Established Patient Office Visit (level 1) at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$263.64
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.
$338.00
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.
$7.39 with Univera vs $66.00 with Amerihealth — 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 | $7.39 | ↓ -97% |
| Univera | Univera Essential Plan | $7.39 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $7.58 | ↓ -97% |
| Univera | Univera Medicare | $7.77 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8.15 | ↓ -97% |
| Highmark | Highmark Security Blue | $8.39 | ↓ -97% |
| Devoted Medicare | Devoted Health Medicare Advantage | $8.64 | ↓ -97% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $8.64 | ↓ -97% |
| Highmark | Highmark Together Blue | $8.78 | ↓ -97% |
| American Health Plans | American Health Plans Medicare | $8.97 | ↓ -97% |
| Univera | Univera Commercial | $9.01 | ↓ -97% |
| Highmark | Highmark My Blue Access | $9.28 | ↓ -96% |
| Highmark | Highmark Blue High Performance | $9.28 | ↓ -96% |
| Highmark | Highmark Community Blue | $9.28 | ↓ -96% |
| Highmark | Highmark Connect Blue | $9.28 | ↓ -96% |
| Highmark | Highmark Indemnity | $9.28 | ↓ -96% |
| Highmark | Highmark Managed Care | $9.28 | ↓ -96% |
| Highmark | Highmark My Direct Blue | $9.28 | ↓ -96% |
| Highmark | Highmark Performance Blue | $9.28 | ↓ -96% |
| Highmark | Highmark Social Mission Indemnity | $9.28 | ↓ -96% |
| Highmark | Highmark Social Mission Managed Care | $9.28 | ↓ -96% |
| United Healthcare | United Healthcare CHIP | $9.60 | ↓ -96% |
| United Healthcare | United Healthcare Medicaid | $9.60 | ↓ -96% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center Kids (CHIP) | $12.00 | ↓ -95% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Allegheny (HCAL) | $12.00 | ↓ -95% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Erie (HCER) | $12.00 | ↓ -95% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Northcentral (HCNC) | $12.00 | ↓ -95% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center Commercial (BHS) | $12.00 | ↓ -95% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center For Life (LIFE) | $12.00 | ↓ -95% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center for You Advantage (SNP) | $12.00 | ↓ -95% |
| Cigna | Cigna Commercial | $13.95 | ↓ -95% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $16.62 | ↓ -94% |
| United Healthcare | United Healthcare Of OH Medicaid | $17.53 | ↓ -93% |
| United Healthcare | United Healthcare Commercial | $17.53 | ↓ -93% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $21.00 | ↓ -92% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $21.00 | ↓ -92% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $26.40 | ↓ -90% |
| Geisinger | Geisinger Medicaid HC | $29.00 | ↓ -89% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $29.00 | ↓ -89% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $29.00 | ↓ -89% |
| Geisinger | Geisinger CHIP | $29.00 | ↓ -89% |
| Carelon | Carelon Lawrence County | $43.10 | ↓ -84% |
| Carelon | Carelon Beaver County | $43.10 | ↓ -84% |
| Carelon | Carelon Armstrong County | $43.10 | ↓ -84% |
| Carelon | Carelon Washington County | $43.10 | ↓ -84% |
| Carelon | Carelon Westmoreland County | $43.10 | ↓ -84% |
| Carelon | Carelon Indiana County | $43.10 | ↓ -84% |
| Carelon | Carelon Butler County | $43.10 | ↓ -84% |
| Martin's Point | Martin's Point | $54.60 | ↓ -79% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $60.00 | ↓ -77% |
| Jefferson Health Plans | Jefferson Health Plans | $61.20 | ↓ -77% |
| Amerihealth | Amerihealth Medicaid CHC | $66.00 | ↓ -75% |
| Amerihealth | Amerihealth Medicaid HC | $66.00 | ↓ -75% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $67.20 | $7.75 – $100.80 |
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $74.23 – $77.85 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $75.38 – $75.38 |
| Rochester General Hospital | Rochester | $210.10 | $28.92 – $30.60 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $210.10 | $6.47 – $25.45 |
| Gouverneur Hospital | Gouverneur | $234.61 | $19.90 – $33.00 |
| Massena Hospital | Massena | $192.60 | $19.90 – $33.00 |
| Canton-Potsdam Hospital | Potsdam | $239.21 | $6.77 – $33.00 |