Visits & medical services prices at Bertrand Chaffee Hospital

Springville, NY · every code in this section with a posted price and a Medicare benchmark.

121 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 29 matching MRF lines
$41.65–$259.10 $49–$304.83 varies
Airway resistance by oscillometry (94728) $35.17 $41.38 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $57.80 $68 4.0×
Application Modality 1/> Areas Diathermy (97024) $57.80 $68 7.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines
$102.85–$187 $121–$220 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$403.75–$431.19 $475–$507.29 varies
Cardiopulmonary resuscitation (92950)
range across 6 matching MRF lines
$282.74–$767.55 $332.64–$903 varies
Cardioversion (92960)
range across 9 matching MRF lines
$237.52–$790.62 $279.44–$930.15 varies
Chemo IV infusion addl hr (96415) $79.90 $94 0.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $158.95 $187 0.4×
Chest Wall Manipulation (94668) $61.20 $72 0.4×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$59.50–$282.20 $70–$332 varies
Color/duplex Doppler, limited (93976)
range across 4 matching MRF lines
$42.50–$210.80 $50–$248 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $153.85 $181 0.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $74.74 $87.93 1.0×
Continuous Pulse Ox (94762) $154.70 $182 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 7 matching MRF lines
$14.45–$260.10 $17–$306 varies
Cpt initial (94667) $90.95 $107 0.5×
Critical care first hour (99291)
range across 9 matching MRF lines
$363.80–$760.75 $428–$895 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$29.58–$92.65 $34.81–$109 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $256.70 $302 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 8 matching MRF lines
$255–$315.35 $300–$371 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 10 matching MRF lines
$144.50–$290.70 $170–$342 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 9 matching MRF lines
$204–$340.85 $240–$401 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 12 matching MRF lines
$120.27–$293.25 $141.50–$345 varies
Duplex up extrem art bilat (93930) $315.35 $371 1.1×
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$210.80–$256.70 $248–$302 varies
ECG/monitoring and analysis (93271) $85 $100 0.7×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$110.50–$148.75 $130–$175 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 4 matching MRF lines
$273.70–$410.55 $322–$483 varies
Electrical Stimulation Ea 15 Min (97032) $57.80 $68 3.9×
Electrocardiogram Tracing (93005)
range across 9 matching MRF lines
$74.30–$99.45 $87.42–$117 varies
Emergency Dept Visit Level 2 (99282)
range across 7 matching MRF lines
$255–$340 $300–$400 varies
Emergency Dept Visit Level 3 (99283)
range across 8 matching MRF lines
$363.37–$371.87 $427.50–$437.50 varies
Emergency Dept Visit Level 4 (99284)
range across 7 matching MRF lines
$446.25–$637.50 $525–$750 varies
Er level 1 (99281)
range across 8 matching MRF lines
$57.38–$223.09 $67.51–$262.46 varies
Er level v (99285)
range across 10 matching MRF lines
$292.12–$912.90 $343.68–$1,074 varies
Evaluate pt use of inhaler (94664)
range across 8 matching MRF lines
$32.30–$259.10 $38–$304.83 varies
Evaluate Swallowing Function (92610) $158.95 $187 1.9×
Exercise test for bronchospasm (94617) $75.02 $88.26 0.5×
External ECG rec>48hr<7d recording (93242) $106.25 $125 2.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $106.25 $125 0.6×
External ECG rec>7d<15d recording (93246) $63.75 $75 1.4×
External Ecg Scanning Analysis Report (93226) $106.25 $125 1.4×
Extracranial Bilat Study (93880)
range across 6 matching MRF lines
$204–$343.40 $240–$404 varies
Extracranial Uni/Ltd Study (93882) $25.50 $30 0.2×
Fundus photography (92250) $146.62 $172.50 0.9×
Group Therapeutic Procedures (97150) $47.60 $56 2.6×
Holter monitor recording (93225) $155.18 $182.57 0.9×
Icd Device Interrogate (93289) $106.25 $125 2.3×
Icd device progr eval dual (93283) $106.25 $125 2.3×
Icd Device Progr Eval Mult (93284)
range across 4 matching MRF lines
$51–$106.25 $60–$125 varies
Icm Device Eval (93290) $42.50 $50 0.9×
Immunization administration (90471)
range across 4 matching MRF lines
$18.70–$21.25 $22–$25 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $43.15 $50.77 0.1×
