All tstg perq&iq drugs/biol at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$4.40
Cash price 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.
$20.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$5.78 with Univera vs $89.18 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 →
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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 ?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 ?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 | $5.78 | ↑ +31% |
| Univera | Univera Healthy New York | $5.78 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $6.11 | ↑ +39% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6.57 | ↑ +49% |
| Highmark | Highmark Security Blue | $6.77 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6.96 | ↑ +58% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $6.96 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $7.23 | ↑ +64% |
| Univera | Univera Medicare | $7.32 | ↑ +66% |
| Univera | Univera Commercial | $7.66 | ↑ +74% |
| Highmark | Highmark Together Blue | $7.79 | ↑ +77% |
| Highmark | Highmark My Blue Access | $8.24 | ↑ +87% |
| Highmark | Highmark Performance Blue | $8.24 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $8.24 | ↑ +87% |
| Highmark | Highmark Community Blue | $8.24 | ↑ +87% |
| Highmark | Highmark Managed Care | $8.24 | ↑ +87% |
| Highmark | Highmark My Direct Blue | $8.24 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $8.24 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $8.24 | ↑ +87% |
| Highmark | Highmark Connect Blue | $8.24 | ↑ +87% |
| Highmark | Highmark Indemnity | $8.24 | ↑ +87% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $8.42 | ↑ +91% |
| Jefferson Health Plans | Jefferson Health Plans | $8.58 | ↑ +95% |
| United Healthcare | United Healthcare Medicaid | $8.98 | ↑ +104% |
| Geisinger | Geisinger CHIP | $8.98 | ↑ +104% |
| Geisinger | Geisinger Medicaid HC | $8.98 | ↑ +104% |
| United Healthcare | United Healthcare CHIP | $8.98 | ↑ +104% |
| Amerihealth | Amerihealth Medicaid CHC | $9.26 | ↑ +110% |
| Amerihealth | Amerihealth Medicaid HC | $9.26 | ↑ +110% |
| Cigna | Cigna Commercial | $11.25 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $12.80 | ↑ +191% |
| United Healthcare | United Healthcare Commercial | $13.49 | ↑ +207% |
| United Healthcare | United Healthcare Of OH Medicaid | $13.49 | ↑ +207% |
| Highmark | Highmark Complete Blue Medicare | $42.73 | ↑ +871% |
| Highmark | Highmark Community Blue Medicare PPO | $42.73 | ↑ +871% |
| Highmark | Highmark Freedom Blue | $43.20 | ↑ +882% |
| Martin's Point | Martin's Point | $46.45 | ↑ +956% |
| Aetna | Aetna Medicare | $48.30 | ↑ +998% |
| Highmark | Highmark Together Blue Medicare | $48.30 | ↑ +998% |
| Highmark | Highmark Community Blue Medicare HMO | $48.30 | ↑ +998% |
| Amerihealth | Amerihealth Medicare New York | $48.77 | ↑ +1008% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $48.77 | ↑ +1008% |
| Humana | Humana Commercial | $49.23 | ↑ +1019% |
| United Healthcare | United Healthcare Medicare I-SNP | $49.70 | ↑ +1030% |
| United Healthcare | United Healthcare Medicare D-SNP | $50.16 | ↑ +1040% |
| Molina | Molina Ohio | $50.63 | ↑ +1051% |
| Highmark | Highmark Performance Blue Enhanced | $67.65 | ↑ +1438% |
| Aetna | Aetna Commercial | $89.18 | ↑ +1927% |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $46.45 | $0.01 – $69.94 |
| Harlem Hospital Center | New York | $46.45 | $0.01 – $69.94 |
| Kings County Hospital Center | Brooklyn | $46.45 | $0.01 – $69.94 |
| Lincoln Medical Center | Bronx | $46.45 | $0.01 – $69.94 |
| Metropolitan Hospital Center | New York | $46.45 | $0.01 – $69.94 |
| Queens Hospital Center | Jamaica | $46.45 | $0.01 – $69.94 |
| Woodhull Medical Center | Brooklyn | $46.45 | $0.01 – $69.94 |
| South Brooklyn Health | Brooklyn | $46.45 | $0.01 – $69.94 |