Annual Physical, New Patient (age 18-39) at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$60.72
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.
$276.00
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.
$32.00 with United Healthcare vs $364.65 with Amerihealth — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Medicaid | $32.00 | ↓ -47% |
| United Healthcare | United Healthcare CHIP | $32.00 | ↓ -47% |
| Univera | Univera Essential Plan | $76.68 | ↑ +26% |
| Univera | Univera Healthy New York | $76.68 | ↑ +26% |
| Univera | Univera Medicare | $90.21 | ↑ +49% |
| Univera | Univera Commercial | $90.21 | ↑ +49% |
| Highmark | Highmark Together Blue | $93.81 | ↑ +54% |
| Highmark | Highmark My Direct Blue | $99.23 | ↑ +63% |
| Highmark | Highmark Performance Blue | $99.23 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $99.23 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $99.23 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $99.23 | ↑ +63% |
| Highmark | Highmark Community Blue | $99.23 | ↑ +63% |
| Highmark | Highmark Connect Blue | $99.23 | ↑ +63% |
| Highmark | Highmark Indemnity | $99.23 | ↑ +63% |
| Highmark | Highmark Managed Care | $99.23 | ↑ +63% |
| Highmark | Highmark My Blue Access | $99.23 | ↑ +63% |
| Cigna | Cigna Commercial | $149.16 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $179.62 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $189.37 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $189.37 | ↑ +212% |
| Martin's Point | Martin's Point | $304.50 | ↑ +401% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $331.50 | ↑ +446% |
| Jefferson Health Plans | Jefferson Health Plans | $338.13 | ↑ +457% |
| Geisinger | Geisinger Medicaid HC | $353.60 | ↑ +482% |
| Geisinger | Geisinger CHIP | $353.60 | ↑ +482% |
| Amerihealth | Amerihealth Medicaid CHC | $364.65 | ↑ +501% |
| Amerihealth | Amerihealth Medicaid HC | $364.65 | ↑ +501% |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 18-39) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $134.00 – $751.73 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $134.00 – $727.87 |
| Rochester General Hospital | Rochester | $323.10 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $323.18 | $164.08 – $164.08 |
| Gouverneur Hospital | Gouverneur | $112.46 | $91.84 – $91.84 |
| Massena Hospital | Massena | $126.78 | $91.84 – $91.84 |
| Canton-Potsdam Hospital | Potsdam | $128.58 | not published |
| The Unity Hospital of Rochester | Rochester | $397.74 | not published |