Analysis; simple cranial nerv pulse gen prgrmg 95976 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$22.88
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.
$104.00
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.
$22.51 with Highmark vs $84.72 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $22.51 | ↓ -2% |
| Univera | Univera Healthy New York | $31.50 | ↑ +38% |
| Univera | Univera Essential Plan | $31.50 | ↑ +38% |
| Highmark | Highmark Community Blue Medicare | $32.29 | ↑ +41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $33.92 | ↑ +48% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $33.92 | ↑ +48% |
| Life Pittsburgh | Life Pittsburgh Medicare | $34.72 | ↑ +52% |
| Highmark | Highmark Security Blue | $35.76 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $36.80 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $36.80 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $38.19 | ↑ +67% |
| Highmark | Highmark My Direct Blue | $38.51 | ↑ +68% |
| Univera | Univera Medicare | $39.58 | ↑ +73% |
| Highmark | Highmark Complete Blue Medicare | $40.60 | ↑ +77% |
| Highmark | Highmark Community Blue Medicare PPO | $40.60 | ↑ +77% |
| Highmark | Highmark Freedom Blue | $41.04 | ↑ +79% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $42.64 | ↑ +86% |
| Highmark | Highmark My Blue Access | $42.86 | ↑ +87% |
| Highmark | Highmark Blue High Performance | $42.86 | ↑ +87% |
| Highmark | Highmark Community Blue | $42.86 | ↑ +87% |
| Highmark | Highmark Connect Blue | $42.86 | ↑ +87% |
| Highmark | Highmark Indemnity | $42.86 | ↑ +87% |
| Highmark | Highmark Managed Care | $42.86 | ↑ +87% |
| Highmark | Highmark Performance Blue | $42.86 | ↑ +87% |
| Highmark | Highmark Social Mission Indemnity | $42.86 | ↑ +87% |
| Highmark | Highmark Social Mission Managed Care | $42.86 | ↑ +87% |
| Martin's Point | Martin's Point | $44.13 | ↑ +93% |
| Univera | Univera Commercial | $45.05 | ↑ +97% |
| United Healthcare | United Healthcare Commercial | $45.45 | ↑ +99% |
| Highmark | Highmark Community Blue Medicare HMO | $45.89 | ↑ +101% |
| Aetna | Aetna Medicare | $45.89 | ↑ +101% |
| Highmark | Highmark Together Blue Medicare | $45.89 | ↑ +101% |
| Amerihealth | Amerihealth Medicare New York | $46.33 | ↑ +102% |
| Humana | Humana Commercial | $46.78 | ↑ +104% |
| Geisinger | Geisinger Medicaid HC | $46.84 | ↑ +105% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $46.84 | ↑ +105% |
| Geisinger | Geisinger CHIP | $46.84 | ↑ +105% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $46.84 | ↑ +105% |
| United Healthcare | United Healthcare Medicaid | $46.84 | ↑ +105% |
| United Healthcare | United Healthcare Medicare I-SNP | $47.22 | ↑ +106% |
| United Healthcare | United Healthcare Medicare D-SNP | $47.66 | ↑ +108% |
| Molina | Molina Ohio | $48.10 | ↑ +110% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $48.45 | ↑ +112% |
| Jefferson Health Plans | Jefferson Health Plans | $49.42 | ↑ +116% |
| United Healthcare | United Healthcare CHIP | $51.68 | ↑ +126% |
| Amerihealth | Amerihealth Medicaid CHC | $53.29 | ↑ +133% |
| Amerihealth | Amerihealth Medicaid HC | $53.29 | ↑ +133% |
| Cigna | Cigna Commercial | $61.44 | ↑ +169% |
| Highmark | Highmark Performance Blue Enhanced | $64.28 | ↑ +181% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $73.91 | ↑ +223% |
| United Healthcare | United Healthcare Of OH Medicaid | $77.93 | ↑ +241% |
| Aetna | Aetna Commercial | $84.72 | ↑ +270% |
Visitor-reported prices
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Analysis; simple cranial nerv pulse gen prgrmg 95976 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $44.13 | $26.16 – $69.88 |
| Harlem Hospital Center | New York | $44.13 | $38.67 – $69.88 |
| Kings County Hospital Center | Brooklyn | $44.13 | $26.16 – $69.88 |
| Lincoln Medical Center | Bronx | $44.13 | $38.67 – $69.88 |
| Metropolitan Hospital Center | New York | $44.13 | $38.67 – $69.88 |
| Queens Hospital Center | Jamaica | $44.13 | $26.16 – $69.88 |
| Woodhull Medical Center | Brooklyn | $44.13 | $26.16 – $69.88 |
| South Brooklyn Health | Brooklyn | $44.13 | $38.67 – $69.88 |