x | 1th | Compare your bill |
| Other Disorders of Nervous System with Complications | 092 | $71,649 | $8,662 | 8.3x | 1th | Compare your bill |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Complications | 543 | $69,032 | $8,396 | 8.2x | 1th | Compare your bill |
| Other Circulatory System Diagnoses with Complications | 315 | $65,963 | $8,118 | 8.1x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction without Complications | 066 | $46,618 | $5,806 | 8.0x | 1th | Compare your bill |
| Hypertension with Major Complications or Comorbidities | 304 | $97,249 | $12,174 | 8.0x | 1th | Compare your bill |
| Fractures of Hip and Pelvis without Major Complications | 536 | $50,452 | $6,322 | 8.0x | 1th | Compare your bill |
| Renal Failure with Complications | 683 | $55,254 | $7,008 | 7.9x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications | 392 | $47,705 | $6,052 | 7.9x | 1th | Compare your bill |
| Cranial and Peripheral Nerve Disorders without Major Complications | 074 | $64,694 | $8,247 | 7.8x | 1th | Compare your bill |
| Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major Complications | 897 | $53,660 | $6,866 | 7.8x | 1th | Compare your bill |
| Gastrointestinal Obstruction without Complications | 390 | $32,967 | $4,282 | 7.7x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Complications | 309 | $45,507 | $6,049 | 7.5x | 1th | Compare your bill |
| Seizures without Major Complications | 101 | $58,443 | $7,790 | 7.5x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders without Complications | 310 | $31,297 | $4,236 | 7.4x | 1th | Compare your bill |
| Heart Failure and Shock with Complications | 292 | $43,966 | $5,951 | 7.4x | 1th | Compare your bill |
| Chest Pain | 313 | $46,936 | $6,352 | 7.4x | 1th | Compare your bill |
| Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours | 065 | $57,293 | $7,760 | 7.4x | 1th | Compare your bill |
| Diabetes with Complications | 638 | $52,202 | $7,211 | 7.2x | 1th | Compare your bill |
| Chronic Obstructive Pulmonary Disease with Complications | 191 | $50,759 | $7,080 | 7.2x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy with Complications | 194 | $48,153 | $6,722 | 7.2x | 1th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $44,255 | $6,201 | 7.1x | 1th | Compare your bill |
| Hypertension without Major Complications | 305 | $41,176 | $5,779 | 7.1x | 1th | Compare your bill |
| Diabetes with Major Complications or Comorbidities | 637 | $87,964 | $12,362 | 7.1x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive with Complications | 281 | $52,834 | $7,438 | 7.1x | 1th | Compare your bill |
| Pulmonary Embolism without Major Complications | 176 | $41,307 | $5,950 | 6.9x | 1th | Compare your bill |
| Cellulitis without Major Complications | 603 | $50,620 | $7,294 | 6.9x | 1th | Compare your bill |
| Kidney and Urinary Tract Infections without Major Complications | 690 | $43,842 | $6,333 | 6.9x | 1th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications | 872 | $59,978 | $8,685 | 6.9x | 1th | Compare your bill |
| Gastrointestinal Obstruction with Complications | 389 | $41,999 | $6,089 | 6.9x | 1th | Compare your bill |
| Gastrointestinal Hemorrhage with Complications | 378 | $57,974 | $8,396 | 6.9x | 1th | Compare your bill |
| Syncope and Collapse | 312 | $45,673 | $6,934 | 6.6x | 1th | Compare your bill |
| Acute Myocardial Infarction, Discharged Alive without Complications | 282 | $36,738 | $5,613 | 6.5x | 1th | Compare your bill |
| Medical Back Problems without Major Complications | 552 | $51,573 | $7,952 | 6.5x | 1th | Compare your bill |
| Peripheral Vascular Disorders with Complications | 300 | $57,347 | $8,876 | 6.5x | 1th | Compare your bill |
| Degenerative Nervous System Disorders without Major Complications | 057 | $69,347 | $10,758 | 6.5x | 1th | Compare your bill |
| Other Infectious and Parasitic Diseases Diagnoses with Complications | 868 | $51,534 | $8,017 | 6.4x | 1th | Compare your bill |
| Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities | 308 | $66,439 | $10,366 | 6.4x | 1th | Compare your bill |
| Pleural Effusion with Major Complications or Comorbidities | 186 | $84,954 | $13,373 | 6.3x | 1th | Compare your bill |
| Other Vascular Procedures with Complications | 253 | $137,868 | $21,710 | 6.3x | 1th | Compare your bill |
| Red Blood Cell Disorders with Major Complications or Comorbidities | 811 | $85,012 | $13,379 | 6.3x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with Major Complications or Comorbidities | 391 | $73,275 | $11,590 | 6.3x | 1th | Compare your bill |
| Cellulitis with Major Complications or Comorbidities | 602 | $75,550 | $11,981 | 6.3x | 1th | Compare your bill |
| Other Kidney and Urinary Tract Diagnoses with Complications | 699 | $55,716 | $8,831 | 6.3x | 1th | Compare your bill |
| Nonspecific Cerebrovascular Disorders with Complications | 071 | $57,453 | $9,238 | 6.2x | 1th | Compare your bill |
Showing 50 of 121 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across NY hospitals
124 hospitals in NY report pricing data to CMS. This facility's average ratio of 5.8x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About GARNET HEALTH MEDICAL CENTER
How much does GARNET HEALTH MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, GARNET HEALTH MEDICAL CENTER's listed chargemaster rates average 5.8x the Medicare reimbursement amount across 121 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at GARNET HEALTH MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at GARNET HEALTH MEDICAL CENTER is Cirrhosis and Alcoholic Hepatitis with Complications (DRG 433), with a listed charge of $63,530 compared to Medicare reimbursement of $6,476 — a ratio of 9.8x. Source: CMS IPPS Provider Summary.
Is GARNET HEALTH MEDICAL CENTER expensive compared to other NY hospitals?
GARNET HEALTH MEDICAL CENTER's average chargemaster-to-Medicare ratio is 5.8x. Ratios vary significantly across NY hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for GARNET HEALTH MEDICAL CENTER come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from GARNET HEALTH MEDICAL CENTER is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does GARNET HEALTH MEDICAL CENTER in MIDDLETOWN, NY accept Medicare?
GARNET HEALTH MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact GARNET HEALTH MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.