Colonoscopy (diagnostic) at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$112.64
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.
$512.00
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.
$74.37 with Univera vs $2,071.45 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 Essential Plan | $74.37 | ↓ -34% |
| Univera | Univera Healthy New York | $74.37 | ↓ -34% |
| Highmark | Highmark Community Blue Medicare | $79.66 | ↓ -29% |
| Life Pittsburgh | Life Pittsburgh Medicare | $85.66 | ↓ -24% |
| Highmark | Highmark Security Blue | $88.23 | ↓ -22% |
| Devoted Medicare | Devoted Health Medicare Advantage | $90.80 | ↓ -19% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $90.80 | ↓ -19% |
| American Health Plans | American Health Plans Medicare | $94.23 | ↓ -16% |
| Univera | Univera Medicare | $102.10 | ↓ -9% |
| Univera | Univera Commercial | $132.99 | ↑ +18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $189.53 | ↑ +68% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $189.53 | ↑ +68% |
| Highmark | Highmark Together Blue | $220.40 | ↑ +96% |
| Highmark | Highmark My Direct Blue | $233.15 | ↑ +107% |
| Highmark | Highmark Blue High Performance | $233.15 | ↑ +107% |
| Highmark | Highmark Community Blue | $233.15 | ↑ +107% |
| Highmark | Highmark Connect Blue | $233.15 | ↑ +107% |
| Highmark | Highmark Indemnity | $233.15 | ↑ +107% |
| Highmark | Highmark Managed Care | $233.15 | ↑ +107% |
| Highmark | Highmark My Blue Access | $233.15 | ↑ +107% |
| Highmark | Highmark Performance Blue | $233.15 | ↑ +107% |
| Highmark | Highmark Social Mission Indemnity | $233.15 | ↑ +107% |
| Highmark | Highmark Social Mission Managed Care | $233.15 | ↑ +107% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $238.26 | ↑ +112% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $261.73 | ↑ +132% |
| Geisinger | Geisinger Medicaid HC | $261.73 | ↑ +132% |
| United Healthcare | United Healthcare Medicaid | $261.73 | ↑ +132% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $261.73 | ↑ +132% |
| Geisinger | Geisinger CHIP | $261.73 | ↑ +132% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $270.75 | ↑ +140% |
| Jefferson Health Plans | Jefferson Health Plans | $276.17 | ↑ +145% |
| Cigna | Cigna Commercial | $290.37 | ↑ +158% |
| Amerihealth | Amerihealth Medicaid HC | $297.83 | ↑ +164% |
| Amerihealth | Amerihealth Medicaid CHC | $297.83 | ↑ +164% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $340.55 | ↑ +202% |
| United Healthcare | United Healthcare Of OH Medicaid | $359.04 | ↑ +219% |
| United Healthcare | United Healthcare Commercial | $359.04 | ↑ +219% |
| United Healthcare | United Healthcare CHIP | $708.80 | ↑ +529% |
| Highmark | Highmark Complete Blue Medicare | $992.57 | ↑ +781% |
| Highmark | Highmark Community Blue Medicare PPO | $992.57 | ↑ +781% |
| Highmark | Highmark Freedom Blue | $1,003.36 | ↑ +791% |
| Martin's Point | Martin's Point | $1,078.88 | ↑ +858% |
| Highmark | Highmark Community Blue Medicare HMO | $1,122.04 | ↑ +896% |
| Highmark | Highmark Together Blue Medicare | $1,122.04 | ↑ +896% |
| Aetna | Aetna Medicare | $1,122.04 | ↑ +896% |
| Amerihealth | Amerihealth Medicare New York | $1,132.83 | ↑ +906% |
| Humana | Humana Commercial | $1,143.61 | ↑ +915% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,154.40 | ↑ +925% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,165.19 | ↑ +934% |
| Molina | Molina Ohio | $1,175.98 | ↑ +944% |
| Highmark | Highmark Performance Blue Enhanced | $1,571.50 | ↑ +1295% |
| Aetna | Aetna Commercial | $2,071.45 | ↑ +1739% |
Visitor-reported prices
Comments
Colonoscopy (diagnostic) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,078.88 | $0.01 – $1,741.28 |
| Harlem Hospital Center | New York | $1,078.88 | $0.01 – $1,311.76 |
| Kings County Hospital Center | Brooklyn | $1,078.88 | $0.01 – $1,741.28 |
| Lincoln Medical Center | Bronx | $1,078.88 | $0.01 – $1,311.76 |
| Metropolitan Hospital Center | New York | $1,078.88 | $0.01 – $1,311.76 |
| UPMC Chautauqua | Jamestown | $1,500.00 | $153.62 – $2,250.00 |
| Queens Hospital Center | Jamaica | $1,078.88 | $0.01 – $1,741.28 |
| Woodhull Medical Center | Brooklyn | $1,078.88 | $0.01 – $1,741.28 |