CMS Price Transparency Data

Blood test, liver function panel

Facility: Arnot Ogden Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $106
Cash Discount Price: $216
vs. Medicare Baseline: 12.97x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Arnot Ogden Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 12.97x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$216

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $216 (2644%)

Insurance Median: $106 (1297%)

Cash: $216 (2644% of Medicare)

Ins. Median: $106 (1297% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 1297% of the Medicare baseline (a markup of 1197%). 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	49%
Aetna	$8 - $274	98%
Amerihealth Mcr Adv - All Plans	$8	98%
Blue Cross Blue Shield	$8 - $1,085	98%
Geisinger	$8 - $218	98%
Humana	$8 - $338	98%
Tricare	$8	98%
Amerihealth	$9	110%
Fidelis	$9 - $32	110%
UnitedHealthcare	$14 - $375	171%
Icircle	$32	392%
Fidelis Care-Exchange - All Plans	$197	2411%
Geisinger - All Plans	$208	2546%
Cigna	$223	2729%
Mvp Health Plan - All Plans	$223	2729%
Independent Health - All Plans	$232	2840%
Upmc Health Plan - All Plans	$247	3023%
Pomco Inc - All Plans	$257	3146%
Emblem Health - All Plans	$315	3856%
Emblem/Ghi	$330	4039%
Martins Point Mcr Adv - All Plans	$358	4382%
Healthnow - All Plans	$1,077	13182%

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 $216.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

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 80076.
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.