CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Arnot Ogden Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,313

about 1.4× the $14,117 Medicare rate · typically $16,334–$21,884

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,884

Below the fair price — a good deal

about $2,429 under the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $19,313 This hospital $16,884 Cash price $38,460 Hospital's list price $38,460

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.

Cheapest $8,042 Priciest $17,777

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $19,313 (about 1.4× the $14,117 Medicare rate). Arnot Ogden Medical Center charges insurers about $16,884, or about $38,460 in cash — below the fair price — a good deal. Located in Elmira, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$6,929 - $19,103	49%
Blue Cross Blue Shieldmajor	$7,276 - $26,180	52%
Aetnamajor	$15,350 - $23,396	109%
Cignamajor	$11,234	80%
Humanamajor	$17,123 - $34,614	121%
AmeriHealth	$17,294	123%
Fidelis Care	$11,462 - $25,736	81%
Geisinger	$11,192 - $52,635	79%
Independent Health	$11,119	79%
MVP Health Care	$11,234	80%
UPMC Health Plan	$20,365	144%
+ 5 smaller / regional plans	$7,754 - $17,604

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 38,460), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Arnot Ogden Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Arnot Ogden Medical Center

Compare: Sepsis treatment (inpatient stay) at other NY hospitals

United Memorial Medical Center · Batavia $8,042
Kenmore Mercy Hospital · Kenmore $11,437
Mercy Hospital of Buffalo · Buffalo $11,437
Montefiore St Luke's Cornwall · Newburgh $16,782
Montefiore Mount Vernon Hospital · Mount Vernon $17,174
Montefiore New Rochelle Hospital · New Rochelle $17,253
Bertrand Chaffee Hospital · Springville $17,440
Glens Falls Hospital · Glens Falls $17,777

Insurance negotiated median for the same procedure, sorted lowest first.