CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Arnot Ogden Medical Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,054
  • Cash Discount Price: $4,558
  • vs. Medicare Baseline: 12.53x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Arnot Ogden Medical Center is $3,054. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,558. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.53x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.
Cash / Self-Pay
$4,558

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,054

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $4,558 (1870%)
Insurance Median: $3,054 (1253%)
Cash: $4,558 (1870% of Medicare)
Ins. Median: $3,054 (1253% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1253% of the Medicare baseline (a markup of 1153%). 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 $52 - $196 21%
Aetna $244 - $6,838 100%
Blue Cross Blue Shield $244 - $27,659 100%
Geisinger $249 - $2,785 102%
Fidelis $268 - $884 110%
Humana $279 - $8,205 114%
Tricare $279 114%
Amerihealth Mcr Adv - All Plans $282 116%
Amerihealth $331 136%
Fidelis Care-Exchange - All Plans $2,507 - $5,014 1028%
Geisinger - All Plans $2,652 - $5,305 1088%
UnitedHealthcare $2,822 - $3,971 1158%
Cigna $2,840 - $5,680 1165%
Mvp Health Plan - All Plans $2,840 - $5,680 1165%
Independent Health - All Plans $2,963 - $5,926 1215%
Upmc Health Plan - All Plans $3,145 - $6,291 1290%
Pomco Inc - All Plans $3,282 - $6,564 1346%
Emblem Health - All Plans $4,011 - $8,023 1645%
Emblem/Ghi $4,211 1727%
Martins Point Mcr Adv - All Plans $4,558 - $9,117 1870%
Healthnow - All Plans $13,731 - $27,467 5633%

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