Ascvd rsk mng clin stf pr mo at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$5.50
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.
$25.00
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.
$7.45 with Univera vs $210.16 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 | $7.45 | ↑ +35% |
| Univera | Univera Healthy New York | $7.45 | ↑ +35% |
| Highmark | Highmark Community Blue Medicare | $7.86 | ↑ +43% |
| Univera | Univera Medicare | $8.06 | ↑ +47% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8.45 | ↑ +54% |
| Highmark | Highmark Security Blue | $8.70 | ↑ +58% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $8.96 | ↑ +63% |
| Devoted Medicare | Devoted Health Medicare Advantage | $8.96 | ↑ +63% |
| American Health Plans | American Health Plans Medicare | $9.30 | ↑ +69% |
| Univera | Univera Commercial | $9.83 | ↑ +79% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $17.24 | ↑ +213% |
| United Healthcare | United Healthcare Of OH Medicaid | $18.17 | ↑ +230% |
| United Healthcare | United Healthcare Commercial | $18.17 | ↑ +230% |
| Martin's Point | Martin's Point | $37.00 | ↑ +573% |
| Highmark | Highmark Together Blue | $55.84 | ↑ +915% |
| Highmark | Highmark My Direct Blue | $95.54 | ↑ +1637% |
| Highmark | Highmark Community Blue Medicare PPO | $100.70 | ↑ +1731% |
| Highmark | Highmark Complete Blue Medicare | $100.70 | ↑ +1731% |
| Highmark | Highmark Freedom Blue | $101.80 | ↑ +1751% |
| Aetna | Aetna Medicare | $113.84 | ↑ +1970% |
| Highmark | Highmark Together Blue Medicare | $113.84 | ↑ +1970% |
| Highmark | Highmark Community Blue Medicare HMO | $113.84 | ↑ +1970% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $114.93 | ↑ +1990% |
| Amerihealth | Amerihealth Medicare New York | $114.93 | ↑ +1990% |
| Humana | Humana Commercial | $116.03 | ↑ +2010% |
| Highmark | Highmark Social Mission Managed Care | $116.53 | ↑ +2019% |
| Highmark | Highmark Social Mission Indemnity | $116.53 | ↑ +2019% |
| United Healthcare | United Healthcare Medicare I-SNP | $117.12 | ↑ +2029% |
| United Healthcare | United Healthcare Medicare D-SNP | $118.22 | ↑ +2049% |
| Molina | Molina Ohio | $119.31 | ↑ +2069% |
| Highmark | Highmark My Blue Access | $133.75 | ↑ +2332% |
| Highmark | Highmark Performance Blue Enhanced | $159.44 | ↑ +2799% |
| Highmark | Highmark Performance Blue | $159.44 | ↑ +2799% |
| Highmark | Highmark Connect Blue | $171.95 | ↑ +3026% |
| Highmark | Highmark Managed Care | $181.51 | ↑ +3200% |
| Highmark | Highmark Indemnity | $181.51 | ↑ +3200% |
| Highmark | Highmark Community Blue | $181.51 | ↑ +3200% |
| Aetna | Aetna Commercial | $210.16 | ↑ +3721% |
Visitor-reported prices
Comments
Ascvd rsk mng clin stf pr mo at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $109.46 | $0.01 – $645.00 |
| Harlem Hospital Center | New York | $109.46 | $0.01 – $645.00 |
| Kings County Hospital Center | Brooklyn | $109.46 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx | $109.46 | $0.01 – $645.00 |
| Metropolitan Hospital Center | New York | $109.46 | $0.01 – $645.00 |
| Queens Hospital Center | Jamaica | $109.46 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn | $109.46 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn | $109.46 | $0.01 – $645.00 |