Excise/repair mouth lesion at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$112.20
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.
$510.00
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.
$14.90 with Univera vs $3,365.54 with Aetna — 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 | $14.90 | ↓ -87% |
| Univera | Univera Essential Plan | $14.90 | ↓ -87% |
| Univera | Univera Medicare | $18.70 | ↓ -83% |
| Univera | Univera Commercial | $21.91 | ↓ -80% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $68.78 | ↓ -39% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $68.78 | ↓ -39% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $86.46 | ↓ -23% |
| United Healthcare | United Healthcare Medicaid | $94.98 | ↓ -15% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $94.98 | ↓ -15% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $94.98 | ↓ -15% |
| Geisinger | Geisinger Medicaid HC | $94.98 | ↓ -15% |
| Geisinger | Geisinger CHIP | $94.98 | ↓ -15% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $98.25 | ↓ -12% |
| Jefferson Health Plans | Jefferson Health Plans | $100.22 | ↓ -11% |
| Amerihealth | Amerihealth Medicaid HC | $108.07 | ↓ -4% |
| Amerihealth | Amerihealth Medicaid CHC | $108.07 | ↓ -4% |
| Highmark | Highmark Community Blue Medicare | $157.99 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $169.88 | ↑ +51% |
| Highmark | Highmark Security Blue | $174.98 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $180.07 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $180.07 | ↑ +60% |
| American Health Plans | American Health Plans Medicare | $186.87 | ↑ +67% |
| Highmark | Highmark Together Blue | $194.67 | ↑ +74% |
| Highmark | Highmark Managed Care | $205.92 | ↑ +84% |
| Highmark | Highmark My Blue Access | $205.92 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $205.92 | ↑ +84% |
| Highmark | Highmark Performance Blue | $205.92 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $205.92 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $205.92 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $205.92 | ↑ +84% |
| Highmark | Highmark Connect Blue | $205.92 | ↑ +84% |
| Highmark | Highmark Indemnity | $205.92 | ↑ +84% |
| Highmark | Highmark Community Blue | $205.92 | ↑ +84% |
| Cigna | Cigna Commercial | $288.35 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $342.77 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $361.38 | ↑ +222% |
| United Healthcare | United Healthcare Of OH Medicaid | $361.38 | ↑ +222% |
| United Healthcare | United Healthcare CHIP | $843.20 | ↑ +652% |
| Highmark | Highmark Community Blue Medicare PPO | $1,612.66 | ↑ +1337% |
| Highmark | Highmark Complete Blue Medicare | $1,612.66 | ↑ +1337% |
| Highmark | Highmark Freedom Blue | $1,630.19 | ↑ +1353% |
| Martin's Point | Martin's Point | $1,752.89 | ↑ +1462% |
| Aetna | Aetna Medicare | $1,823.00 | ↑ +1525% |
| Highmark | Highmark Together Blue Medicare | $1,823.00 | ↑ +1525% |
| Highmark | Highmark Community Blue Medicare HMO | $1,823.00 | ↑ +1525% |
| Amerihealth | Amerihealth Medicare New York | $1,840.53 | ↑ +1540% |
| Humana | Humana Commercial | $1,858.06 | ↑ +1556% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,875.59 | ↑ +1572% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,893.12 | ↑ +1587% |
| Molina | Molina Ohio | $1,910.65 | ↑ +1603% |
| Highmark | Highmark Performance Blue Enhanced | $2,553.26 | ↑ +2176% |
| Aetna | Aetna Commercial | $3,365.54 | ↑ +2900% |
Visitor-reported prices
Comments
Excise/repair mouth lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,752.89 | $0.01 – $2,905.23 |
| Kings County Hospital Center | Brooklyn | $1,752.89 | $0.01 – $2,905.23 |
| Lincoln Medical Center | Bronx | $1,752.89 | $0.01 – $2,188.60 |
| Metropolitan Hospital Center | New York | $1,752.89 | $0.01 – $2,188.60 |
| Queens Hospital Center | Jamaica | $1,752.89 | $0.01 – $2,905.23 |
| Woodhull Medical Center | Brooklyn | $1,752.89 | $0.01 – $2,905.23 |
| South Brooklyn Health | Brooklyn | $1,752.89 | $0.01 – $2,188.60 |
| North Central Bronx | Bronx | $1,752.89 | $0.01 – $2,905.23 |