44/100
#1,465 nationally
Garnet Health Medical Center
707 East Main Street, Middletown, NY 10940 · (845) 343-2424
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Garnet Health Medical Center billed $4.64 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 166
- inpatient and outpatient combined
- Rank in NY
- #82
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 37% of U.S. hospitals.
Better than 72% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 32% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,200 | $24,981 | $3,010 | +29% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
477 | $88,357 | $20,359 | +35% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
400 | $13,136 | $2,543 | +12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
357 | $14,671 | $3,603 | -42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
349 | $66,210 | $14,493 | +53% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
321 | $7,932 | $1,768 | -21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
255 | $40,428 | $14,472 | -35% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
223 | $73,009 | $14,951 | +57% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
213 | $76,840 | $17,441 | +40% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
204 | $9,500 | $2,102 | -19% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
$94,296 | $11,640 | +137% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$75,419 | $11,801 | +110% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$66,796 | $13,109 | +80% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$61,578 | $10,623 | +78% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Complications
MS-DRG 442 · Inpatient stay |
$74,013 | $14,663 | +76% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$58,063 | $10,090 | +74% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$57,398 | $10,370 | +74% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$50,429 | $8,878 | +69% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$33,271 | $11,023 | -44% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$14,671 | $3,603 | -42% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$58,342 | $19,260 | -39% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$40,428 | $14,472 | -35% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$23,604 | $6,289 | -32% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$24,224 | $6,289 | -31% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
$158,969 | $49,452 | -30% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$94,060 | $26,281 | -29% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.