Biopsy of nail unit 11755 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$37.40
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.
$170.00
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.
$49.52 with Univera vs $1,598.59 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 Healthy New York | $49.52 | ↑ +32% |
| Univera | Univera Essential Plan | $49.52 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $52.76 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $56.73 | ↑ +52% |
| Highmark | Highmark Security Blue | $58.43 | ↑ +56% |
| Highmark | Highmark Together Blue | $59.62 | ↑ +59% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $60.13 | ↑ +61% |
| Univera | Univera Medicare | $60.13 | ↑ +61% |
| Devoted Medicare | Devoted Health Medicare Advantage | $60.13 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $62.40 | ↑ +67% |
| Highmark | Highmark Managed Care | $63.06 | ↑ +69% |
| Highmark | Highmark Indemnity | $63.06 | ↑ +69% |
| Highmark | Highmark Social Mission Managed Care | $63.06 | ↑ +69% |
| Highmark | Highmark Social Mission Indemnity | $63.06 | ↑ +69% |
| Highmark | Highmark Performance Blue | $63.06 | ↑ +69% |
| Highmark | Highmark Blue High Performance | $63.06 | ↑ +69% |
| Highmark | Highmark Community Blue | $63.06 | ↑ +69% |
| Highmark | Highmark Connect Blue | $63.06 | ↑ +69% |
| Highmark | Highmark My Direct Blue | $63.06 | ↑ +69% |
| Highmark | Highmark My Blue Access | $63.06 | ↑ +69% |
| Univera | Univera Commercial | $65.33 | ↑ +75% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $79.02 | ↑ +111% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $79.02 | ↑ +111% |
| Cigna | Cigna Commercial | $96.60 | ↑ +158% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $99.34 | ↑ +166% |
| Geisinger | Geisinger Medicaid HC | $109.13 | ↑ +192% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $109.13 | ↑ +192% |
| Geisinger | Geisinger CHIP | $109.13 | ↑ +192% |
| United Healthcare | United Healthcare Medicaid | $109.13 | ↑ +192% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $109.13 | ↑ +192% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $112.89 | ↑ +202% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $113.91 | ↑ +205% |
| Jefferson Health Plans | Jefferson Health Plans | $115.15 | ↑ +208% |
| United Healthcare | United Healthcare Of OH Medicaid | $120.10 | ↑ +221% |
| United Healthcare | United Healthcare Commercial | $120.10 | ↑ +221% |
| United Healthcare | United Healthcare CHIP | $120.42 | ↑ +222% |
| Martin's Point | Martin's Point | $337.00 | ↑ +801% |
| Amerihealth | Amerihealth Medicaid CHC | $348.06 | ↑ +831% |
| Amerihealth | Amerihealth Medicaid HC | $348.06 | ↑ +831% |
| Highmark | Highmark Community Blue Medicare PPO | $765.99 | ↑ +1948% |
| Highmark | Highmark Complete Blue Medicare | $765.99 | ↑ +1948% |
| Highmark | Highmark Freedom Blue | $774.32 | ↑ +1970% |
| Highmark | Highmark Together Blue Medicare | $865.90 | ↑ +2215% |
| Aetna | Aetna Medicare | $865.90 | ↑ +2215% |
| Highmark | Highmark Community Blue Medicare HMO | $865.90 | ↑ +2215% |
| Amerihealth | Amerihealth Medicare New York | $874.23 | ↑ +2238% |
| Humana | Humana Commercial | $882.56 | ↑ +2260% |
| United Healthcare | United Healthcare Medicare I-SNP | $890.88 | ↑ +2282% |
| United Healthcare | United Healthcare Medicare D-SNP | $899.21 | ↑ +2304% |
| Molina | Molina Ohio | $907.53 | ↑ +2327% |
| Highmark | Highmark Performance Blue Enhanced | $1,212.77 | ↑ +3143% |
| Aetna | Aetna Commercial | $1,598.59 | ↑ +4174% |
Visitor-reported prices
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Biopsy of nail unit 11755 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $832.60 | $0.01 – $1,325.93 |
| Harlem Hospital Center | New York | $832.60 | $0.01 – $998.86 |
| Kings County Hospital Center | Brooklyn | $832.60 | $0.01 – $1,325.93 |
| Lincoln Medical Center | Bronx | $832.60 | $0.01 – $998.86 |
| Metropolitan Hospital Center | New York | $832.60 | $0.01 – $998.86 |
| UPMC Chautauqua | Jamestown | $2,876.40 | $50.78 – $4,314.60 |
| Queens Hospital Center | Jamaica | $832.60 | $0.01 – $1,325.93 |
| Woodhull Medical Center | Brooklyn | $832.60 | $0.01 – $1,325.93 |