Brief chkin by md/qhp, 11-20 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$15.40
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.
$70.00
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.
$20.41 with Univera vs $49.21 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 | $20.41 | ↑ +33% |
| Univera | Univera Healthy New York | $20.41 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $21.83 | ↑ +42% |
| Univera | Univera Medicare | $22.09 | ↑ +43% |
| Life Pittsburgh | Life Pittsburgh Medicare | $23.47 | ↑ +52% |
| Highmark | Highmark Security Blue | $24.17 | ↑ +57% |
| United Healthcare | United Healthcare Medicaid | $24.21 | ↑ +57% |
| United Healthcare | United Healthcare CHIP | $24.21 | ↑ +57% |
| Devoted Medicare | Devoted Health Medicare Advantage | $24.88 | ↑ +62% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $24.88 | ↑ +62% |
| Highmark | Highmark Together Blue | $24.97 | ↑ +62% |
| American Health Plans | American Health Plans Medicare | $25.82 | ↑ +68% |
| Highmark | Highmark Blue High Performance | $26.41 | ↑ +71% |
| Highmark | Highmark Social Mission Indemnity | $26.41 | ↑ +71% |
| Highmark | Highmark Social Mission Managed Care | $26.41 | ↑ +71% |
| Highmark | Highmark My Direct Blue | $26.41 | ↑ +71% |
| Highmark | Highmark My Blue Access | $26.41 | ↑ +71% |
| Highmark | Highmark Managed Care | $26.41 | ↑ +71% |
| Highmark | Highmark Indemnity | $26.41 | ↑ +71% |
| Highmark | Highmark Connect Blue | $26.41 | ↑ +71% |
| Highmark | Highmark Community Blue | $26.41 | ↑ +71% |
| Highmark | Highmark Performance Blue | $26.41 | ↑ +71% |
| Univera | Univera Commercial | $26.94 | ↑ +75% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $46.68 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $49.21 | ↑ +220% |
| United Healthcare | United Healthcare Of OH Medicaid | $49.21 | ↑ +220% |
Visitor-reported prices
Comments
Brief chkin by md/qhp, 11-20 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $27.13 | $15.49 – $49.86 |
| Harlem Hospital Center | New York | $27.62 | $21.09 – $50.82 |
| Kings County Hospital Center | Brooklyn | $27.62 | $15.49 – $50.82 |
| Lincoln Medical Center | Bronx | $27.62 | $21.09 – $50.82 |
| Metropolitan Hospital Center | New York | $27.13 | $20.69 – $49.86 |
| Queens Hospital Center | Jamaica | $27.15 | $16.38 – $49.66 |
| Woodhull Medical Center | Brooklyn | $27.62 | $16.38 – $50.82 |
| South Brooklyn Health | Brooklyn | $27.62 | $21.09 – $50.82 |