App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$34.32
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.
$156.00
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.
$44.52 with Univera vs $112.12 with United Healthcare — 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 Healthy New York | $44.52 | ↑ +30% |
| Univera | Univera Essential Plan | $44.52 | ↑ +30% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $45.30 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $45.30 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $48.39 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $52.03 | ↑ +52% |
| Highmark | Highmark Security Blue | $53.59 | ↑ +56% |
| Univera | Univera Medicare | $54.06 | ↑ +58% |
| Highmark | Highmark Together Blue | $54.65 | ↑ +59% |
| Devoted Medicare | Devoted Health Medicare Advantage | $55.15 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $55.15 | ↑ +61% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $56.94 | ↑ +66% |
| American Health Plans | American Health Plans Medicare | $57.23 | ↑ +67% |
| Highmark | Highmark Indemnity | $57.81 | ↑ +68% |
| Highmark | Highmark Connect Blue | $57.81 | ↑ +68% |
| Highmark | Highmark Managed Care | $57.81 | ↑ +68% |
| Highmark | Highmark My Blue Access | $57.81 | ↑ +68% |
| Highmark | Highmark My Direct Blue | $57.81 | ↑ +68% |
| Highmark | Highmark Performance Blue | $57.81 | ↑ +68% |
| Highmark | Highmark Community Blue | $57.81 | ↑ +68% |
| Highmark | Highmark Social Mission Indemnity | $57.81 | ↑ +68% |
| Highmark | Highmark Social Mission Managed Care | $57.81 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $57.81 | ↑ +68% |
| Univera | Univera Commercial | $58.73 | ↑ +71% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $62.55 | ↑ +82% |
| Geisinger | Geisinger Medicaid HC | $62.55 | ↑ +82% |
| Geisinger | Geisinger CHIP | $62.55 | ↑ +82% |
| United Healthcare | United Healthcare Medicaid | $62.55 | ↑ +82% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $62.55 | ↑ +82% |
| United Healthcare | United Healthcare CHIP | $69.02 | ↑ +101% |
| Cigna | Cigna Commercial | $87.95 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $106.35 | ↑ +210% |
| United Healthcare | United Healthcare Of OH Medicaid | $112.12 | ↑ +227% |
| United Healthcare | United Healthcare Commercial | $112.12 | ↑ +227% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $3,269.40 | $47.04 – $4,904.10 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $4,190.00 | $1,946.54 – $2,238.52 |
| NewYork-Presbyterian Queens | Flushing | $4,190.00 | $92.00 – $2,008.52 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $4,190.00 | $1,946.54 – $2,238.52 |
| Rochester General Hospital | Rochester | $907.99 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $626.96 | $39.83 – $63.95 |
| Massena Hospital | Massena | $1,286.63 | not published |
| The Unity Hospital of Rochester | Rochester | $2,154.48 | not published |