Esrd home pt serv p mo 20+ at WESTFIELD MEMORIAL HOSPITAL INC

189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$181.28

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.

Full explanation →

What you pay up front if you don't use insurance.

$824.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$240.02 with Univera vs $465.85 with Cigna — same scan, same building. Share

Negotiated rates by payer
?

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 $240.02 ↑ +32%
Univera Univera Essential Plan $240.02 ↑ +32%
United Healthcare United Healthcare CHIP $279.12 ↑ +54%
United Healthcare United Healthcare Medicaid $279.12 ↑ +54%
Univera Univera Medicare $293.47 ↑ +62%
Univera Univera Commercial $314.39 ↑ +73%
Highmark Highmark Together Blue $360.71 ↑ +99%
Highmark Highmark My Direct Blue $381.57 ↑ +110%
Highmark Highmark Performance Blue $381.57 ↑ +110%
Highmark Highmark Social Mission Indemnity $381.57 ↑ +110%
Highmark Highmark Social Mission Managed Care $381.57 ↑ +110%
Highmark Highmark Blue High Performance $381.57 ↑ +110%
Highmark Highmark Community Blue $381.57 ↑ +110%
Highmark Highmark Connect Blue $381.57 ↑ +110%
Highmark Highmark Indemnity $381.57 ↑ +110%
Highmark Highmark Managed Care $381.57 ↑ +110%
Highmark Highmark My Blue Access $381.57 ↑ +110%
United Healthcare United Healthcare Navigate Nexus Commercial $431.11 ↑ +138%
United Healthcare United Healthcare Of OH Medicaid $454.51 ↑ +151%
United Healthcare United Healthcare Commercial $454.51 ↑ +151%
Cigna Cigna Commercial $465.85 ↑ +157%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Esrd home pt serv p mo 20+ at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 not published $140.02 – $754.85
Harlem Hospital Center New York not published $254.00 – $752.16
Kings County Hospital Center Brooklyn not published $140.02 – $752.16
Lincoln Medical Center Bronx not published $254.00 – $754.85
Metropolitan Hospital Center New York not published $254.00 – $752.16
Queens Hospital Center Jamaica not published $140.02 – $757.55
Woodhull Medical Center Brooklyn not published $140.02 – $752.16
South Brooklyn Health Brooklyn not published $254.00 – $752.16

All New-york hospitals for this procedure →