CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Bertrand Chaffee Hospital

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $287
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Bertrand Chaffee Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. 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
$189

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: $189 (78%)
Insurance Median: $287 (118%)
Cash: $189 (78% 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.

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 $85 - $293 35%
Aetna $100 - $345 41%
American Progressive Ins. $100 - $345 41%
Cigna $100 - $345 41%
Commercial / Misc $100 - $345 41%
Global Excel Mgt $100 - $345 41%
Guardian Life Ins. Co. $100 - $345 41%
Mvp Commercial $100 - $345 41%
No Amer Meritian Health $100 - $345 41%
No-Fault $100 - $345 41%
Blue Cross Blue Shield $149 - $169 61%
Senior Blue - Bc $149 61%
Univera Essential Plans $165 68%
Univera Hc Child Health+ $165 68%
Univera Hc Myhealth+ $165 - $303 68%
Univera Plus Med $165 68%
Iha Essential Plans $179 - $183 73%
Iha Medisource $179 - $183 73%
Univera Senior Choice $194 80%
Univera Healthcare $233 96%
Iha Encompass 65 $254 104%
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

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