How many shoppable procedure prices are published for Arnot Ogden Medical Center?

Arnot Ogden Medical Center in Elmira, NY currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Arnot Ogden Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Arnot Ogden Medical Center's median negotiated commercial rate is 2.5× the regionally adjusted fair BaseRate benchmark.

What is Arnot Ogden Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Arnot Ogden Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 191 Beds · urban Updated: 2026-01-13

Arnot Ogden Medical Center

600 Roe Avenue, Elmira, NY 14905 · 104 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

2.55×vs. Fair Market Price

Typical commercial prices here are +155% above the fair benchmark (2.55×) even after accounting for local nurse/doctor wages and patient complexity.

46/100 · Quarantined

46/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness45

Price Logic35

Peer Alignment70

Clean Billing74

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.55× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +177% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Arnot Ogden Medical Center prices routine shoppable procedures at 5.0× Medicare (median 1.63× Fair BaseRate) while upper-quartile commercial rates jump +177% to 4.52× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#91 of 92 in NY · 97th State Percentile#3,261 of 3,385 in U.S. · 96th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (62/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (63.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 6.2× markup over Medicare rates
Commercial insurance median sits at 1.63× Fair BaseRate (5.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 4.52×) jump +177% above the median procedure ratio (Q50 1.63×)
Consolidated metro market (HHI 9,659) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

5.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.32× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+177% Upper Tail

Q25 1.16× · Q50 1.63× · Q75 4.52×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

5.0× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

6.2× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.0× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

7.9× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

14% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Arnot Ogden Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$35,994	$20,814	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$81,233	$16,229	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$38,460	$14,288	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$18,370	$8,052	$8,223	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$6,837	$6,837	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,904	$4,904	$303	16.2×
MRI, brain (no contrast) CPT Code: `70551`	$3,722	$3,722	$343	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$2,896	$2,896	$855	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$6,230	$2,311	$511	4.5×
MRI, lower back (no contrast) CPT Code: `72148`	$5,078	$2,202	$338	6.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,508	$1,941	$448	4.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,168	$1,760	$258	6.8×
Rabies immune globulin HCPCS Code: `90375`	$1,617	$1,617	$322	5.0×
CT scan, pelvis CPT Code: `72192`	$2,652	$1,474	$163	9.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,631	$1,492	$242	6.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,564	$1,430	$168	8.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,536	$1,416	$169	8.4×
CT scan, sinuses CPT Code: `70486`	$2,430	$1,363	$166	8.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,134	$1,334	$1,021	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,304	$1,300	$167	7.8×
CT scan, head (no contrast) CPT Code: `70450`	$2,187	$1,270	$160	7.9×
Ultrasound, pelvis CPT Code: `76856`	$1,088	$1,088	$130	8.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,112	$1,112	$148	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$880	$880	$132	6.7×
X-ray, lower back CPT Code: `72110`	$809	$809	$112	7.2×
X-ray, shoulder CPT Code: `73030`	$698	$698	$92	unverified
X-ray, foot CPT Code: `73630`	$675	$675	$92	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,562	$633	$134	4.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,369	$633	$272	2.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,380	$645	$583	1.1×
X-ray, ankle CPT Code: `73610`	$647	$647	$93	unverified
X-ray, hand CPT Code: `73130`	$606	$606	$93	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$623	$564	$123	4.6×
Blood transfusion CPT Code: `36430`	$1,034	$537	$498	1.1×
X-ray, hip CPT Code: `73502`	$488	$488	$93	5.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$432	$432	$93	4.6×
X-ray, pelvis CPT Code: `72170`	$347	$347	$110	3.2×
Speech therapy (group session) CPT Code: `92508`	$304	$304	$27	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$251	$251	$201	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$180	$180	$123	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$194	$194	$151	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$190	$190	$181	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$159	$159	$35	4.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$152	$152	$40	3.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$177	$177	$185	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$143	$143	$38	3.8×
New patient office visit (30-44 min) CPT Code: `99203`	$168	$168	$110	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$125	$125	$38	3.3×
Orthotic fitting and training CPT Code: `97760`	$143	$143	$51	2.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$104	$104	$35	3.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$124	$124	$87	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,100	$146	$126	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$147	$147	$38	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$193	$120	$86	1.4×
X-ray, chest (single view) CPT Code: `71045`	$343	$103	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$426	$103	$93	1.1×
Blood test, liver function panel CPT Code: `80076`	$358	$358	$9	39.8×
Typhoid vaccine HCPCS Code: `90675`	$910	$317	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$248	$248	$116	2.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$198	$198	$27	7.3×
Pneumococcal vaccine HCPCS Code: `90732`	$211	$211	$140	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$212	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$133	$133	$10	13.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$154	$154	$203	0.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$142	$142	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$80	$80	$5	16.0×
Blood test, magnesium CPT Code: `83735`	$105	$105	$7	15.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$66	$66	$14	4.7×
Hepatitis B vaccine HCPCS Code: `90744`	$77	$77	$37	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$89	$89	$56	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$105	$105	$111	0.9×
Blood test, calcium CPT Code: `82310`	$77	$77	$5	15.4×
Blood test, potassium CPT Code: `84132`	$69	$69	$5	13.8×
Physical therapy (manual therapy) CPT Code: `97140`	$149	$71	$34	2.1×
Prosthetic fitting and training CPT Code: `97761`	$95	$71	$45	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$60	$60	$39	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$57	$57	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$171	$69	$64	1.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$85	$85	$4	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$43	$43	$3	14.3×
Blood test, sodium CPT Code: `84295`	$55	$55	$5	11.0×
Colorectal cancer screening HCPCS Code: `G0010`	$64	$55	$49	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$29	$4	7.3×
Blood test, basic metabolic panel CPT Code: `80048`	$248	$22	$9	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$362	$24	$11	2.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$348	$26	$14	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$265	$27	$16	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$375	$29	$18	1.6×
Blood test, vitamin D CPT Code: `82306`	$195	$44	$31	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$48	$48	$48	1.0×
Physical therapy (gait training) CPT Code: `97116`	$116	$29	$33	0.9×
Group therapy session CPT Code: `90853`	$40	$40	$100	0.4×
Blood test, hemoglobin CPT Code: `85018`	$45	$45	$3	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$120	$13	$6	2.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$98	$8	$5	1.6×
Culture, bacterial CPT Code: `87070`	$206	$13	$9	1.4×
Blood test, lipase CPT Code: `83690`	$167	$10	$7	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$312	$25	$19	1.3×
Blood test, amylase CPT Code: `82150`	$165	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$253	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$377	$19	$15	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$279	$25	$20	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	1.0×
Blood antibody screen CPT Code: `86850`	$128	$32	$46	0.7×

