CMS Price Transparency Data

Blood test, potassium

Facility: Arnot Ogden Medical Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $21
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 4.41x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Arnot Ogden Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 4.41x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $29 (609%)
Insurance Median: $21 (441%)
Cash: $29 (609% of Medicare)
Ins. Median: $21 (441% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 441% of the Medicare baseline (a markup of 341%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $2 42%
Aetna $5 - $83 105%
Amerihealth Mcr Adv - All Plans $5 105%
Blue Cross Blue Shield $5 - $328 105%
Fidelis $5 - $8 105%
Geisinger $5 - $66 105%
Humana $5 - $102 105%
Tricare $5 105%
Amerihealth $6 126%
Icircle $8 168%
UnitedHealthcare $8 - $113 168%
Fidelis Care-Exchange - All Plans $16 - $59 336%
Geisinger - All Plans $17 - $63 357%
Cigna $18 - $67 378%
Mvp Health Plan - All Plans $18 - $67 378%
Independent Health - All Plans $19 - $70 399%
Upmc Health Plan - All Plans $20 - $75 420%
Pomco Inc - All Plans $21 - $78 441%
Emblem Health - All Plans $26 - $95 546%
Martins Point Mcr Adv - All Plans $29 - $108 609%
Healthnow - All Plans $89 - $326 1870%
Emblem/Ghi $100 2101%

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