CMS Price Transparency Data

X-ray, ankle

Facility: Arnot Ogden Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $333
Cash Discount Price: $434
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Arnot Ogden Medical Center is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $434. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.75x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.

Cash / Self-Pay

$434

Average discount available for prompt cash payment at this facility.

Insurance Median

$333

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $434 (488%)

Insurance Median: $333 (375%)

Cash: $434 (488% of Medicare)

Ins. Median: $333 (375% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 375% of the Medicare baseline (a markup of 275%). 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	$7 - $35	8%
Fidelis	$13 - $98	15%
Amerihealth	$27	30%
Blue Cross Blue Shield	$34 - $2,685	38%
Aetna	$89 - $664	100%
Geisinger	$91 - $270	102%
Humana	$102 - $797	115%
Tricare	$102	115%
Amerihealth Mcr Adv - All Plans	$103	116%
Fidelis Care-Exchange - All Plans	$234 - $487	263%
Geisinger - All Plans	$247 - $515	278%
Cigna	$265 - $551	298%
Mvp Health Plan - All Plans	$265 - $551	298%
Independent Health - All Plans	$276 - $575	310%
UnitedHealthcare	$293 - $611	330%
Upmc Health Plan - All Plans	$293 - $611	330%
Pomco Inc - All Plans	$306 - $637	344%
Emblem Health - All Plans	$374 - $779	421%
Emblem/Ghi	$393 - $408	442%
Martins Point Mcr Adv - All Plans	$425 - $885	478%
Healthnow - All Plans	$1,280 - $2,666	1440%

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 $434.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.