CMS Price Transparency Data

X-ray, hip

Facility: Arnot Ogden Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $310
  • Cash Discount Price: $291
  • vs. Medicare Baseline: 3.49x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Arnot Ogden Medical Center is $310. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.49x the Medicare baseline. Located in 600 Roe Avenue, Elmira, NY.
Cash / Self-Pay
$291

Average discount available for prompt cash payment at this facility.

Insurance Median
$310

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: $291 (327%)
Insurance Median: $310 (349%)
Cash: $291 (327% of Medicare)
Ins. Median: $310 (349% 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 349% of the Medicare baseline (a markup of 249%). 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 $9 - $47 10%
Fidelis $13 - $98 15%
Amerihealth $31 35%
Blue Cross Blue Shield $34 - $1,508 38%
Aetna $89 - $381 100%
Geisinger $91 - $304 102%
Humana $102 - $470 115%
Tricare $102 115%
Amerihealth Mcr Adv - All Plans $103 116%
Fidelis Care-Exchange - All Plans $263 - $273 296%
Geisinger - All Plans $278 - $289 313%
Cigna $298 - $310 335%
Mvp Health Plan - All Plans $298 - $310 335%
Independent Health - All Plans $311 - $323 350%
UnitedHealthcare $330 - $376 371%
Upmc Health Plan - All Plans $330 - $343 371%
Pomco Inc - All Plans $344 - $358 387%
Emblem Health - All Plans $421 - $437 474%
Emblem/Ghi $442 - $459 497%
Martins Point Mcr Adv - All Plans $478 - $497 538%
Healthnow - All Plans $1,440 - $1,497 1620%

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