CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Bertrand Chaffee Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $17,440
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Bertrand Chaffee Hospital is $17,440. 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 $14,116.91, 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
$17,440

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $17,440 (124%)
Ins. Median: $17,440 (124% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 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.

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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) $17,091 - $17,440 121%
Advantra-Mcr Advantage $17,440 124%
Aetna $17,440 124%
Centers Plan Hlty Living $17,440 124%
Champva $17,440 124%
Cigna $17,440 124%
Ctrs Plan For Hlthy Livng $17,440 124%
Geisinger Health Plan $17,440 124%
Humana $17,440 - $18,718 124%
Lifetime Benefits $17,440 124%
Mutual Of Omaha $17,440 124%
Nova Healthcare $17,440 124%
Optimum Healthcare - Mcr $17,440 124%
Todays Option - Amer Prog $17,440 124%
Tricare $17,440 124%
United Hc Mcr Solutions $17,440 124%
UnitedHealthcare $17,440 - $18,718 124%
Univera Senior Choice $17,440 124%
Wellcare $17,440 124%
Iha Encompass 65 $17,963 127%
Blue Cross Blue Shield $20,430 - $25,538 145%
Senior Blue - Bc $20,607 146%

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