Consultation/report referred material w/preparation of slides at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$53.46
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.
$243.00
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.
$10.36 with Jefferson Health Plans vs $121.40 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 |
|---|---|---|---|
| Jefferson Health Plans | Jefferson Health Plans | $10.36 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid HC | $10.36 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid CHC | $10.36 | ↓ -81% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15.54 | ↓ -71% |
| Geisinger | Geisinger CHIP | $16.58 | ↓ -69% |
| United Healthcare | United Healthcare CHIP | $16.58 | ↓ -69% |
| Geisinger | Geisinger Medicaid HC | $16.58 | ↓ -69% |
| United Healthcare | United Healthcare Medicaid | $16.58 | ↓ -69% |
| Univera | Univera Healthy New York | $23.84 | ↓ -55% |
| Univera | Univera Essential Plan | $23.84 | ↓ -55% |
| Highmark | Highmark Together Blue | $26.63 | ↓ -50% |
| Cigna | Cigna Commercial | $28.01 | ↓ -48% |
| Univera | Univera Medicare | $28.04 | ↓ -48% |
| Highmark | Highmark Community Blue | $28.17 | ↓ -47% |
| Highmark | Highmark Social Mission Managed Care | $28.17 | ↓ -47% |
| Highmark | Highmark Blue High Performance | $28.17 | ↓ -47% |
| Highmark | Highmark Managed Care | $28.17 | ↓ -47% |
| Highmark | Highmark My Blue Access | $28.17 | ↓ -47% |
| Highmark | Highmark My Direct Blue | $28.17 | ↓ -47% |
| Highmark | Highmark Performance Blue | $28.17 | ↓ -47% |
| Highmark | Highmark Connect Blue | $28.17 | ↓ -47% |
| Highmark | Highmark Social Mission Indemnity | $28.17 | ↓ -47% |
| Highmark | Highmark Indemnity | $28.17 | ↓ -47% |
| Univera | Univera Commercial | $30.85 | ↓ -42% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $33.50 | ↓ -37% |
| United Healthcare | United Healthcare Commercial | $35.38 | ↓ -34% |
| United Healthcare | United Healthcare Of OH Medicaid | $35.38 | ↓ -34% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $57.32 | ↑ +7% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $57.32 | ↑ +7% |
| Highmark | Highmark Complete Blue Medicare | $58.17 | ↑ +9% |
| Highmark | Highmark Community Blue Medicare PPO | $58.17 | ↑ +9% |
| Highmark | Highmark Freedom Blue | $58.80 | ↑ +10% |
| Martin's Point | Martin's Point | $63.23 | ↑ +18% |
| American Health Plans | American Health Plans Medicare | $63.23 | ↑ +18% |
| Life Pittsburgh | Life Pittsburgh Medicare | $63.23 | ↑ +18% |
| Devoted Medicare | Devoted Health Medicare Advantage | $65.12 | ↑ +22% |
| Aetna | Aetna Medicare | $65.76 | ↑ +23% |
| Highmark | Highmark Together Blue Medicare | $65.76 | ↑ +23% |
| Highmark | Highmark Community Blue Medicare HMO | $65.76 | ↑ +23% |
| Highmark | Highmark Security Blue | $65.76 | ↑ +23% |
| Amerihealth | Amerihealth Medicare New York | $66.39 | ↑ +24% |
| Humana | Humana Commercial | $67.02 | ↑ +25% |
| United Healthcare | United Healthcare Medicare I-SNP | $67.65 | ↑ +27% |
| United Healthcare | United Healthcare Medicare D-SNP | $68.29 | ↑ +28% |
| Molina | Molina Ohio | $68.92 | ↑ +29% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $72.06 | ↑ +35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $79.16 | ↑ +48% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $79.16 | ↑ +48% |
| Highmark | Highmark Performance Blue Enhanced | $92.10 | ↑ +72% |
| Aetna | Aetna Commercial | $121.40 | ↑ +127% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $63.23 | $1.00 – $125.75 |
| Harlem Hospital Center | New York | $63.23 | $1.00 – $125.75 |
| Kings County Hospital Center | Brooklyn | $63.23 | $1.00 – $127.78 |
| Lincoln Medical Center | Bronx | $63.23 | $1.00 – $127.78 |
| Metropolitan Hospital Center | New York | $63.23 | $1.00 – $127.78 |
| UPMC Chautauqua | Jamestown | $96.00 | $12.61 – $163.72 |
| Queens Hospital Center | Jamaica | $63.23 | $1.00 – $127.08 |
| Woodhull Medical Center | Brooklyn | $63.23 | $1.00 – $127.78 |