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 63.5%

Audit a Bill or Quote at Arnot Ogden Medical Center (Zero PHI Required)

CMS CCN: 330090

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $35,994

Insurer Median $20,814

1. Amount on Your Bill or Quote ($) Pre-filled with Arnot Ogden Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $22,842 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,842

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (63.5% of gross = $22,842).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $35,994

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Arnot Ogden Medical Center's published 45 CFR § 180 self-pay cash rate is $35,994 (vs. $20,814 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$16,562 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($35,994) is $16,562 above the denoised Fair BaseRate ($19,432) and 2.6× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 160743905

Filing Period: 193702

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (63.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite62/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait212 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Arnot Ogden Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-28·administrative_or_closure
Closure Notice
Recorded
2026-04-09·warning_notice
Warning Notice
Recorded
2025-05-16·administrative_or_closure
Met Requirements
Recorded
2024-06-28·administrative_or_closure
Closure Notice
Recorded
2024-03-26·warning_notice
Warning Notice
Recorded
2023-12-11·administrative_or_closure
Met Requirements
Recorded
2022-12-19·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (599 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Arnot Ogden Medical Center.

Price Index: 1.00× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

AmeriHealth

-56.5%

Median Household Income$63,469U.S. Census ACS

Local Uninsured Share4.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 46/100 · Quarantined CMS CCN 330090 EIN 160743905

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330090) ↗ Verify IRS Form 990 (EIN 160743905) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-01-13 · 53.64 MB

Validated Rate Rows1,157 (CMS v3.0.0)

File Integrity DigestVerified · CCN 330090

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy