CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Bertrand Chaffee Hospital

Billing Code: G0279 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0279
  • Insurance Median: $19
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Bertrand Chaffee Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 0.47x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $27 (67%)
Insurance Median: $19 (47%)
Cash: $27 (67% of Medicare)
Ins. Median: $19 (47% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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.

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
Ctrs Plan for Hlthy Livng $12 30%
Mutual of Omaha $12 30%
Medicare (plans) $12 30%
Champva $12 30%
Advantra-McR Advantage $12 30%
Cigna $12 - $32 30%
Lifetime Benefits $12 30%
Geisinger Health Plan $12 30%
Nova Healthcare $12 30%
Aetna $12 - $32 30%
Optimum Healthcare - McR $12 30%
Wellcare $12 30%
UnitedHealthcare $12 30%
Tricare $12 30%
Humana $12 30%
Centers Plan Hlty Living $12 30%
Todays Option - Amer Prog $12 30%
United Hc McR Solutions $12 30%
Iha Encompass 65 $14 - $27 35%
Iha Essential Plans $17 - $19 42%
Iha Medisource $17 - $19 42%
Blue Cross Blue Shield $25 - $26 62%
Senior Blue - Bc $25 62%
Private Pay $27 67%
Iha Custom Coverage $27 67%
Iha $27 67%
Global Excel Mgt $32 79%
No Amer Meritian Health $32 79%
Mvp Commercial $32 79%
No-Fault $32 79%
American Progressive Ins. $32 79%
Commercial / Misc $32 79%
Guardian Life Ins. Co. $32 79%
Univera Plus Med $44 109%
Univera Essential Plans $44 109%
Univera Hc Myhealth+ $44 109%
Univera Hc Child Health+ $44 109%
Univera Senior Choice $52 129%
Univera Healthcare $57 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals