App high cost ss t/a/l <100sq cm addl <25sq cm at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$3,210.48
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.
$4,116.00
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.
$13.59 with Univera vs $34.35 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 Essential Plan | $13.59 | ↓ -100% |
| Univera | Univera Healthy New York | $13.59 | ↓ -100% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $14.37 | ↓ -100% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $14.37 | ↓ -100% |
| Highmark | Highmark Community Blue Medicare | $14.55 | ↓ -100% |
| Life Pittsburgh | Life Pittsburgh Medicare | $15.64 | ↓ -100% |
| Highmark | Highmark Security Blue | $16.11 | ↓ -99% |
| Univera | Univera Medicare | $16.51 | ↓ -99% |
| Highmark | Highmark Together Blue | $16.57 | ↓ -99% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $16.58 | ↓ -99% |
| Devoted Medicare | Devoted Health Medicare Advantage | $16.58 | ↓ -99% |
| American Health Plans | American Health Plans Medicare | $17.20 | ↓ -99% |
| Highmark | Highmark Indemnity | $17.52 | ↓ -99% |
| Highmark | Highmark Community Blue | $17.52 | ↓ -99% |
| Highmark | Highmark Social Mission Managed Care | $17.52 | ↓ -99% |
| Highmark | Highmark Connect Blue | $17.52 | ↓ -99% |
| Highmark | Highmark Managed Care | $17.52 | ↓ -99% |
| Highmark | Highmark My Blue Access | $17.52 | ↓ -99% |
| Highmark | Highmark My Direct Blue | $17.52 | ↓ -99% |
| Highmark | Highmark Performance Blue | $17.52 | ↓ -99% |
| Highmark | Highmark Blue High Performance | $17.52 | ↓ -99% |
| Highmark | Highmark Social Mission Indemnity | $17.52 | ↓ -99% |
| Univera | Univera Commercial | $17.93 | ↓ -99% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $18.07 | ↓ -99% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $19.85 | ↓ -99% |
| Geisinger | Geisinger Medicaid HC | $19.85 | ↓ -99% |
| Geisinger | Geisinger CHIP | $19.85 | ↓ -99% |
| United Healthcare | United Healthcare Medicaid | $19.85 | ↓ -99% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $19.85 | ↓ -99% |
| United Healthcare | United Healthcare CHIP | $21.90 | ↓ -99% |
| Cigna | Cigna Commercial | $26.76 | ↓ -99% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $32.58 | ↓ -99% |
| United Healthcare | United Healthcare Of OH Medicaid | $34.35 | ↓ -99% |
| United Healthcare | United Healthcare Commercial | $34.35 | ↓ -99% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $78.00 | $14.63 – $1,033.67 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $2,453.00 | $1,501.24 – $2,238.52 |
| NewYork-Presbyterian Queens | Flushing | $2,453.00 | $31.00 – $2,008.52 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $2,453.00 | $1,501.24 – $2,238.52 |
| Rochester General Hospital | Rochester | $311.96 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $232.10 | $12.11 – $19.46 |
| Massena Hospital | Massena | $1,110.60 | not published |
| The Unity Hospital of Rochester | Rochester | $263.84 | not published |