CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Arnot Ogden Medical Center

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 322
Insurance Median: $18,763
Cash Discount Price: $81,233
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Arnot Ogden Medical Center is $18,763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81,233. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.47x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$81,233

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,763

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)

Cash / Self-Pay: $81,233 (634%)

Insurance Median: $18,763 (147%)

Cash: $81,233 (634% of Medicare)

Ins. Median: $18,763 (147% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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.

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
UnitedHealthcare	$6,929 - $13,081	54%
Emblem/Ghi	$13,383	104%
Aetna	$15,324 - $21,297	120%
Blue Cross Blue Shield	$15,786 - $35,743	123%
Humana	$15,786 - $73,110	123%
Amerihealth Mcr Adv - All Plans	$15,944	124%
Emblem Health - All Plans	$16,229	127%
Geisinger	$22,149 - $47,912	173%
Fidelis	$23,427	183%

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 $81,233.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 322.

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 MS-DRG code 322.
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.