CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Bertrand Chaffee Hospital

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73721
Insurance Median: $298
Cash Discount Price: $321
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Bertrand Chaffee Hospital is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.22x the Medicare baseline. Located in 224 East Main Street, Springville, NY.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$298

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: $321 (132%)

Insurance Median: $298 (122%)

Cash: $321 (132% of Medicare)

Ins. Median: $298 (122% 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 - $565	31%
No-Fault	$90 - $665	37%
American Progressive Ins.	$90 - $665	37%
Commercial / Misc	$90 - $665	37%
Aetna	$90 - $665	37%
No Amer Meritian Health	$90 - $665	37%
Guardian Life Ins. Co.	$90 - $665	37%
Cigna	$90 - $665	37%
Global Excel Mgt	$90 - $665	37%
Mvp Commercial	$90 - $665	37%
Blue Cross Blue Shield	$169 - $191	69%
Senior Blue - Bc	$169	69%
Univera Plus Med	$174	71%
Univera Hc Myhealth+	$174 - $303	71%
Univera Essential Plans	$174	71%
Univera Hc Child Health+	$174	71%
Iha Medisource	$179 - $183	73%
Iha Essential Plans	$179 - $183	73%
Univera Senior Choice	$205	84%
Univera Healthcare	$246	101%
Iha Encompass 65	$254 - $297	104%
Iha	$298	122%
Iha Custom Coverage	$298	122%
United Hc - Community Pln	$303	124%
United Hc Essential Plan	$303	124%
Community Care - Bc	$303	124%
Seneca Nation Health Dept	$303	124%
Medicaid / KanCare	$303	124%
Yourcare	$303	124%
Ghi Medical	$303	124%
Molina Essential Plan	$303	124%
Molina Heathcare of Wny	$303	124%
Comm Blue Essential	$303	124%
Univera Hc Myhealth	$303	124%
Gowanda Correctional Fac	$303	124%
Community Blue	$303	124%
Fidelis Care of New York	$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 $321.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73721.

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 73721.
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.