Biospy of bladder at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$569.40
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.
$730.00
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.
$146.81 with Highmark vs $552.59 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $146.81 | ↓ -74% |
| United Healthcare | United Healthcare CHIP | $209.71 | ↓ -63% |
| United Healthcare | United Healthcare Medicaid | $209.71 | ↓ -63% |
| Highmark | Highmark My Direct Blue | $251.20 | ↓ -56% |
| Highmark | Highmark Complete Blue Medicare | $264.78 | ↓ -53% |
| Highmark | Highmark Community Blue Medicare PPO | $264.78 | ↓ -53% |
| Highmark | Highmark Freedom Blue | $267.66 | ↓ -53% |
| Life Pittsburgh | Life Pittsburgh Medicare | $287.80 | ↓ -49% |
| American Health Plans | American Health Plans Medicare | $287.80 | ↓ -49% |
| Martin's Point | Martin's Point | $287.80 | ↓ -49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $296.44 | ↓ -48% |
| United Healthcare | United Healthcare Commercial | $296.44 | ↓ -48% |
| Highmark | Highmark Community Blue Medicare HMO | $299.32 | ↓ -47% |
| Aetna | Aetna Medicare | $299.32 | ↓ -47% |
| Highmark | Highmark Security Blue | $299.32 | ↓ -47% |
| Highmark | Highmark Together Blue Medicare | $299.32 | ↓ -47% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $302.20 | ↓ -47% |
| Amerihealth | Amerihealth Medicare New York | $302.20 | ↓ -47% |
| Humana | Humana Commercial | $305.07 | ↓ -46% |
| Highmark | Highmark Social Mission Indemnity | $306.40 | ↓ -46% |
| Highmark | Highmark Social Mission Managed Care | $306.40 | ↓ -46% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.95 | ↓ -46% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.83 | ↓ -45% |
| Molina | Molina Ohio | $313.71 | ↓ -45% |
| Highmark | Highmark My Blue Access | $351.67 | ↓ -38% |
| Highmark | Highmark Performance Blue | $419.22 | ↓ -26% |
| Highmark | Highmark Performance Blue Enhanced | $419.22 | ↓ -26% |
| Highmark | Highmark Connect Blue | $452.11 | ↓ -21% |
| Highmark | Highmark Managed Care | $477.24 | ↓ -16% |
| Highmark | Highmark Indemnity | $477.24 | ↓ -16% |
| Highmark | Highmark Community Blue | $477.24 | ↓ -16% |
| Aetna | Aetna Commercial | $552.59 | ↓ -3% |
Visitor-reported prices
Comments
Biospy of bladder at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $287.81 | $0.01 – $781.00 |
| Harlem Hospital Center | New York | $287.81 | $0.01 – $781.00 |
| Kings County Hospital Center | Brooklyn | $287.81 | $0.01 – $781.00 |
| Lincoln Medical Center | Bronx | $287.81 | $0.01 – $781.00 |
| Metropolitan Hospital Center | New York | $287.81 | $0.01 – $781.00 |
| UPMC Chautauqua | Jamestown | $240.00 | $220.00 – $745.25 |
| Queens Hospital Center | Jamaica | $287.81 | $0.01 – $781.00 |
| Woodhull Medical Center | Brooklyn | $287.81 | $0.01 – $781.00 |