CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Arnot Ogden Medical Center

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80053
Insurance Median: $210
Cash Discount Price: $76
vs. Medicare Baseline: 19.89x Medicare

The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Arnot Ogden Medical Center is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 19.89x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$210

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)

Cash / Self-Pay: $76 (720%)

Insurance Median: $210 (1989%)

Cash: $76 (720% of Medicare)

Ins. Median: $210 (1989% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 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 1989% of the Medicare baseline (a markup of 1889%). 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	$5	47%
Aetna	$11 - $277	104%
Amerihealth Mcr Adv - All Plans	$11	104%
Blue Cross Blue Shield	$11 - $1,097	104%
Geisinger	$11 - $221	104%
Humana	$11 - $342	104%
Tricare	$11	104%
Amerihealth	$12	114%
Fidelis	$12 - $32	114%
UnitedHealthcare	$18 - $380	170%
Icircle	$32	303%
Fidelis Care-Exchange - All Plans	$199	1884%
Geisinger - All Plans	$210	1989%
Cigna	$225	2131%
Mvp Health Plan - All Plans	$225	2131%
Independent Health - All Plans	$235	2225%
Upmc Health Plan - All Plans	$249	2358%
Pomco Inc - All Plans	$260	2462%
Emblem Health - All Plans	$318	3011%
Emblem/Ghi	$325 - $334	3078%
Martins Point Mcr Adv - All Plans	$362	3428%
Healthnow - All Plans	$1,089	10313%

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 $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80053.

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 80053.
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.