Audit/dast over 30 min at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$40.92
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.
$186.00
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.
$51.87 with Univera vs $171.00 with Martin's Point — 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 | $51.87 | ↑ +27% |
| Univera | Univera Essential Plan | $51.87 | ↑ +27% |
| United Healthcare | United Healthcare CHIP | $60.66 | ↑ +48% |
| United Healthcare | United Healthcare Medicaid | $60.66 | ↑ +48% |
| Univera | Univera Medicare | $61.02 | ↑ +49% |
| Univera | Univera Commercial | $61.02 | ↑ +49% |
| Highmark | Highmark Together Blue | $71.06 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $75.17 | ↑ +84% |
| Highmark | Highmark Performance Blue | $75.17 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $75.17 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $75.17 | ↑ +84% |
| Highmark | Highmark Managed Care | $75.17 | ↑ +84% |
| Highmark | Highmark Indemnity | $75.17 | ↑ +84% |
| Highmark | Highmark Connect Blue | $75.17 | ↑ +84% |
| Highmark | Highmark Community Blue | $75.17 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $75.17 | ↑ +84% |
| Highmark | Highmark My Blue Access | $75.17 | ↑ +84% |
| Cigna | Cigna Commercial | $100.87 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $122.09 | ↑ +198% |
| United Healthcare | United Healthcare Commercial | $128.72 | ↑ +215% |
| United Healthcare | United Healthcare Of OH Medicaid | $128.72 | ↑ +215% |
| Martin's Point | Martin's Point | $171.00 | ↑ +318% |
Visitor-reported prices
Comments
Audit/dast over 30 min at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $731.00 | $76.00 – $488.71 |
| Rochester General Hospital | Rochester | $272.27 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $272.27 | $49.75 – $87.84 |
| Gouverneur Hospital | Gouverneur | $303.09 | $43.51 – $43.51 |
| Massena Hospital | Massena | $292.97 | $43.51 – $43.51 |
| Canton-Potsdam Hospital | Potsdam | $297.16 | not published |
| The Unity Hospital of Rochester | Rochester | $335.10 | not published |
| Newark Wayne Community Hospital | Newark | $272.27 | not published |