Exc benign tal 0.5 < cm 11400 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

$51.92

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.

$236.00

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.

$6.90 with Univera vs $1,598.59 with Aetna — 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 $6.90 ↓ -87%
Univera Univera Essential Plan $6.90 ↓ -87%
Univera Univera Medicare $8.38 ↓ -84%
Univera Univera Commercial $9.11 ↓ -82%
Amerihealth Amerihealth Medicaid HC $19.50 ↓ -62%
Amerihealth Amerihealth Medicaid CHC $19.50 ↓ -62%
Amerihealth Amerihealth Caritas Medicare (NY) $39.38 ↓ -24%
Amerihealth Amerihealth Caritas D-SNP Medicare $39.38 ↓ -24%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $49.50 ↓ -5%
Geisinger Geisinger Medicaid HC $54.38 ↑ +5%
Amerihealth Amerihealth Caritas CHC Medicaid $54.38 ↑ +5%
Amerihealth Amerihealth Caritas HC Medicaid $54.38 ↑ +5%
United Healthcare United Healthcare Medicaid $54.38 ↑ +5%
Geisinger Geisinger CHIP $54.38 ↑ +5%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $56.25 ↑ +8%
Jefferson Health Plans Jefferson Health Plans $57.38 ↑ +11%
Highmark Highmark Community Blue Medicare $73.31 ↑ +41%
Life Pittsburgh Life Pittsburgh Medicare $78.83 ↑ +52%
Highmark Highmark Security Blue $81.19 ↑ +56%
Devoted Medicare Devoted Health Medicare Advantage $83.56 ↑ +61%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $83.56 ↑ +61%
Highmark Highmark Together Blue $84.46 ↑ +63%
American Health Plans American Health Plans Medicare $86.71 ↑ +67%
Highmark Highmark My Blue Access $89.34 ↑ +72%
Highmark Highmark My Direct Blue $89.34 ↑ +72%
Highmark Highmark Performance Blue $89.34 ↑ +72%
Highmark Highmark Connect Blue $89.34 ↑ +72%
Highmark Highmark Blue High Performance $89.34 ↑ +72%
Highmark Highmark Managed Care $89.34 ↑ +72%
Highmark Highmark Social Mission Indemnity $89.34 ↑ +72%
Highmark Highmark Social Mission Managed Care $89.34 ↑ +72%
Highmark Highmark Indemnity $89.34 ↑ +72%
Highmark Highmark Community Blue $89.34 ↑ +72%
Cigna Cigna Commercial $133.36 ↑ +157%
United Healthcare United Healthcare Navigate Nexus Commercial $146.08 ↑ +181%
United Healthcare United Healthcare Commercial $154.01 ↑ +197%
United Healthcare United Healthcare Of OH Medicaid $154.01 ↑ +197%
Martin's Point Martin's Point $368.59 ↑ +610%
Highmark Highmark Complete Blue Medicare $765.99 ↑ +1375%
Highmark Highmark Community Blue Medicare PPO $765.99 ↑ +1375%
Highmark Highmark Freedom Blue $774.32 ↑ +1391%
Aetna Aetna Medicare $865.90 ↑ +1568%
Highmark Highmark Together Blue Medicare $865.90 ↑ +1568%
Highmark Highmark Community Blue Medicare HMO $865.90 ↑ +1568%
Amerihealth Amerihealth Medicare New York $874.23 ↑ +1584%
Humana Humana Commercial $882.56 ↑ +1600%
United Healthcare United Healthcare Medicare I-SNP $890.88 ↑ +1616%
United Healthcare United Healthcare Medicare D-SNP $899.21 ↑ +1632%
Molina Molina Ohio $907.53 ↑ +1648%
Highmark Highmark Performance Blue Enhanced $1,212.77 ↑ +2236%
United Healthcare United Healthcare CHIP $1,241.60 ↑ +2291%
Aetna Aetna Commercial $1,598.59 ↑ +2979%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Exc benign tal 0.5 < cm 11400 at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $832.60 $0.01 – $1,325.93
Kings County Hospital Center Brooklyn $832.60 $0.01 – $1,325.93
Lincoln Medical Center Bronx $832.60 $0.01 – $998.86
Metropolitan Hospital Center New York $832.60 $0.01 – $998.86
Queens Hospital Center Jamaica $832.60 $0.01 – $1,325.93
Woodhull Medical Center Brooklyn $832.60 $0.01 – $1,325.93
South Brooklyn Health Brooklyn $832.60 $0.01 – $998.86
North Central Bronx Bronx $832.60 $0.01 – $1,325.93

All New-york hospitals for this procedure →