|
Arnot Ogden Medical Center
Elmira, NY · CMS ID: 330090
This hospital has pricing data for 33 procedures ranging from $8 to $9,117.
Procedures (33)
C-Section Delivery
59510Cash Price
(No Insurance)
$8
Gross Charge
$8
Insurance Negotiated Rates
Blue Cross Blue Shield$4
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$343
Gross Charge
$343
Insurance Negotiated Rates
Blue Cross Blue Shield$34
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$426
Gross Charge
$426
Insurance Negotiated Rates
Blue Cross Blue Shield$34
Cash Price
(No Insurance)
$149
Gross Charge
$149
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$362
Gross Charge
$362
Insurance Negotiated Rates
Tricare - All Plans$11
Cash Price
(No Insurance)
$6,508
Gross Charge
$6,508
Insurance Negotiated Rates
Blue Cross Blue Shield$353
Cash Price
(No Insurance)
$4,904
Gross Charge
$4,904
Insurance Negotiated Rates
Humana$279
CT Chest Low Dose
71271Cash Price
(No Insurance)
$2,304
Gross Charge
$2,304
Insurance Negotiated Rates
Tricare - All Plans$122
Cash Price
(No Insurance)
$2,621
Gross Charge
$2,621
Insurance Negotiated Rates
Blue Cross Blue Shield$205
ER Visit Level 3
99283Cash Price
(No Insurance)
$695
Gross Charge
$695
Insurance Negotiated Rates
Blue Cross Blue Shield$319
ER Visit Level 4
99284Cash Price
(No Insurance)
$1,088
Gross Charge
$1,088
Insurance Negotiated Rates
Blue Cross Blue Shield$488
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,480
Gross Charge
$1,480
Insurance Negotiated Rates
Blue Cross Blue Shield$696
Cash Price
(No Insurance)
$1,446
Gross Charge
$1,446
Insurance Negotiated Rates
Blue Cross Blue Shield$43
Hemoglobin A1C
83036Cash Price
(No Insurance)
$212
Gross Charge
$212
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Knee Replacement
27447Cash Price
(No Insurance)
$7,795
Gross Charge
$7,795
Insurance Negotiated Rates
Fidelis Care-Exchange - All Plans$4,287
Knee X-Ray
73560Cash Price
(No Insurance)
$1,007
Gross Charge
$1,007
Insurance Negotiated Rates
Blue Cross Blue Shield$34
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$1,042
Gross Charge
$1,042
Insurance Negotiated Rates
Blue Cross Blue Shield$121
Mammogram Screening
77067Cash Price
(No Insurance)
$564
Gross Charge
$564
Insurance Negotiated Rates
Blue Cross Blue Shield$121
MRI Brain
70551Cash Price
(No Insurance)
$2,976
Gross Charge
$2,976
Insurance Negotiated Rates
Blue Cross Blue Shield$279
Cash Price
(No Insurance)
$6,230
Gross Charge
$6,230
Insurance Negotiated Rates
Tricare - All Plans$408
MRI Cervical Spine
72141Cash Price
(No Insurance)
$4,528
Gross Charge
$4,528
Insurance Negotiated Rates
Tricare - All Plans$279
MRI Knee
73721Cash Price
(No Insurance)
$9,117
Gross Charge
$9,117
Insurance Negotiated Rates
Blue Cross Blue Shield$279
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$5,078
Gross Charge
$5,078
Insurance Negotiated Rates
Blue Cross Blue Shield$279
MRI Shoulder
73221Cash Price
(No Insurance)
$8,696
Gross Charge
$8,696
Insurance Negotiated Rates
Blue Cross Blue Shield$279
Office Visit Level 3
99213Cash Price
(No Insurance)
$312
Gross Charge
$312
Insurance Negotiated Rates
Blue Cross Blue Shield$56
Office Visit Level 4
99214Cash Price
(No Insurance)
$342
Gross Charge
$342
Insurance Negotiated Rates
Humana$82
Shoulder X-Ray
73030Cash Price
(No Insurance)
$956
Gross Charge
$956
Insurance Negotiated Rates
Blue Cross Blue Shield$34
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,562
Gross Charge
$1,562
Insurance Negotiated Rates
Blue Cross Blue Shield$122
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$1,088
Gross Charge
$1,088
Insurance Negotiated Rates
Humana$122
Cash Price
(No Insurance)
$941
Gross Charge
$941
Insurance Negotiated Rates
Tricare - All Plans$122
Urinalysis
81001Cash Price
(No Insurance)
$77
Gross Charge
$77
Insurance Negotiated Rates
Blue Cross Blue Shield$3