Aco ccm; at least 20 min 99490aco at WESTFIELD MEMORIAL HOSPITAL INC

189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$30.58

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$139.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$38.64 with Pennsylvania Health and Wellness vs $210.16 with Aetna — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $38.64 ↑ +26%
Jefferson Health Plans Jefferson Health Plans $39.41 ↑ +29%
Univera Univera Essential Plan $41.02 ↑ +34%
Univera Univera Healthy New York $41.02 ↑ +34%
United Healthcare United Healthcare CHIP $41.22 ↑ +35%
Geisinger Geisinger CHIP $41.22 ↑ +35%
Geisinger Geisinger Medicaid HC $41.22 ↑ +35%
United Healthcare United Healthcare Medicaid $41.22 ↑ +35%
Amerihealth Amerihealth Medicaid CHC $42.50 ↑ +39%
Amerihealth Amerihealth Medicaid HC $42.50 ↑ +39%
Highmark Highmark Community Blue Medicare $43.11 ↑ +41%
Life Pittsburgh Life Pittsburgh Medicare $46.35 ↑ +52%
Highmark Highmark Security Blue $47.74 ↑ +56%
Univera Univera Commercial $48.26 ↑ +58%
Univera Univera Medicare $48.26 ↑ +58%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $49.13 ↑ +61%
Devoted Medicare Devoted Health Medicare Advantage $49.13 ↑ +61%
American Health Plans American Health Plans Medicare $50.99 ↑ +67%
Highmark Highmark Together Blue $51.91 ↑ +70%
Highmark Highmark Indemnity $55.32 ↑ +81%
Highmark Highmark Blue High Performance $55.32 ↑ +81%
Highmark Highmark Community Blue $55.32 ↑ +81%
Highmark Highmark Connect Blue $55.32 ↑ +81%
Highmark Highmark Managed Care $55.32 ↑ +81%
Highmark Highmark My Blue Access $55.32 ↑ +81%
Highmark Highmark My Direct Blue $55.32 ↑ +81%
Highmark Highmark Performance Blue $55.32 ↑ +81%
Highmark Highmark Social Mission Indemnity $55.32 ↑ +81%
Highmark Highmark Social Mission Managed Care $55.32 ↑ +81%
United Healthcare United Healthcare Navigate Nexus Commercial $58.12 ↑ +90%
United Healthcare United Healthcare Of OH Medicaid $61.28 ↑ +100%
United Healthcare United Healthcare Commercial $61.28 ↑ +100%
Cigna Cigna Commercial $79.83 ↑ +161%
Highmark Highmark Community Blue Medicare PPO $100.70 ↑ +229%
Highmark Highmark Complete Blue Medicare $100.70 ↑ +229%
Highmark Highmark Freedom Blue $101.80 ↑ +233%
Martin's Point Martin's Point $109.46 ↑ +258%
Highmark Highmark Community Blue Medicare HMO $113.84 ↑ +272%
Aetna Aetna Medicare $113.84 ↑ +272%
Highmark Highmark Together Blue Medicare $113.84 ↑ +272%
Amerihealth Amerihealth Medicare New York $114.93 ↑ +276%
Amerihealth Amerihealth Caritas D-SNP Medicare $114.93 ↑ +276%
Humana Humana Commercial $116.03 ↑ +279%
United Healthcare United Healthcare Medicare I-SNP $117.12 ↑ +283%
United Healthcare United Healthcare Medicare D-SNP $118.22 ↑ +287%
Molina Molina Ohio $119.31 ↑ +290%
Highmark Highmark Performance Blue Enhanced $159.44 ↑ +421%
Aetna Aetna Commercial $210.16 ↑ +587%

Visitor-reported prices

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Aco ccm; at least 20 min 99490aco at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $109.46 $0.01 – $645.00
Harlem Hospital Center New York $109.46 $0.01 – $645.00
Kings County Hospital Center Brooklyn $109.46 $0.01 – $645.00
Lincoln Medical Center Bronx $109.46 $0.01 – $645.00
Metropolitan Hospital Center New York $109.46 $0.01 – $645.00
Queens Hospital Center Jamaica $109.46 $0.01 – $645.00
Woodhull Medical Center Brooklyn $109.46 $0.01 – $645.00
South Brooklyn Health Brooklyn $109.46 $0.01 – $645.00

All New-york hospitals for this procedure →