CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Arnot Ogden Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $10
Cash Discount Price: $13
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Arnot Ogden Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.15x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)

Cash / Self-Pay: $13 (410%)

Insurance Median: $10 (315%)

Cash: $13 (410% of Medicare)

Ins. Median: $10 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 315% of the Medicare baseline (a markup of 215%). 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	$1	32%
Aetna	$3 - $59	95%
Amerihealth	$3	95%
Amerihealth Mcr Adv - All Plans	$3	95%
Blue Cross Blue Shield	$3 - $232	95%
Fidelis	$3 - $13	95%
Geisinger	$3 - $47	95%
Humana	$3 - $72	95%
Tricare	$3	95%
Fidelis Care-Exchange - All Plans	$5 - $42	158%
Geisinger - All Plans	$5 - $45	158%
UnitedHealthcare	$5 - $80	158%
Cigna	$6 - $48	189%
Independent Health - All Plans	$6 - $50	189%
Mvp Health Plan - All Plans	$6 - $48	189%
Upmc Health Plan - All Plans	$6 - $53	189%
Pomco Inc - All Plans	$7 - $55	221%
Emblem Health - All Plans	$8 - $67	252%
Emblem/Ghi	$9 - $71	284%
Martins Point Mcr Adv - All Plans	$9 - $77	284%
Icircle	$13	410%
Healthnow - All Plans	$28 - $231	883%

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 $13.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

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 81001.
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.