CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Bertrand Chaffee Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $6,999
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Bertrand Chaffee Hospital is $6,999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.23x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,999

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $6,999 (123%)
Ins. Median: $6,999 (123% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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
Medicare (plans) $6,859 - $6,999 121%
Advantra-Mcr Advantage $6,999 123%
Aetna $6,999 123%
Centers Plan Hlty Living $6,999 123%
Champva $6,999 123%
Cigna $6,999 123%
Ctrs Plan For Hlthy Livng $6,999 123%
Geisinger Health Plan $6,999 123%
Humana $6,999 - $7,444 123%
Lifetime Benefits $6,999 123%
Mutual Of Omaha $6,999 123%
Nova Healthcare $6,999 123%
Optimum Healthcare - Mcr $6,999 123%
Todays Option - Amer Prog $6,999 123%
Tricare $6,999 123%
United Hc Mcr Solutions $6,999 123%
UnitedHealthcare $6,999 - $7,444 123%
Univera Senior Choice $6,999 123%
Wellcare $6,999 123%
Iha Encompass 65 $7,209 127%
Blue Cross Blue Shield $8,095 - $10,119 143%
Senior Blue - Bc $8,393 148%

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