CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Bertrand Chaffee Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $287
Cash Discount Price: $185
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Bertrand Chaffee Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.18x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $185 (76%)

Insurance Median: $287 (118%)

Cash: $185 (76% of Medicare)

Ins. Median: $287 (118% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Private Pay	$76 - $293	31%
Aetna	$90 - $345	37%
American Progressive Ins.	$90 - $345	37%
Cigna	$90 - $345	37%
Commercial / Misc	$90 - $345	37%
Global Excel Mgt	$90 - $345	37%
Guardian Life Ins. Co.	$90 - $345	37%
Mvp Commercial	$90 - $345	37%
No Amer Meritian Health	$90 - $345	37%
No-Fault	$90 - $345	37%
Blue Cross Blue Shield	$157 - $176	64%
Senior Blue - Bc	$157	64%
Univera Essential Plans	$169	69%
Univera Hc Child Health+	$169	69%
Univera Hc Myhealth+	$169 - $303	69%
Univera Plus Med	$169	69%
Iha Essential Plans	$179 - $183	73%
Iha Medisource	$179 - $183	73%
Univera Senior Choice	$199	82%
Univera Healthcare	$239	98%
Iha Encompass 65	$254 - $297	104%
Iha	$287	118%
Iha Custom Coverage	$287	118%
Comm Blue Essential	$303	124%
Community Blue	$303	124%
Community Care - Bc	$303	124%
Fidelis Care Of New York	$303	124%
Ghi Medical	$303	124%
Gowanda Correctional Fac	$303	124%
Medicaid / KanCare	$303	124%
Molina Essential Plan	$303	124%
Molina Heathcare Of Wny	$303	124%
Seneca Nation Health Dept	$303	124%
United Hc - Community Pln	$303	124%
United Hc Essential Plan	$303	124%
Univera Hc Myhealth	$303	124%
Yourcare	$303	124%
Fidelis Essential Plans	$1,136	466%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $185.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bertrand Chaffee Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70551.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.