CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Bertrand Chaffee Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,828
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Bertrand Chaffee Hospital is $15,828. 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 $12,807.1, this hospital’s rate is 1.24x 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
$15,828

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $15,828 (124%)
Ins. Median: $15,828 (124% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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
Comm Blue Essential $4,997 39%
Community Blue $4,997 39%
Community Care - Bc $4,997 39%
Fidelis Care Of New York $4,997 - $7,682 39%
Ghi Medical $4,997 39%
Gowanda Correctional Fac $4,997 39%
Medicaid / KanCare $4,997 39%
Molina Essential Plan $4,997 39%
Molina Heathcare Of Wny $4,997 39%
Seneca Nation Health Dept $4,997 39%
United Hc - Community Pln $4,997 39%
United Hc Essential Plan $4,997 39%
Univera Hc Myhealth $4,997 39%
Univera Hc Myhealth+ $4,997 39%
Yourcare $4,997 39%
Fidelis Essential Plans $7,682 60%
Workers Compensation $7,682 60%
Medicare (plans) $15,511 - $15,828 121%
Advantra-Mcr Advantage $15,828 124%
Aetna $15,828 124%
Centers Plan Hlty Living $15,828 124%
Champva $15,828 124%
Cigna $15,828 124%
Ctrs Plan For Hlthy Livng $15,828 124%
Geisinger Health Plan $15,828 124%
Humana $15,828 - $17,260 124%
Lifetime Benefits $15,828 124%
Mutual Of Omaha $15,828 124%
Nova Healthcare $15,828 124%
Optimum Healthcare - Mcr $15,828 124%
Todays Option - Amer Prog $15,828 124%
Tricare $15,828 124%
United Hc Mcr Solutions $15,828 124%
UnitedHealthcare $15,828 - $17,260 124%
Univera Senior Choice $15,828 124%
Wellcare $15,828 124%
Iha Encompass 65 $16,303 127%
Blue Cross Blue Shield $18,790 - $23,487 147%
Senior Blue - Bc $19,027 149%

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