Adhesiolysis tube ovary 58740 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

$559.46

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.

Full explanation →

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

$2,543.00

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.

$88.20 with Univera vs $2,181.00 with Martin's Point — 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
Univera Univera Essential Plan $88.20 ↓ -84%
Univera Univera Healthy New York $88.20 ↓ -84%
Univera Univera Medicare $110.75 ↓ -80%
Univera Univera Commercial $123.79 ↓ -78%
Amerihealth Amerihealth Caritas Medicare (NY) $135.98 ↓ -76%
Amerihealth Amerihealth Caritas D-SNP Medicare $135.98 ↓ -76%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $170.94 ↓ -69%
Amerihealth Amerihealth Caritas CHC Medicaid $187.78 ↓ -66%
Amerihealth Amerihealth Caritas HC Medicaid $187.78 ↓ -66%
Geisinger Geisinger CHIP $187.78 ↓ -66%
Geisinger Geisinger Medicaid HC $187.78 ↓ -66%
United Healthcare United Healthcare Medicaid $187.78 ↓ -66%
United Healthcare United Healthcare CHIP $207.20 ↓ -63%
Highmark Highmark Together Blue $1,020.79 ↑ +82%
Highmark Highmark Performance Blue $1,079.82 ↑ +93%
Highmark Highmark Social Mission Indemnity $1,079.82 ↑ +93%
Highmark Highmark Social Mission Managed Care $1,079.82 ↑ +93%
Highmark Highmark Indemnity $1,079.82 ↑ +93%
Highmark Highmark Managed Care $1,079.82 ↑ +93%
Highmark Highmark My Direct Blue $1,079.82 ↑ +93%
Highmark Highmark Connect Blue $1,079.82 ↑ +93%
Highmark Highmark Community Blue $1,079.82 ↑ +93%
Highmark Highmark Blue High Performance $1,079.82 ↑ +93%
Highmark Highmark My Blue Access $1,079.82 ↑ +93%
Cigna Cigna Commercial $1,443.62 ↑ +158%
United Healthcare United Healthcare Navigate Nexus Commercial $1,649.55 ↑ +195%
United Healthcare United Healthcare Of OH Medicaid $1,739.11 ↑ +211%
United Healthcare United Healthcare Commercial $1,739.11 ↑ +211%
Martin's Point Martin's Point $2,181.00 ↑ +290%

Visitor-reported prices

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Adhesiolysis tube ovary 58740 at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 not published $507.56 – $1,476.04
Harlem Hospital Center New York not published $1,025.03 – $1,476.04
Kings County Hospital Center Brooklyn not published $507.56 – $1,524.30
Lincoln Medical Center Bronx not published $1,058.54 – $1,524.30
Metropolitan Hospital Center New York not published $1,058.54 – $1,524.30
Queens Hospital Center Jamaica not published $507.56 – $1,463.92
Woodhull Medical Center Brooklyn not published $507.56 – $1,524.30
South Brooklyn Health Brooklyn not published $1,058.54 – $1,524.30

All New-york hospitals for this procedure →