Endoluminal bx biliary tree at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$6,193.20
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.
$7,940.00
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.
$113.86 with Univera vs $284.33 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 Healthy New York | $113.86 | ↓ -98% |
| Univera | Univera Essential Plan | $113.86 | ↓ -98% |
| Highmark | Highmark Community Blue Medicare | $121.77 | ↓ -98% |
| Life Pittsburgh | Life Pittsburgh Medicare | $130.94 | ↓ -98% |
| Highmark | Highmark Security Blue | $134.87 | ↓ -98% |
| Devoted Medicare | Devoted Health Medicare Advantage | $138.80 | ↓ -98% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $138.80 | ↓ -98% |
| Univera | Univera Medicare | $142.91 | ↓ -98% |
| American Health Plans | American Health Plans Medicare | $144.03 | ↓ -98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $144.18 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $144.18 | ↓ -98% |
| Highmark | Highmark Together Blue | $147.90 | ↓ -98% |
| Highmark | Highmark Connect Blue | $156.44 | ↓ -97% |
| Highmark | Highmark Indemnity | $156.44 | ↓ -97% |
| Highmark | Highmark Managed Care | $156.44 | ↓ -97% |
| Highmark | Highmark My Blue Access | $156.44 | ↓ -97% |
| Highmark | Highmark My Direct Blue | $156.44 | ↓ -97% |
| Highmark | Highmark Performance Blue | $156.44 | ↓ -97% |
| Highmark | Highmark Social Mission Managed Care | $156.44 | ↓ -97% |
| Highmark | Highmark Blue High Performance | $156.44 | ↓ -97% |
| Highmark | Highmark Community Blue | $156.44 | ↓ -97% |
| Highmark | Highmark Social Mission Indemnity | $156.44 | ↓ -97% |
| Univera | Univera Commercial | $167.44 | ↓ -97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $181.25 | ↓ -97% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $199.10 | ↓ -97% |
| Geisinger | Geisinger CHIP | $199.10 | ↓ -97% |
| Geisinger | Geisinger Medicaid HC | $199.10 | ↓ -97% |
| United Healthcare | United Healthcare Medicaid | $199.10 | ↓ -97% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $199.10 | ↓ -97% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $205.97 | ↓ -97% |
| Jefferson Health Plans | Jefferson Health Plans | $210.08 | ↓ -97% |
| United Healthcare | United Healthcare CHIP | $219.70 | ↓ -96% |
| Cigna | Cigna Commercial | $223.18 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $226.56 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $226.56 | ↓ -96% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $269.69 | ↓ -96% |
| United Healthcare | United Healthcare Of OH Medicaid | $284.33 | ↓ -95% |
| United Healthcare | United Healthcare Commercial | $284.33 | ↓ -95% |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $1,281.79 | not published |
| The Unity Hospital of Rochester | Rochester | $1,604.88 | not published |
| Newark Wayne Community Hospital | Newark | $1,281.79 | $118.94 – $247.84 |
| Bellevue Hospital Center | NY 10016 | not published | $116.35 – $218.98 |
| Kings County Hospital Center | Brooklyn | not published | $116.35 – $223.82 |
| Lincoln Medical Center | Bronx | not published | $155.43 – $223.82 |
| Metropolitan Hospital Center | New York | not published | $155.43 – $223.82 |
| Queens Hospital Center | Jamaica | not published | $116.35 – $217.56 |