Alys cplx sp/pn npgt w/prgrm at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$24.42
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.
$111.00
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.
$32.62 with Univera vs $208.55 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 | $32.62 | ↑ +34% |
| Univera | Univera Healthy New York | $32.62 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare | $34.37 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $36.96 | ↑ +51% |
| Highmark | Highmark Security Blue | $38.07 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $39.18 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $39.18 | ↑ +60% |
| American Health Plans | American Health Plans Medicare | $40.66 | ↑ +67% |
| Univera | Univera Medicare | $40.98 | ↑ +68% |
| Highmark | Highmark Together Blue | $43.65 | ↑ +79% |
| Highmark | Highmark Connect Blue | $46.17 | ↑ +89% |
| Highmark | Highmark Indemnity | $46.17 | ↑ +89% |
| Highmark | Highmark Social Mission Managed Care | $46.17 | ↑ +89% |
| Highmark | Highmark Social Mission Indemnity | $46.17 | ↑ +89% |
| Highmark | Highmark My Blue Access | $46.17 | ↑ +89% |
| Highmark | Highmark Managed Care | $46.17 | ↑ +89% |
| Highmark | Highmark Blue High Performance | $46.17 | ↑ +89% |
| Highmark | Highmark Community Blue | $46.17 | ↑ +89% |
| Highmark | Highmark Performance Blue | $46.17 | ↑ +89% |
| Highmark | Highmark My Direct Blue | $46.17 | ↑ +89% |
| Univera | Univera Commercial | $46.65 | ↑ +91% |
| Cigna | Cigna Commercial | $63.76 | ↑ +161% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $68.00 | ↑ +178% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $68.00 | ↑ +178% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $76.04 | ↑ +211% |
| United Healthcare | United Healthcare Of OH Medicaid | $80.17 | ↑ +228% |
| United Healthcare | United Healthcare Commercial | $80.17 | ↑ +228% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $85.48 | ↑ +250% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $93.90 | ↑ +285% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $93.90 | ↑ +285% |
| United Healthcare | United Healthcare Medicaid | $93.90 | ↑ +285% |
| Geisinger | Geisinger Medicaid HC | $93.90 | ↑ +285% |
| Geisinger | Geisinger CHIP | $93.90 | ↑ +285% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $97.14 | ↑ +298% |
| Jefferson Health Plans | Jefferson Health Plans | $99.08 | ↑ +306% |
| Highmark | Highmark Community Blue Medicare PPO | $99.93 | ↑ +309% |
| Highmark | Highmark Complete Blue Medicare | $99.93 | ↑ +309% |
| Highmark | Highmark Freedom Blue | $101.02 | ↑ +314% |
| United Healthcare | United Healthcare CHIP | $103.62 | ↑ +324% |
| Amerihealth | Amerihealth Medicaid CHC | $106.85 | ↑ +338% |
| Amerihealth | Amerihealth Medicaid HC | $106.85 | ↑ +338% |
| Martin's Point | Martin's Point | $108.62 | ↑ +345% |
| Aetna | Aetna Medicare | $112.97 | ↑ +363% |
| Highmark | Highmark Community Blue Medicare HMO | $112.97 | ↑ +363% |
| Highmark | Highmark Together Blue Medicare | $112.97 | ↑ +363% |
| Amerihealth | Amerihealth Medicare New York | $114.05 | ↑ +367% |
| Humana | Humana Commercial | $115.14 | ↑ +371% |
| United Healthcare | United Healthcare Medicare I-SNP | $116.22 | ↑ +376% |
| United Healthcare | United Healthcare Medicare D-SNP | $117.31 | ↑ +380% |
| Molina | Molina Ohio | $118.40 | ↑ +385% |
| Highmark | Highmark Performance Blue Enhanced | $158.22 | ↑ +548% |
| Aetna | Aetna Commercial | $208.55 | ↑ +754% |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $108.62 | $0.01 – $645.00 |
| Harlem Hospital Center | New York | $108.62 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $108.62 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | $108.62 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | $108.62 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica | $108.62 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn | $108.62 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn | $108.62 | $0.01 – $645.00 |