CMS Price Transparency Data

Blood antibody screen

Facility: Arnot Ogden Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $61
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Arnot Ogden Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.15x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $77 (145%)
Insurance Median: $61 (115%)
Cash: $77 (145% of Medicare)
Ins. Median: $61 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Empire $4 8%
Fidelis $7 - $59 13%
Amerihealth $8 15%
Amerihealth Mcr Adv - All Plans $10 19%
Blue Cross Blue Shield $10 - $387 19%
Humana $10 - $121 19%
Tricare $10 19%
UnitedHealthcare $18 - $134 34%
Aetna $51 - $98 96%
Geisinger $51 - $78 96%
Icircle $51 96%
Fidelis Care-Exchange - All Plans $70 131%
Geisinger - All Plans $74 139%
Cigna $80 150%
Mvp Health Plan - All Plans $80 150%
Independent Health - All Plans $83 156%
Upmc Health Plan - All Plans $88 165%
Pomco Inc - All Plans $92 173%
Emblem Health - All Plans $112 210%
Emblem/Ghi $118 222%
Martins Point Mcr Adv - All Plans $128 240%
Healthnow - All Plans $385 723%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Roe Avenue, Elmira, NY 14905
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals