Alteplase 100 mg infusion from pyxis vial 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

$6,776.28

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.

$30,801.26

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.

$68.41 with Highmark vs $195.32 with Highmark — 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
Highmark Highmark Together Blue $68.41 ↓ -99%
Highmark Highmark Community Blue Medicare PPO $86.62 ↓ -99%
Highmark Highmark Complete Blue Medicare $86.62 ↓ -99%
Highmark Highmark Freedom Blue $87.56 ↓ -99%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center Commercial $88.82 ↓ -99%
Geisinger Geisinger CHIP $88.82 ↓ -99%
Cigna Cigna Commercial $91.48 ↓ -99%
Amerihealth Amerihealth Medicaid CHC $94.15 ↓ -99%
Amerihealth Amerihealth Medicaid HC $94.15 ↓ -99%
Univera Univera Healthy New York $94.15 ↓ -99%
Univera Univera Essential Plan $94.15 ↓ -99%
Life Pittsburgh Life Pittsburgh Medicare $94.15 ↓ -99%
Martin's Point Martin's Point $94.15 ↓ -99%
American Health Plans American Health Plans Medicare $94.15 ↓ -99%
Univera Univera Medicare $94.15 ↓ -99%
United Healthcare United Healthcare Commercial $96.98 ↓ -99%
Devoted Medicare Devoted Health Medicare Advantage $96.98 ↓ -99%
Univera Univera Commercial $97.70 ↓ -99%
Highmark Highmark Together Blue Medicare $97.92 ↓ -99%
Aetna Aetna Medicare $97.92 ↓ -99%
Highmark Highmark Community Blue Medicare HMO $97.92 ↓ -99%
Highmark Highmark Security Blue $97.92 ↓ -99%
Amerihealth Amerihealth Caritas D-SNP Medicare $98.86 ↓ -99%
Amerihealth Amerihealth Medicare New York $98.86 ↓ -99%
Humana Humana Commercial $99.80 ↓ -99%
United Healthcare United Healthcare Medicare I-SNP $100.74 ↓ -99%
United Healthcare United Healthcare Medicare D-SNP $101.68 ↓ -98%
Molina Molina Ohio $102.63 ↓ -98%
Highmark Highmark Blue High Performance $113.91 ↓ -98%
Highmark Highmark Community Blue $113.91 ↓ -98%
Highmark Highmark Connect Blue $113.91 ↓ -98%
Highmark Highmark Indemnity $113.91 ↓ -98%
Highmark Highmark Managed Care $113.91 ↓ -98%
Highmark Highmark My Blue Access $113.91 ↓ -98%
Highmark Highmark My Direct Blue $113.91 ↓ -98%
Highmark Highmark Performance Blue $113.91 ↓ -98%
Highmark Highmark Social Mission Indemnity $113.91 ↓ -98%
Highmark Highmark Social Mission Managed Care $113.91 ↓ -98%
United Healthcare United Healthcare Navigate Nexus Commercial $119.38 ↓ -98%
United Healthcare United Healthcare Of OH Medicaid $126.33 ↓ -98%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $133.23 ↓ -98%
Aetna Aetna Commercial $180.77 ↓ -97%
Highmark Highmark Performance Blue Enhanced $195.32 ↓ -97%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $28,799.19 $89.44 – $117.69
NewYork-Presbyterian Queens Flushing $28,799.19 $89.44 – $111.03
NewYork-Presbyterian Columbia University Irving Medical Center New York $28,799.19 $89.44 – $117.69

All New-york hospitals for this procedure →