Cystourethro w/addl implant 52442 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$31.24
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.
$142.00
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.
$40.73 with Univera vs $98.50 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $40.73 | ↑ +30% |
| Univera | Univera Healthy New York | $40.73 | ↑ +30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $41.48 | ↑ +33% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $41.48 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $43.95 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $47.26 | ↑ +51% |
| Highmark | Highmark Security Blue | $48.68 | ↑ +56% |
| Univera | Univera Medicare | $49.68 | ↑ +59% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $50.10 | ↑ +60% |
| Devoted Medicare | Devoted Health Medicare Advantage | $50.10 | ↑ +60% |
| American Health Plans | American Health Plans Medicare | $51.99 | ↑ +66% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $52.14 | ↑ +67% |
| Geisinger | Geisinger Medicaid HC | $57.28 | ↑ +83% |
| Geisinger | Geisinger CHIP | $57.28 | ↑ +83% |
| United Healthcare | United Healthcare Medicaid | $57.28 | ↑ +83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $57.28 | ↑ +83% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $57.28 | ↑ +83% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $59.25 | ↑ +90% |
| Jefferson Health Plans | Jefferson Health Plans | $60.44 | ↑ +93% |
| United Healthcare | United Healthcare CHIP | $63.20 | ↑ +102% |
| Highmark | Highmark Together Blue | $63.97 | ↑ +105% |
| Univera | Univera Commercial | $64.69 | ↑ +107% |
| Amerihealth | Amerihealth Medicaid HC | $65.18 | ↑ +109% |
| Amerihealth | Amerihealth Medicaid CHC | $65.18 | ↑ +109% |
| Highmark | Highmark Indemnity | $67.66 | ↑ +117% |
| Highmark | Highmark My Blue Access | $67.66 | ↑ +117% |
| Highmark | Highmark My Direct Blue | $67.66 | ↑ +117% |
| Highmark | Highmark Performance Blue | $67.66 | ↑ +117% |
| Highmark | Highmark Social Mission Indemnity | $67.66 | ↑ +117% |
| Highmark | Highmark Social Mission Managed Care | $67.66 | ↑ +117% |
| Highmark | Highmark Blue High Performance | $67.66 | ↑ +117% |
| Highmark | Highmark Community Blue | $67.66 | ↑ +117% |
| Highmark | Highmark Connect Blue | $67.66 | ↑ +117% |
| Highmark | Highmark Managed Care | $67.66 | ↑ +117% |
| Cigna | Cigna Commercial | $79.86 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $93.43 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $98.50 | ↑ +215% |
| United Healthcare | United Healthcare Of OH Medicaid | $98.50 | ↑ +215% |
Visitor-reported prices
Comments
Cystourethro w/addl implant 52442 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $1,611.14 | not published |
| Newark Wayne Community Hospital | Newark | $1,611.14 | $42.45 – $88.45 |
| Bellevue Hospital Center | NY 10016 | not published | $40.31 – $1,266.23 |
| Harlem Hospital Center | New York | not published | $55.71 – $1,266.23 |
| Kings County Hospital Center | Brooklyn | not published | $40.31 – $1,266.23 |
| Lincoln Medical Center | Bronx | not published | $57.19 – $1,266.23 |
| Metropolitan Hospital Center | New York | not published | $57.19 – $1,266.23 |
| Queens Hospital Center | Jamaica | not published | $40.31 – $1,266.23 |