Ercp lesion ablate w/dilate 43278 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$262.68
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.
$1,194.00
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.
$347.68 with Univera vs $8,644.09 with Aetna — 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 | $347.68 | ↑ +32% |
| Univera | Univera Essential Plan | $347.68 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $387.16 | ↑ +47% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $387.16 | ↑ +47% |
| Univera | Univera Medicare | $436.38 | ↑ +66% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $486.71 | ↑ +85% |
| Univera | Univera Commercial | $511.30 | ↑ +95% |
| Highmark | Highmark Together Blue | $515.22 | ↑ +96% |
| Geisinger | Geisinger CHIP | $534.64 | ↑ +104% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $534.64 | ↑ +104% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $534.64 | ↑ +104% |
| Geisinger | Geisinger Medicaid HC | $534.64 | ↑ +104% |
| United Healthcare | United Healthcare Medicaid | $534.64 | ↑ +104% |
| Highmark | Highmark Social Mission Indemnity | $545.01 | ↑ +107% |
| Highmark | Highmark Managed Care | $545.01 | ↑ +107% |
| Highmark | Highmark My Blue Access | $545.01 | ↑ +107% |
| Highmark | Highmark My Direct Blue | $545.01 | ↑ +107% |
| Highmark | Highmark Performance Blue | $545.01 | ↑ +107% |
| Highmark | Highmark Community Blue | $545.01 | ↑ +107% |
| Highmark | Highmark Social Mission Managed Care | $545.01 | ↑ +107% |
| Highmark | Highmark Blue High Performance | $545.01 | ↑ +107% |
| Highmark | Highmark Connect Blue | $545.01 | ↑ +107% |
| Highmark | Highmark Indemnity | $545.01 | ↑ +107% |
| Cigna | Cigna Commercial | $679.98 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $797.36 | ↑ +204% |
| United Healthcare | United Healthcare Commercial | $840.65 | ↑ +220% |
| United Healthcare | United Healthcare Of OH Medicaid | $840.65 | ↑ +220% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +343% |
| Jefferson Health Plans | Jefferson Health Plans | $1,187.28 | ↑ +352% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +373% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +387% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +387% |
| Highmark | Highmark Complete Blue Medicare | $4,141.96 | ↑ +1477% |
| Highmark | Highmark Community Blue Medicare PPO | $4,141.96 | ↑ +1477% |
| Highmark | Highmark Freedom Blue | $4,186.98 | ↑ +1494% |
| Life Pittsburgh | Life Pittsburgh Medicare | $4,502.13 | ↑ +1614% |
| American Health Plans | American Health Plans Medicare | $4,502.13 | ↑ +1614% |
| Martin's Point | Martin's Point | $4,502.13 | ↑ +1614% |
| Devoted Medicare | Devoted Health Medicare Advantage | $4,637.19 | ↑ +1665% |
| Highmark | Highmark Together Blue Medicare | $4,682.21 | ↑ +1682% |
| Highmark | Highmark Community Blue Medicare HMO | $4,682.21 | ↑ +1682% |
| Highmark | Highmark Security Blue | $4,682.21 | ↑ +1682% |
| Aetna | Aetna Medicare | $4,682.21 | ↑ +1682% |
| Amerihealth | Amerihealth Medicare New York | $4,727.24 | ↑ +1700% |
| Humana | Humana Commercial | $4,772.26 | ↑ +1717% |
| United Healthcare | United Healthcare Medicare I-SNP | $4,817.28 | ↑ +1734% |
| United Healthcare | United Healthcare Medicare D-SNP | $4,862.30 | ↑ +1751% |
| Molina | Molina Ohio | $4,907.32 | ↑ +1768% |
| Highmark | Highmark Performance Blue Enhanced | $6,557.80 | ↑ +2396% |
| Aetna | Aetna Commercial | $8,644.09 | ↑ +3191% |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $4,502.13 | $299.75 – $7,219.09 |
| Kings County Hospital Center | Brooklyn | $4,502.13 | $299.75 – $7,219.09 |
| Lincoln Medical Center | Bronx | $4,502.13 | $481.94 – $5,627.66 |
| Metropolitan Hospital Center | New York | $4,502.13 | $481.94 – $5,627.66 |
| Queens Hospital Center | Jamaica | $4,502.13 | $299.75 – $7,219.09 |
| Woodhull Medical Center | Brooklyn | $4,502.13 | $299.75 – $7,219.09 |
| South Brooklyn Health | Brooklyn | $4,502.13 | $481.94 – $5,627.66 |
| North Central Bronx | Bronx | $4,502.13 | $481.94 – $7,219.09 |