Consult comp w/report rfrd material at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$82.50
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.
?
What you pay up front if you don't use insurance.
$375.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$46.31 with Univera vs $389.34 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Commercial | $46.31 | ↓ -44% |
| Univera | Univera Medicare | $46.31 | ↓ -44% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $51.45 | ↓ -38% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $51.45 | ↓ -38% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $64.68 | ↓ -22% |
| Geisinger | Geisinger Medicaid HC | $71.05 | ↓ -14% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $71.05 | ↓ -14% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $71.05 | ↓ -14% |
| United Healthcare | United Healthcare Medicaid | $71.05 | ↓ -14% |
| Geisinger | Geisinger CHIP | $71.05 | ↓ -14% |
| United Healthcare | United Healthcare CHIP | $78.40 | ↓ -5% |
| Highmark | Highmark Together Blue | $103.44 | ↑ +25% |
| Univera | Univera Healthy New York | $108.63 | ↑ +32% |
| Univera | Univera Essential Plan | $108.63 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $116.21 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $124.96 | ↑ +51% |
| Highmark | Highmark Security Blue | $128.71 | ↑ +56% |
| Cigna | Cigna Commercial | $130.44 | ↑ +58% |
| Devoted Medicare | Devoted Health Medicare Advantage | $132.46 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $132.46 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $137.46 | ↑ +67% |
| Highmark | Highmark My Direct Blue | $155.10 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $155.10 | ↑ +88% |
| Highmark | Highmark Community Blue | $155.10 | ↑ +88% |
| Highmark | Highmark Connect Blue | $155.10 | ↑ +88% |
| Highmark | Highmark Indemnity | $155.10 | ↑ +88% |
| Highmark | Highmark Managed Care | $155.10 | ↑ +88% |
| Highmark | Highmark My Blue Access | $155.10 | ↑ +88% |
| Highmark | Highmark Performance Blue | $155.10 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $155.10 | ↑ +88% |
| Highmark | Highmark Social Mission Managed Care | $155.10 | ↑ +88% |
| Highmark | Highmark Community Blue Medicare PPO | $186.56 | ↑ +126% |
| Highmark | Highmark Complete Blue Medicare | $186.56 | ↑ +126% |
| Highmark | Highmark Freedom Blue | $188.59 | ↑ +129% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $197.93 | ↑ +140% |
| Martin's Point | Martin's Point | $202.78 | ↑ +146% |
| United Healthcare | United Healthcare Commercial | $208.86 | ↑ +153% |
| United Healthcare | United Healthcare Of OH Medicaid | $209.03 | ↑ +153% |
| Aetna | Aetna Medicare | $210.89 | ↑ +156% |
| Highmark | Highmark Community Blue Medicare HMO | $210.89 | ↑ +156% |
| Highmark | Highmark Together Blue Medicare | $210.89 | ↑ +156% |
| Amerihealth | Amerihealth Medicare New York | $212.92 | ↑ +158% |
| Humana | Humana Commercial | $214.95 | ↑ +161% |
| United Healthcare | United Healthcare Medicare I-SNP | $216.98 | ↑ +163% |
| United Healthcare | United Healthcare Medicare D-SNP | $219.00 | ↑ +165% |
| Molina | Molina Ohio | $221.03 | ↑ +168% |
| Highmark | Highmark Performance Blue Enhanced | $295.37 | ↑ +258% |
| Aetna | Aetna Commercial | $389.34 | ↑ +372% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $202.78 | $1.00 – $319.01 |
| Harlem Hospital Center | New York | $202.78 | $1.00 – $319.01 |
| Kings County Hospital Center | Brooklyn | $202.78 | $1.00 – $319.01 |
| Lincoln Medical Center | Bronx | $202.78 | $1.00 – $319.01 |
| Metropolitan Hospital Center | New York | $202.78 | $1.00 – $319.01 |
| Queens Hospital Center | Jamaica | $202.78 | $1.00 – $319.01 |
| Woodhull Medical Center | Brooklyn | $202.78 | $1.00 – $319.01 |
| South Brooklyn Health | Brooklyn | $202.78 | $1.00 – $319.01 |