Exc/pilonidal cyst/sinus/simple 11770 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$114.18
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.
?
What you pay up front if you don't use insurance.
$519.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$15.05 with Univera vs $6,502.72 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 →
?
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 Essential Plan | $15.05 | ↓ -87% |
| Univera | Univera Healthy New York | $15.05 | ↓ -87% |
| Univera | Univera Medicare | $18.28 | ↓ -84% |
| Univera | Univera Commercial | $19.86 | ↓ -83% |
| Amerihealth | Amerihealth Medicaid CHC | $66.70 | ↓ -42% |
| Amerihealth | Amerihealth Medicaid HC | $66.70 | ↓ -42% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $159.04 | ↑ +39% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $159.04 | ↑ +39% |
| Highmark | Highmark Community Blue Medicare | $161.01 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $173.13 | ↑ +52% |
| Highmark | Highmark Security Blue | $178.32 | ↑ +56% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $183.52 | ↑ +61% |
| Devoted Medicare | Devoted Health Medicare Advantage | $183.52 | ↑ +61% |
| Highmark | Highmark Together Blue | $185.47 | ↑ +62% |
| American Health Plans | American Health Plans Medicare | $190.44 | ↑ +67% |
| Highmark | Highmark My Direct Blue | $196.20 | ↑ +72% |
| Highmark | Highmark Blue High Performance | $196.20 | ↑ +72% |
| Highmark | Highmark Community Blue | $196.20 | ↑ +72% |
| Highmark | Highmark Connect Blue | $196.20 | ↑ +72% |
| Highmark | Highmark Indemnity | $196.20 | ↑ +72% |
| Highmark | Highmark Managed Care | $196.20 | ↑ +72% |
| Highmark | Highmark My Blue Access | $196.20 | ↑ +72% |
| Highmark | Highmark Performance Blue | $196.20 | ↑ +72% |
| Highmark | Highmark Social Mission Indemnity | $196.20 | ↑ +72% |
| Highmark | Highmark Social Mission Managed Care | $196.20 | ↑ +72% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $199.94 | ↑ +75% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $219.63 | ↑ +92% |
| Geisinger | Geisinger CHIP | $219.63 | ↑ +92% |
| Geisinger | Geisinger Medicaid HC | $219.63 | ↑ +92% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $219.63 | ↑ +92% |
| United Healthcare | United Healthcare Medicaid | $219.63 | ↑ +92% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $227.20 | ↑ +99% |
| Jefferson Health Plans | Jefferson Health Plans | $231.75 | ↑ +103% |
| Cigna | Cigna Commercial | $295.58 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $337.70 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $356.03 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $356.03 | ↑ +212% |
| Martin's Point | Martin's Point | $691.00 | ↑ +505% |
| United Healthcare | United Healthcare CHIP | $1,104.00 | ↑ +867% |
| Highmark | Highmark Community Blue Medicare PPO | $3,115.89 | ↑ +2629% |
| Highmark | Highmark Complete Blue Medicare | $3,115.89 | ↑ +2629% |
| Highmark | Highmark Freedom Blue | $3,149.76 | ↑ +2659% |
| Highmark | Highmark Together Blue Medicare | $3,522.31 | ↑ +2985% |
| Aetna | Aetna Medicare | $3,522.31 | ↑ +2985% |
| Highmark | Highmark Community Blue Medicare HMO | $3,522.31 | ↑ +2985% |
| Amerihealth | Amerihealth Medicare New York | $3,556.18 | ↑ +3015% |
| Humana | Humana Commercial | $3,590.05 | ↑ +3044% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,623.91 | ↑ +3074% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,657.78 | ↑ +3104% |
| Molina | Molina Ohio | $3,691.65 | ↑ +3133% |
| Highmark | Highmark Performance Blue Enhanced | $4,933.26 | ↑ +4221% |
| Aetna | Aetna Commercial | $6,502.72 | ↑ +5595% |
Visitor-reported prices
Comments
Exc/pilonidal cyst/sinus/simple 11770 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $3,386.84 | $145.44 – $5,438.86 |
| Kings County Hospital Center | Brooklyn | $3,386.84 | $145.44 – $5,438.86 |
| Lincoln Medical Center | Bronx | $3,386.84 | $219.55 – $4,097.28 |
| Metropolitan Hospital Center | New York | $3,386.84 | $219.55 – $4,097.28 |
| UPMC Chautauqua | Jamestown | $4,335.60 | $189.34 – $6,503.40 |
| Queens Hospital Center | Jamaica | $3,386.84 | $145.44 – $5,438.86 |
| Woodhull Medical Center | Brooklyn | $3,386.84 | $145.44 – $5,438.86 |
| South Brooklyn Health | Brooklyn | $3,386.84 | $219.55 – $4,097.28 |