Bertrand Chaffee Hospital

224 East Main Street, Springville, NY 14141 · (716) 592-2871

Acute Care HospitalsVoluntary non-profit - PrivateBuffalo, NY metro Website ↗

Price file

Prices published

File dated 2026-11-01

12,146 price rows for 50 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $23

$12

cash

$6 to $15

174 negotiated rates

$15

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $102

$102

cash

$65 to $467

246 negotiated rates

$120

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $241

$298

cash

$38 to $350

406 negotiated rates

$350

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $524

$901

cash

$68 to $1,060

246 negotiated rates

$1,060

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,270 to $11,013

69 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $87

$87

cash

$21 to $103

174 negotiated rates

$103

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $1,050

$245

cash

$171 to $1,949

598 negotiated rates

$288

list

Colonoscopy with biopsy

CPT 45380 · lowest of 3 lines · metro median $787

$266

cash

$100 to $1,949

340 negotiated rates

$313

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 3 lines · metro median $873

$336

cash

$117 to $1,949

350 negotiated rates

$395

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $18

$10

cash

$3 to $12

174 negotiated rates

$12

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $30

$16

cash

$7 to $19

174 negotiated rates

$19

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $219

$219

cash

$59 to $258

348 negotiated rates

$258

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $50

$99

cash

$12 to $117

122 negotiated rates

$117

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $2,717

$828

cash

$615 to $4,318

260 negotiated rates

$974

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $101

$87

cash

$21 to $103

174 negotiated rates

$103

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,856 to $24,238

106 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,927 to $10,119

69 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,436 to $14,968

69 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $654

$654

cash

$488 to $2,780

264 negotiated rates

$770

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $813

$813

cash

$513 to $2,780

264 negotiated rates

$956

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $39

$16

cash

$6 to $19

174 negotiated rates

$19

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $23

$12

cash

$5 to $15

174 negotiated rates

$15

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $119

$119

cash

$119 to $1,136

246 negotiated rates

$140

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 5 lines · metro median $77

$77

cash

$77 to $1,136

492 negotiated rates

$90

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $85

$85

cash

$85 to $1,136

246 negotiated rates

$100

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $85

$85

cash

$85 to $1,136

246 negotiated rates

$100

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$22,222 to $31,695

69 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines · metro median $121

$96

cash

$65 to $169

618 negotiated rates

$113

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 3 lines · metro median $163

$163

cash

$105 to $286

618 negotiated rates

$192

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $213

$213

cash

$143 to $378

448 negotiated rates

$250

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $42

$28

cash

$12 to $33

174 negotiated rates

$33

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $17

cash

$4 to $11

174 negotiated rates

$11

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $58

$58

cash

$12 to $68

254 negotiated rates

$68

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $223

$60

cash

$33 to $217

246 negotiated rates

$70

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $143

$77

cash

$77 to $170

68 negotiated rates

$90

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $165

$88

cash

$88 to $197

68 negotiated rates

$104

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $11

cash

$3 to $9

174 negotiated rates

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $512

$512

cash

$391 to $2,202

264 negotiated rates

$603

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $121

$121

cash

$59 to $220

174 negotiated rates

$142

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $243

$243

cash

$159 to $2,202

276 negotiated rates

$285

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$33,144 to $47,117

65 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $272

$157

cash

$117 to $1,461

64 negotiated rates

$184

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $35

$26

cash

$9 to $31

174 negotiated rates

$31

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $146

$146

cash

$36 to $172

246 negotiated rates

$172

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $146

$146

cash

$36 to $172

246 negotiated rates

$172

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $404

$165

cash

$114 to $1,461

264 negotiated rates

$194

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines · metro median $3,417

$186

cash

$128 to $1,949

334 negotiated rates

$219

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $9

cash

$2 to $11

174 negotiated rates

$11

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,080 to $8,428

69 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines · metro median $17

$17

cash

$17 to $172

246 negotiated rates

$20

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/a7b918c3-56d9-410c-bec6-e3d86fde3f92/160743921_BERTRAND-CHAFFEE-HOSPITAL_standardcharges.zip
Bertrand Chaffee Hospital · parsed · tall v3.0.0 · file dated 2026-11-01 · 21.3 MB · 12146 price rows read · read Nov 2026