Consultation/report referred slides prepared elsewhere at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$50.60
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.
$230.00
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.
$23.69 with Highmark vs $121.93 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $23.69 | ↓ -53% |
| Univera | Univera Medicare | $29.70 | ↓ -41% |
| Univera | Univera Commercial | $29.70 | ↓ -41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $39.38 | ↓ -22% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $39.38 | ↓ -22% |
| Highmark | Highmark My Direct Blue | $40.54 | ↓ -20% |
| Highmark | Highmark Community Blue Medicare PPO | $42.73 | ↓ -16% |
| Highmark | Highmark Complete Blue Medicare | $42.73 | ↓ -16% |
| Highmark | Highmark Freedom Blue | $43.20 | ↓ -15% |
| Martin's Point | Martin's Point | $46.45 | ↓ -8% |
| American Health Plans | American Health Plans Medicare | $46.45 | ↓ -8% |
| Life Pittsburgh | Life Pittsburgh Medicare | $46.45 | ↓ -8% |
| Devoted Medicare | Devoted Health Medicare Advantage | $47.84 | ↓ -5% |
| United Healthcare | United Healthcare Commercial | $47.84 | ↓ -5% |
| Highmark | Highmark Together Blue Medicare | $48.30 | ↓ -5% |
| Aetna | Aetna Medicare | $48.30 | ↓ -5% |
| Highmark | Highmark Community Blue Medicare HMO | $48.30 | ↓ -5% |
| Highmark | Highmark Security Blue | $48.30 | ↓ -5% |
| Amerihealth | Amerihealth Medicare New York | $48.77 | ↓ -4% |
| Humana | Humana Commercial | $49.23 | ↓ -3% |
| Highmark | Highmark Social Mission Managed Care | $49.45 | ↓ -2% |
| Highmark | Highmark Social Mission Indemnity | $49.45 | ↓ -2% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $49.50 | ↓ -2% |
| United Healthcare | United Healthcare Medicare I-SNP | $49.70 | ↓ -2% |
| United Healthcare | United Healthcare Medicare D-SNP | $50.16 | ↓ -1% |
| Molina | Molina Ohio | $50.63 | ↑ +0% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $54.38 | ↑ +7% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $54.38 | ↑ +7% |
| Geisinger | Geisinger Medicaid HC | $54.38 | ↑ +7% |
| United Healthcare | United Healthcare Medicaid | $54.38 | ↑ +7% |
| Geisinger | Geisinger CHIP | $54.38 | ↑ +7% |
| Highmark | Highmark My Blue Access | $56.75 | ↑ +12% |
| United Healthcare | United Healthcare CHIP | $60.00 | ↑ +19% |
| Univera | Univera Healthy New York | $67.38 | ↑ +33% |
| Univera | Univera Essential Plan | $67.38 | ↑ +33% |
| Highmark | Highmark Performance Blue Enhanced | $67.65 | ↑ +34% |
| Highmark | Highmark Performance Blue | $67.65 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare | $71.31 | ↑ +41% |
| Highmark | Highmark Connect Blue | $72.96 | ↑ +44% |
| Highmark | Highmark Managed Care | $77.02 | ↑ +52% |
| Highmark | Highmark Community Blue | $77.02 | ↑ +52% |
| Highmark | Highmark Indemnity | $77.02 | ↑ +52% |
| Cigna | Cigna Commercial | $80.83 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $81.28 | ↑ +61% |
| Aetna | Aetna Commercial | $89.18 | ↑ +76% |
| Highmark | Highmark Blue High Performance | $96.55 | ↑ +91% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $115.46 | ↑ +128% |
| United Healthcare | United Healthcare Of OH Medicaid | $121.93 | ↑ +141% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $46.45 | $1.00 – $110.23 |
| Harlem Hospital Center | New York | $46.45 | $1.00 – $88.19 |
| Kings County Hospital Center | Brooklyn | $46.45 | $1.00 – $110.23 |
| Lincoln Medical Center | Bronx | $46.45 | $1.00 – $89.59 |
| Metropolitan Hospital Center | New York | $46.45 | $1.00 – $89.59 |
| Queens Hospital Center | Jamaica | $46.45 | $1.00 – $110.23 |
| Woodhull Medical Center | Brooklyn | $46.45 | $1.00 – $110.23 |
| South Brooklyn Health | Brooklyn | $46.45 | $1.00 – $89.59 |