Exc prtl bn phlnx toe 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

$209.44

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.

$952.00

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.

$11.35 with Amerihealth vs $7,371.92 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
Amerihealth Amerihealth Medicaid HC $11.35 ↓ -95%
Amerihealth Amerihealth Medicaid CHC $11.35 ↓ -95%
Univera Univera Healthy New York $27.67 ↓ -87%
Univera Univera Essential Plan $27.67 ↓ -87%
Univera Univera Medicare $36.24 ↓ -83%
Univera Univera Commercial $40.69 ↓ -81%
Amerihealth Amerihealth Caritas D-SNP Medicare $204.75 ↓ -2%
Amerihealth Amerihealth Caritas Medicare (NY) $204.75 ↓ -2%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $257.40 ↑ +23%
United Healthcare United Healthcare Medicaid $282.75 ↑ +35%
Amerihealth Amerihealth Caritas CHC Medicaid $282.75 ↑ +35%
Geisinger Geisinger CHIP $282.75 ↑ +35%
Geisinger Geisinger Medicaid HC $282.75 ↑ +35%
Amerihealth Amerihealth Caritas HC Medicaid $282.75 ↑ +35%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $292.50 ↑ +40%
Highmark Highmark Community Blue Medicare $295.26 ↑ +41%
Jefferson Health Plans Jefferson Health Plans $298.35 ↑ +42%
Life Pittsburgh Life Pittsburgh Medicare $317.48 ↑ +52%
Highmark Highmark Security Blue $327.00 ↑ +56%
Devoted Medicare Devoted Health Medicare Advantage $336.53 ↑ +61%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $336.53 ↑ +61%
American Health Plans American Health Plans Medicare $349.23 ↑ +67%
Highmark Highmark Together Blue $352.29 ↑ +68%
Highmark Highmark Managed Care $372.66 ↑ +78%
Highmark Highmark My Blue Access $372.66 ↑ +78%
Highmark Highmark My Direct Blue $372.66 ↑ +78%
Highmark Highmark Performance Blue $372.66 ↑ +78%
Highmark Highmark Blue High Performance $372.66 ↑ +78%
Highmark Highmark Social Mission Indemnity $372.66 ↑ +78%
Highmark Highmark Social Mission Managed Care $372.66 ↑ +78%
Highmark Highmark Connect Blue $372.66 ↑ +78%
Highmark Highmark Indemnity $372.66 ↑ +78%
Highmark Highmark Community Blue $372.66 ↑ +78%
Cigna Cigna Commercial $536.01 ↑ +156%
United Healthcare United Healthcare Navigate Nexus Commercial $604.10 ↑ +188%
United Healthcare United Healthcare Commercial $636.90 ↑ +204%
United Healthcare United Healthcare Of OH Medicaid $636.90 ↑ +204%
United Healthcare United Healthcare CHIP $1,241.60 ↑ +493%
Highmark Highmark Community Blue Medicare PPO $3,532.38 ↑ +1587%
Highmark Highmark Complete Blue Medicare $3,532.38 ↑ +1587%
Highmark Highmark Freedom Blue $3,570.77 ↑ +1605%
Martin's Point Martin's Point $3,839.54 ↑ +1733%
Aetna Aetna Medicare $3,993.12 ↑ +1807%
Highmark Highmark Together Blue Medicare $3,993.12 ↑ +1807%
Highmark Highmark Community Blue Medicare HMO $3,993.12 ↑ +1807%
Amerihealth Amerihealth Medicare New York $4,031.52 ↑ +1825%
Humana Humana Commercial $4,069.91 ↑ +1843%
United Healthcare United Healthcare Medicare I-SNP $4,108.31 ↑ +1862%
United Healthcare United Healthcare Medicare D-SNP $4,146.71 ↑ +1880%
Molina Molina Ohio $4,185.10 ↑ +1898%
Highmark Highmark Performance Blue Enhanced $5,592.68 ↑ +2570%
Aetna Aetna Commercial $7,371.92 ↑ +3420%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Exc prtl bn phlnx toe at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $3,839.54 $0.01 – $6,126.58
Kings County Hospital Center Brooklyn $3,839.54 $0.01 – $6,126.58
Lincoln Medical Center Bronx $3,839.54 $0.01 – $4,615.36
Metropolitan Hospital Center New York $3,839.54 $0.01 – $4,615.36
Queens Hospital Center Jamaica $3,839.54 $0.01 – $6,126.58
Woodhull Medical Center Brooklyn $3,839.54 $0.01 – $6,126.58
South Brooklyn Health Brooklyn $3,839.54 $0.01 – $4,615.36
North Central Bronx Bronx $3,839.54 $0.01 – $6,126.58

All New-york hospitals for this procedure →