Iontophoresis 15 min (97033) $57.80 $68 3.0×
Irrig Drug Delivery Device (96523) $26.62 $31.32 0.4×
IV infusion hydration each additional hour (96361) $79.90 $94 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $260.38 $306.33 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $79.90 $94 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $79.90 $94 1.4×
IV push initial (96374) $266.39 $313.40 1.0×
Lung Function Test (Mbc/Mvv) (94200)
range across 6 matching MRF lines
$24.60–$65.45 $28.95–$77 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 4 matching MRF lines
$28.15–$31.45 $33.12–$37 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $37.40 $44 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $15.39 $18.11 0.9×
Methacholine challenge (94070) $344.62 $405.44 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $120.70 $142 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $120.70 $142 0.2×
Neuromuscular Reeducation (97112) $58.65 $69 1.8×
Newborn resuscitation (99465) $200.71 $236.13 0.2×
Oral Function Therapy (92526) $131.75 $155 1.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $42.50 $50 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$34.85–$57.80 $41–$68 varies
Ot manual therapy 15 min (97140) $57.80 $68 2.1×
Ot paraffin bath (97018) $57.80 $68 9.6×
Ot Prosthetic Training, Each 15 Min (97761) $37.40 $44 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $85 $100 0.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $141.95 $167 0.9×
Phlebotomy therapeutic (99195) $139.71 $164.37 0.8×
Plethysmography (94726) $344.62 $405.44 0.7×
Pm device eval in person (93288)
range across 4 matching MRF lines
$17–$106.25 $20–$125 varies
Pm device progr eval dual (93280) $45.81 $53.90 1.0×
Pm Device Progr Eval Sngl (93279) $110.50 $130 2.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $106.25 $125 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $33.15 $39 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $38.25 $45 0.7×
Pt Eval High Complex (97163) $106.47 $125.27 1.1×
Pt eval low complex 20 min (97161) $106.47 $125.27 1.1×
Pt Eval Mod Complex (97162) $106.47 $125.27 1.1×
Pt gait training 15 min (97116) $57.80 $68 2.0×
Pt mechanical traction (97012) $57.80 $68 4.0×
Pt Re-Eval Est Plan Care (97164) $72.42 $85.20 1.1×
Pulm function test by gas (94727) $36.31 $42.72 0.1×
Pulmonary service/procedure (94799)
range across 6 matching MRF lines
$39.95–$70.55 $47–$83 varies
Remote 30 Day Ecg Rev/Report (93270) $85 $100 1.8×
Respiratory flow volume loop (94375) $30.07 $35.38 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $74.30 $87.42 1.0×
Self Care Mngment Training (97535) $62.90 $74 1.9×
Spirometry (94010)
range across 4 matching MRF lines
$67.15–$189.76 $79–$223.25 varies
Stress Tte Only (93350)
range across 4 matching MRF lines
$117.30–$176.80 $138–$208 varies
Temp transcutaneous pacing (92953) $1.27 $1.50 0.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $57.80 $68 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $80.75 $95 0.9×
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$260.38–$266.39 $306.33–$313.40 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$36.55–$69.70 $43–$82 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $63.75 $75 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $51 $60 1.1×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$131.75–$637.50 $155–$750 varies
Tte W/O Doppler Complete (93307) $488.75 $575 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $66.30 $78 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $80.75 $95 1.4×
Unlisted cardiovascular service/procedure (93799)
range across 6 matching MRF lines
$6.80–$38.76 $8–$45.61 varies
Unlisted ophthalmological service/procedure (92499) $46.75 $55 1.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 8 matching MRF lines
$25.67–$318.75 $30.21–$375 varies
Vasopneumatic device (97016) $57.80 $68 4.8×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines
$260.10–$887.40 $306–$1,044 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 4 matching MRF lines
$518.50–$617.10 $610–$726 varies
Vital capacity, total (94150)
range across 6 matching MRF lines
$41.65–$65.45 $49–$77 varies
Wheelchair Mgmt Ea 15 Min (97542) $57.80 $68 1.9×
Whirlpool Therapy (97022) $57.80 $68 3.7×

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.