CMS Price Transparency Data

Blood test, vitamin B12

Facility: Arnot Ogden Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $82
Cash Discount Price: $160
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Arnot Ogden Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 5.44x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)

Cash / Self-Pay: $160 (1061%)

Insurance Median: $82 (544%)

Cash: $160 (1061% of Medicare)

Ins. Median: $82 (544% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 544% of the Medicare baseline (a markup of 444%). 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	$7	46%
Amerihealth	$13	86%
Aetna	$15 - $203	99%
Amerihealth Mcr Adv - All Plans	$15	99%
Blue Cross Blue Shield	$15 - $805	99%
Fidelis	$15 - $31	99%
Geisinger	$15 - $162	99%
Humana	$15 - $250	99%
Tricare	$15	99%
UnitedHealthcare	$26 - $278	172%
Icircle	$31	206%
Fidelis Care-Exchange - All Plans	$146	968%
Geisinger - All Plans	$154	1021%
Cigna	$165	1094%
Mvp Health Plan - All Plans	$165	1094%
Independent Health - All Plans	$172	1141%
Upmc Health Plan - All Plans	$183	1214%
Pomco Inc - All Plans	$191	1267%
Emblem Health - All Plans	$233	1545%
Emblem/Ghi	$245	1625%
Martins Point Mcr Adv - All Plans	$265	1757%
Healthnow - All Plans	$799	5298%

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 $160.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

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 82607.
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.