Supplies, drugs & other prices at Bertrand Chaffee Hospital
Springville, NY · every code in this section with a posted price and a Medicare benchmark.
27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 8 matching MRF lines |
$21.25–$72.25 | $25–$85 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$13.68–$38.25 | $16.10–$45 | varies |
| Ca screen;pelvic/breast exam (G0101) | $36.97 | $43.50 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $245 | $288.24 | 0.2× |
| Colorectal scrn; hi risk ind (G0105) | $244.74 | $287.94 | 0.2× |
| Diab manage trn per indiv (G0108) range across 6 matching MRF lines |
$59.50–$129.20 | $70–$152 | varies |
| Diab manage trn ind/group (G0109) | $14.28 | $16.80 | 0.9× |
| Direct refer hospital observ (G0379) | $68 | $80 | 0.1× |
| Drug test def 1-7 classes (G0480) range across 10 matching MRF lines |
$112.26–$191.25 | $132.08–$225 | varies |
| Drug test def 8-14 classes (G0481) | $85 | $100 | 0.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $33.15 | $39 | 1.7× |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
$74.91–$160.59 | $88.13–$188.93 | varies |
| Mra w/cont, abd (C8900) range across 4 matching MRF lines |
$59.50–$1,379.55 | $70–$1,623 | varies |
| Mra w/cont, chest (C8909) | $1,379.55 | $1,623 | 3.2× |
| Mra w/cont, lwr ext (C8912) | $1,379.55 | $1,623 | 3.2× |
| Mra w/cont, pelvis (C8918) | $1,379.55 | $1,623 | 3.2× |
| Mra w/o cont, abd (C8901) | $1,379.55 | $1,623 | 4.6× |
| Mra w/o cont, chest (C8910) | $1,379.55 | $1,623 | 4.6× |
| Mra w/o cont, lwr ext (C8913) | $1,379.55 | $1,623 | 4.6× |
| Mra w/o cont, pelvis (C8919) | $1,379.55 | $1,623 | 4.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,379.55 | $1,623 | 3.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,379.55 | $1,623 | 3.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,379.55 | $1,623 | 3.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,379.55 | $1,623 | 3.2× |
| Psa screening (G0103) | $28.36 | $33.37 | 1.5× |
| Therapeutic procd strg endur (G0237) | $34 | $40 | 0.9× |
| Tomosynthesis, mammo (G0279) | $27.07 | $31.85 | 2.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.