CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Arnot Ogden Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $2,978
Cash Discount Price: $3,769
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Arnot Ogden Medical Center is $2,978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,769. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.36x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$3,769

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,978

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,769 (1057%)

Insurance Median: $2,978 (836%)

Cash: $3,769 (1057% of Medicare)

Ins. Median: $2,978 (836% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 836% of the Medicare baseline (a markup of 736%). 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	$87 - $304	24%
Amerihealth	$269 - $339	75%
Aetna	$356 - $4,775	100%
Blue Cross Blue Shield	$356 - $18,900	100%
Geisinger	$364 - $3,806	102%
Fidelis	$392 - $884	110%
Humana	$408 - $5,887	114%
Tricare	$408	114%
Amerihealth Mcr Adv - All Plans	$412	116%
UnitedHealthcare	$2,822 - $4,710	792%
Fidelis Care-Exchange - All Plans	$3,426	961%
Geisinger - All Plans	$3,625	1017%
Cigna	$3,881	1089%
Mvp Health Plan - All Plans	$3,881	1089%
Independent Health - All Plans	$4,049	1136%
Upmc Health Plan - All Plans	$4,299	1206%
Pomco Inc - All Plans	$4,485	1258%
Emblem Health - All Plans	$5,482	1538%
Emblem/Ghi	$5,756	1615%
Martins Point Mcr Adv - All Plans	$6,230	1748%
Healthnow - All Plans	$18,768	5266%

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 $3,769.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

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 70553.
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.