CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$220 - $338
from 3 insurers · median $265
Typical for a hospital with this service line
Kaleida Health · Cuba, NY
30
In-network payers
64
Disclosed rate categories
6
Beds
Cuba Memorial Hospital Inc is a 6-bed voluntary non-profit - private hospital in Cuba, NY, affiliated with Kaleida Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 64 disclosed rate categories.
CCN (Medicare provider number)
331301
NPI
1407839822
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
6
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.




The 24 services Cuba Memorial Hospital Inc most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$220 - $338
from 3 insurers · median $265
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$409 - $1,764
from 2 insurers · median $1,087
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$435 - $1,764
from 2 insurers · median $1,100
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$345 - $1,764
from 2 insurers · median $1,054
Typical for a hospital with this service line
Mammography
CPT 77067
$100 - $130
from 3 insurers · median $101
Typical for a hospital with this service line
CT imaging
CPT 70450
$68 - $133
from 3 insurers · median $113
Typical for a hospital with this service line
CT imaging
CPT 74176
$106 - $231
from 3 insurers · median $226
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$163 - $979
from 3 insurers · median $194
Typical for a hospital with this service line
CT imaging
CPT 71275
$173 - $265
from 3 insurers · median $239
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $62
from 2 insurers · median $48
Typical for a hospital with this service line
MRI imaging
CPT 70553
$264 - $427
from 3 insurers · median $281
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,211 - $1,925
from 2 insurers · median $1,568
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,213
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$649 - $1,925
from 3 insurers · median $706
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$315 - $1,764
from 3 insurers · median $364
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,213
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$101 - $309
from 3 insurers · median $126
Typical for a hospital with this service line
MRI imaging
CPT 72148
$151 - $226
from 3 insurers · median $188
Typical for a hospital with this service line
MRI imaging
CPT 70551
$157 - $226
from 3 insurers · median $188
Typical for a hospital with this service line
Ultrasound
CPT 76705
$67 - $113
from 3 insurers · median $72
Typical for a hospital with this service line
MRI imaging
CPT 73721
$170 - $226
from 3 insurers · median $225
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$964
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76856
$82 - $113
from 3 insurers · median $108
Typical for a hospital with this service line
Ultrasound
CPT 76830
$92 - $113
from 3 insurers · median $93
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 106% | 6 | 14 |
| Insurer B* | 19 | 79% | 0 | 15 |
| Insurer C* | 18 | 64% | 0 | 18 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Cuba Memorial Hospital Inc.
140 West Main Street, Cuba, NY 14727
(585) 961-2000
About Cuba Memorial Hospital Inc's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cuba Memorial Hospital Inc range from $264 to $427 across 3 insurers. Blue Cross Blue Shield's rate is $264. The median at nearby comparable hospitals is $1,140. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cuba Memorial Hospital Inc range from $220 to $338 across 3 insurers. Aetna's rate is $338. The median at nearby comparable hospitals is $1,308. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cuba Memorial Hospital Inc range from $435 to $1,764 across 2 insurers. UnitedHealthcare's rate is $1,764. The median at nearby comparable hospitals is $1,707. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cuba Memorial Hospital Inc range from $100 to $130 across 3 insurers. Aetna's rate is $130. The median at nearby comparable hospitals is $246. What a patient pays depends on their plan's deductible, coinsurance and network status.
Cuba Memorial Hospital Inc has 6 beds. Facility type: Critical Access Hospital.
Cuba Memorial Hospital Inc is located at 140 West Main Street, Cuba, NY 14727. Its main phone number is (585) 961-2000.
Cuba Memorial Hospital Inc's CMS Certification Number (CCN), also called its Medicare provider number, is 331301.
The National Provider Identifier (NPI) on file for Cuba Memorial Hospital Inc is 1407839822.
Cuba Memorial Hospital Inc is affiliated with Kaleida Health.
Cuba Memorial Hospital Inc lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
64 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers