Dx aly aud oi snd prcsr each 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.
$13.92 with Amerihealth vs $34.90 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $13.92 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $13.92 | — |
| Univera | Univera Essential Plan | $14.38 | — |
| Univera | Univera Healthy New York | $14.38 | — |
| Highmark | Highmark Community Blue Medicare | $15.10 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $16.24 | — |
| Highmark | Highmark Security Blue | $16.73 | — |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $17.21 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $17.21 | — |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $17.50 | — |
| American Health Plans | American Health Plans Medicare | $17.86 | — |
| Univera | Univera Medicare | $17.90 | — |
| Highmark | Highmark Together Blue | $18.33 | — |
| Univera | Univera Commercial | $18.86 | — |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $19.23 | — |
| Geisinger | Geisinger Medicaid HC | $19.23 | — |
| Geisinger | Geisinger CHIP | $19.23 | — |
| United Healthcare | United Healthcare Medicaid | $19.23 | — |
| Amerihealth | Amerihealth Caritas HC Medicaid | $19.23 | — |
| Highmark | Highmark Performance Blue | $19.38 | — |
| Highmark | Highmark Social Mission Indemnity | $19.38 | — |
| Highmark | Highmark Social Mission Managed Care | $19.38 | — |
| Highmark | Highmark Indemnity | $19.38 | — |
| Highmark | Highmark Connect Blue | $19.38 | — |
| Highmark | Highmark Managed Care | $19.38 | — |
| Highmark | Highmark My Blue Access | $19.38 | — |
| Highmark | Highmark My Direct Blue | $19.38 | — |
| Highmark | Highmark Blue High Performance | $19.38 | — |
| Highmark | Highmark Community Blue | $19.38 | — |
| Cigna | Cigna Commercial | $27.78 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $33.10 | — |
| United Healthcare | United Healthcare Commercial | $34.90 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $34.90 | — |
Visitor-reported prices
Comments
Dx aly aud oi snd prcsr each at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $164.07 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $164.07 | $11.94 – $16.99 |
| Gouverneur Hospital | Gouverneur | $167.82 | not published |
| Massena Hospital | Massena | $167.82 | not published |
| Canton-Potsdam Hospital | Potsdam | $170.22 | $12.49 – $14.57 |
| The Unity Hospital of Rochester | Rochester | $201.94 | not published |
| Newark Wayne Community Hospital | Newark | $164.07 | $13.88 – $28.92 |
| Bellevue Hospital Center | NY 10016 | not published | $14.38 – $242.25 |