CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Bertrand Chaffee Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $303
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Bertrand Chaffee Hospital is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.85x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $490 (137%)
Insurance Median: $303 (85%)
Cash: $490 (137% of Medicare)
Ins. Median: $303 (85% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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
Private Pay $119 - $862 33%
Aetna $140 - $1,014 39%
American Progressive Ins. $140 - $1,014 39%
Cigna $140 - $1,014 39%
Commercial / Misc $140 - $1,014 39%
Global Excel Mgt $140 - $1,014 39%
Guardian Life Ins. Co. $140 - $1,014 39%
Mvp Commercial $140 - $1,014 39%
No Amer Meritian Health $140 - $1,014 39%
No-Fault $140 - $1,014 39%
Blue Cross Blue Shield $263 - $297 74%
Senior Blue - Bc $263 74%
Univera Essential Plans $275 77%
Univera Hc Child Health+ $275 77%
Univera Hc Myhealth+ $275 - $303 77%
Univera Plus Med $275 77%
Iha Essential Plans $283 - $345 79%
Iha Medisource $283 - $345 79%
Comm Blue Essential $303 85%
Community Blue $303 85%
Community Care - Bc $303 85%
Fidelis Care Of New York $303 85%
Ghi Medical $303 85%
Gowanda Correctional Fac $303 85%
Medicaid / KanCare $303 85%
Molina Essential Plan $303 85%
Molina Heathcare Of Wny $303 85%
Seneca Nation Health Dept $303 85%
United Hc - Community Pln $303 85%
United Hc Essential Plan $303 85%
Univera Hc Myhealth $303 85%
Yourcare $303 85%
Univera Senior Choice $324 91%
Univera Healthcare $389 109%
Iha $453 127%
Iha Custom Coverage $453 127%
Iha Encompass 65 $480 135%
Fidelis Essential Plans $1,136 319%

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