Care mgmt svc bhvl hlth cond at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$26.62
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.
$121.00
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.
$17.98 with Highmark vs $70.39 with Cigna — 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 | $17.98 | ↓ -32% |
| Highmark | Highmark My Direct Blue | $30.77 | ↑ +16% |
| Highmark | Highmark Community Blue Medicare PPO | $32.43 | ↑ +22% |
| Highmark | Highmark Complete Blue Medicare | $32.43 | ↑ +22% |
| Highmark | Highmark Freedom Blue | $32.78 | ↑ +23% |
| Life Pittsburgh | Life Pittsburgh Medicare | $35.25 | ↑ +32% |
| Martin's Point | Martin's Point | $35.25 | ↑ +32% |
| American Health Plans | American Health Plans Medicare | $35.25 | ↑ +32% |
| Univera | Univera Healthy New York | $36.15 | ↑ +36% |
| Univera | Univera Essential Plan | $36.15 | ↑ +36% |
| United Healthcare | United Healthcare Commercial | $36.31 | ↑ +36% |
| Devoted Medicare | Devoted Health Medicare Advantage | $36.31 | ↑ +36% |
| Highmark | Highmark Together Blue Medicare | $36.66 | ↑ +38% |
| Highmark | Highmark Security Blue | $36.66 | ↑ +38% |
| Aetna | Aetna Medicare | $36.66 | ↑ +38% |
| Highmark | Highmark Community Blue Medicare HMO | $36.66 | ↑ +38% |
| Amerihealth | Amerihealth Medicare New York | $37.01 | ↑ +39% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $37.01 | ↑ +39% |
| Humana | Humana Commercial | $37.37 | ↑ +40% |
| Highmark | Highmark Community Blue Medicare | $37.40 | ↑ +40% |
| Highmark | Highmark Social Mission Managed Care | $37.53 | ↑ +41% |
| Highmark | Highmark Social Mission Indemnity | $37.53 | ↑ +41% |
| United Healthcare | United Healthcare Medicare I-SNP | $37.72 | ↑ +42% |
| United Healthcare | United Healthcare Medicare D-SNP | $38.07 | ↑ +43% |
| Molina | Molina Ohio | $38.43 | ↑ +44% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $38.69 | ↑ +45% |
| Jefferson Health Plans | Jefferson Health Plans | $39.46 | ↑ +48% |
| United Healthcare | United Healthcare Medicaid | $41.26 | ↑ +55% |
| Geisinger | Geisinger Medicaid HC | $41.26 | ↑ +55% |
| Geisinger | Geisinger CHIP | $41.26 | ↑ +55% |
| United Healthcare | United Healthcare CHIP | $41.26 | ↑ +55% |
| Amerihealth | Amerihealth Medicaid CHC | $42.55 | ↑ +60% |
| Amerihealth | Amerihealth Medicaid HC | $42.55 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $42.62 | ↑ +60% |
| Highmark | Highmark My Blue Access | $43.07 | ↑ +62% |
| Univera | Univera Medicare | $45.51 | ↑ +71% |
| Highmark | Highmark Performance Blue | $51.35 | ↑ +93% |
| Highmark | Highmark Performance Blue Enhanced | $51.35 | ↑ +93% |
| Highmark | Highmark Blue High Performance | $52.38 | ↑ +97% |
| Highmark | Highmark Managed Care | $52.38 | ↑ +97% |
| Highmark | Highmark Indemnity | $52.38 | ↑ +97% |
| Highmark | Highmark Connect Blue | $52.38 | ↑ +97% |
| Highmark | Highmark Community Blue | $52.38 | ↑ +97% |
| Univera | Univera Commercial | $53.16 | ↑ +100% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $58.12 | ↑ +118% |
| United Healthcare | United Healthcare Of OH Medicaid | $61.28 | ↑ +130% |
| Aetna | Aetna Commercial | $67.68 | ↑ +154% |
| Cigna | Cigna Commercial | $70.39 | ↑ +164% |
Visitor-reported prices
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Care mgmt svc bhvl hlth cond at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $38.28 | $0.01 – $70.16 |
| Harlem Hospital Center | New York | $35.25 | $0.01 – $70.16 |
| Kings County Hospital Center | Brooklyn | $38.28 | $0.01 – $70.16 |
| Lincoln Medical Center | Bronx | $35.25 | $0.01 – $70.16 |
| Metropolitan Hospital Center | New York | $35.25 | $0.01 – $70.16 |
| Queens Hospital Center | Jamaica | $38.28 | $0.01 – $70.16 |
| Woodhull Medical Center | Brooklyn | $38.28 | $0.01 – $70.16 |
| South Brooklyn Health | Brooklyn | $35.25 | $0.01 – $70.16 |