CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Arnot Ogden Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $78
Cash Discount Price: $150
vs. Medicare Baseline: 9.22x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Arnot Ogden Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 9.22x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)

Cash / Self-Pay: $150 (1773%)

Insurance Median: $78 (922%)

Cash: $150 (1773% of Medicare)

Ins. Median: $78 (922% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 922% of the Medicare baseline (a markup of 822%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	47%
Aetna	$8 - $190	95%
Blue Cross Blue Shield	$8 - $751	95%
Humana	$8 - $234	95%
Tricare	$8	95%
Amerihealth	$9	106%
Amerihealth Mcr Adv - All Plans	$9	106%
Fidelis	$9 - $32	106%
Geisinger	$9 - $151	106%
UnitedHealthcare	$14 - $260	165%
Icircle	$32	378%
Fidelis Care-Exchange - All Plans	$136	1608%
Geisinger - All Plans	$144	1702%
Cigna	$154	1820%
Mvp Health Plan - All Plans	$154	1820%
Independent Health - All Plans	$161	1903%
Upmc Health Plan - All Plans	$171	2021%
Pomco Inc - All Plans	$178	2104%
Emblem Health - All Plans	$218	2577%
Emblem/Ghi	$229	2707%
Martins Point Mcr Adv - All Plans	$248	2931%
Healthnow - All Plans	$746	8818%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $150.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Arnot Ogden Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80048.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.