Dbrdmt prmlg les w/pdt at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
not published by hospital
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.
not published by hospital
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.
$119.94 with Highmark vs $492.23 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 | $119.94 | — |
| Highmark | Highmark My Direct Blue | $205.22 | — |
| Highmark | Highmark Community Blue Medicare PPO | $216.32 | — |
| Highmark | Highmark Complete Blue Medicare | $216.32 | — |
| Highmark | Highmark Freedom Blue | $218.67 | — |
| Univera | Univera Healthy New York | $224.82 | — |
| Univera | Univera Essential Plan | $224.82 | — |
| American Health Plans | American Health Plans Medicare | $235.13 | — |
| Martin's Point | Martin's Point | $235.13 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $235.13 | — |
| United Healthcare | United Healthcare Commercial | $242.19 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $242.19 | — |
| Highmark | Highmark Community Blue Medicare HMO | $244.54 | — |
| Aetna | Aetna Medicare | $244.54 | — |
| Highmark | Highmark Together Blue Medicare | $244.54 | — |
| Highmark | Highmark Security Blue | $244.54 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $246.89 | — |
| Amerihealth | Amerihealth Medicare New York | $246.89 | — |
| Humana | Humana Commercial | $249.24 | — |
| Highmark | Highmark Social Mission Managed Care | $250.32 | — |
| Highmark | Highmark Social Mission Indemnity | $250.32 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $251.59 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $253.94 | — |
| Molina | Molina Ohio | $256.30 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $282.81 | — |
| Univera | Univera Medicare | $286.17 | — |
| Highmark | Highmark My Blue Access | $287.31 | — |
| Jefferson Health Plans | Jefferson Health Plans | $288.47 | — |
| Highmark | Highmark Community Blue | $291.84 | — |
| Highmark | Highmark Managed Care | $291.84 | — |
| Highmark | Highmark Indemnity | $291.84 | — |
| Highmark | Highmark Connect Blue | $291.84 | — |
| Highmark | Highmark Performance Blue | $291.84 | — |
| Highmark | Highmark Blue High Performance | $291.84 | — |
| Univera | Univera Commercial | $300.65 | — |
| United Healthcare | United Healthcare CHIP | $301.66 | — |
| Geisinger | Geisinger CHIP | $301.66 | — |
| Geisinger | Geisinger Medicaid HC | $301.66 | — |
| United Healthcare | United Healthcare Medicaid | $301.66 | — |
| Amerihealth | Amerihealth Medicaid HC | $311.09 | — |
| Amerihealth | Amerihealth Medicaid CHC | $311.09 | — |
| Highmark | Highmark Performance Blue Enhanced | $342.50 | — |
| Cigna | Cigna Commercial | $427.96 | — |
| Aetna | Aetna Commercial | $451.46 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $466.88 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $492.23 | — |
Visitor-reported prices
Comments
Dbrdmt prmlg les w/pdt at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $235.13 | $160.62 – $500.90 |
| Harlem Hospital Center | New York | $235.13 | $188.11 – $500.90 |
| Kings County Hospital Center | Brooklyn | $235.13 | $160.62 – $500.90 |
| Lincoln Medical Center | Bronx | $235.13 | $188.11 – $500.90 |
| Metropolitan Hospital Center | New York | $235.13 | $188.11 – $500.90 |
| Queens Hospital Center | Jamaica | $235.13 | $160.62 – $500.90 |
| Woodhull Medical Center | Brooklyn | $235.13 | $160.62 – $500.90 |
| South Brooklyn Health | Brooklyn | $235.13 | $188.11 – $500.90 |