Cls tx of heel fracture w/manip 28405 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$257.84
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.
$1,172.00
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.
$4.75 with Amerihealth vs $2,721.60 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $4.75 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid CHC | $4.75 | ↓ -98% |
| Univera | Univera Essential Plan | $33.81 | ↓ -87% |
| Univera | Univera Healthy New York | $33.81 | ↓ -87% |
| Univera | Univera Medicare | $44.27 | ↓ -83% |
| Univera | Univera Commercial | $49.72 | ↓ -81% |
| Highmark | Highmark Together Blue | $144.80 | ↓ -44% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $227.33 | ↓ -12% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $227.33 | ↓ -12% |
| Highmark | Highmark My Direct Blue | $247.76 | ↓ -4% |
| Highmark | Highmark Complete Blue Medicare | $261.16 | ↑ +1% |
| Highmark | Highmark Community Blue Medicare PPO | $261.16 | ↑ +1% |
| Highmark | Highmark Freedom Blue | $263.99 | ↑ +2% |
| Martin's Point | Martin's Point | $283.86 | ↑ +10% |
| American Health Plans | American Health Plans Medicare | $283.86 | ↑ +10% |
| Life Pittsburgh | Life Pittsburgh Medicare | $283.86 | ↑ +10% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $285.78 | ↑ +11% |
| Devoted Medicare | Devoted Health Medicare Advantage | $292.38 | ↑ +13% |
| United Healthcare | United Healthcare Commercial | $292.38 | ↑ +13% |
| Highmark | Highmark Community Blue Medicare HMO | $295.22 | ↑ +14% |
| Aetna | Aetna Medicare | $295.22 | ↑ +14% |
| Highmark | Highmark Security Blue | $295.22 | ↑ +14% |
| Highmark | Highmark Together Blue Medicare | $295.22 | ↑ +14% |
| Amerihealth | Amerihealth Medicare New York | $298.06 | ↑ +16% |
| Humana | Humana Commercial | $300.90 | ↑ +17% |
| Highmark | Highmark Social Mission Managed Care | $302.20 | ↑ +17% |
| Highmark | Highmark Social Mission Indemnity | $302.20 | ↑ +17% |
| United Healthcare | United Healthcare Medicare I-SNP | $303.73 | ↑ +18% |
| United Healthcare | United Healthcare Medicare D-SNP | $306.57 | ↑ +19% |
| Molina | Molina Ohio | $309.41 | ↑ +20% |
| Geisinger | Geisinger Medicaid HC | $313.93 | ↑ +22% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $313.93 | ↑ +22% |
| Geisinger | Geisinger CHIP | $313.93 | ↑ +22% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $313.93 | ↑ +22% |
| United Healthcare | United Healthcare Medicaid | $313.93 | ↑ +22% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $324.75 | ↑ +26% |
| Jefferson Health Plans | Jefferson Health Plans | $331.25 | ↑ +28% |
| Highmark | Highmark My Blue Access | $346.85 | ↑ +35% |
| Highmark | Highmark Community Blue Medicare | $363.35 | ↑ +41% |
| Highmark | Highmark Performance Blue | $413.48 | ↑ +60% |
| Highmark | Highmark Performance Blue Enhanced | $413.48 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $414.14 | ↑ +61% |
| Highmark | Highmark Connect Blue | $445.92 | ↑ +73% |
| Highmark | Highmark Community Blue | $461.59 | ↑ +79% |
| Highmark | Highmark Indemnity | $461.59 | ↑ +79% |
| Highmark | Highmark Managed Care | $461.59 | ↑ +79% |
| Highmark | Highmark Blue High Performance | $461.59 | ↑ +79% |
| Aetna | Aetna Commercial | $545.02 | ↑ +111% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $635.67 | ↑ +147% |
| Cigna | Cigna Commercial | $658.07 | ↑ +155% |
| United Healthcare | United Healthcare Of OH Medicaid | $670.18 | ↑ +160% |
| United Healthcare | United Healthcare CHIP | $2,721.60 | ↑ +956% |
Visitor-reported prices
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Cls tx of heel fracture w/manip 28405 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $283.86 | $215.22 – $494.00 |
| Harlem Hospital Center | New York | $283.86 | $255.57 – $479.79 |
| Kings County Hospital Center | Brooklyn | $283.86 | $215.22 – $495.58 |
| Lincoln Medical Center | Bronx | $283.86 | $255.57 – $495.58 |
| Metropolitan Hospital Center | New York | $283.86 | $255.57 – $495.58 |
| Queens Hospital Center | Jamaica | $283.86 | $215.22 – $494.00 |
| Woodhull Medical Center | Brooklyn | $283.86 | $215.22 – $495.58 |
| South Brooklyn Health | Brooklyn | $283.86 | $255.57 – $495.58 |