Excision of lingual tonsil at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$357.50
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.
$1,625.00
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.
$43.12 with Univera vs $13,440.68 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 Essential Plan | $43.12 | ↓ -88% |
| Univera | Univera Healthy New York | $43.12 | ↓ -88% |
| Univera | Univera Medicare | $54.12 | ↓ -85% |
| Univera | Univera Commercial | $63.41 | ↓ -82% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $168.00 | ↓ -53% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $168.00 | ↓ -53% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $211.20 | ↓ -41% |
| Geisinger | Geisinger CHIP | $232.00 | ↓ -35% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $232.00 | ↓ -35% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $232.00 | ↓ -35% |
| Geisinger | Geisinger Medicaid HC | $232.00 | ↓ -35% |
| United Healthcare | United Healthcare Medicaid | $232.00 | ↓ -35% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $240.00 | ↓ -33% |
| Jefferson Health Plans | Jefferson Health Plans | $244.80 | ↓ -32% |
| Amerihealth | Amerihealth Medicaid CHC | $264.00 | ↓ -26% |
| Amerihealth | Amerihealth Medicaid HC | $264.00 | ↓ -26% |
| Highmark | Highmark Together Blue | $629.80 | ↑ +76% |
| Highmark | Highmark Performance Blue | $666.23 | ↑ +86% |
| Highmark | Highmark Community Blue | $666.23 | ↑ +86% |
| Highmark | Highmark Connect Blue | $666.23 | ↑ +86% |
| Highmark | Highmark Indemnity | $666.23 | ↑ +86% |
| Highmark | Highmark Managed Care | $666.23 | ↑ +86% |
| Highmark | Highmark My Blue Access | $666.23 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $666.23 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $666.23 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $666.23 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $666.23 | ↑ +86% |
| Cigna | Cigna Commercial | $924.32 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,048.02 | ↑ +193% |
| United Healthcare | United Healthcare Commercial | $1,104.92 | ↑ +209% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,104.92 | ↑ +209% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +247% |
| Highmark | Highmark Community Blue Medicare PPO | $6,440.33 | ↑ +1701% |
| Highmark | Highmark Complete Blue Medicare | $6,440.33 | ↑ +1701% |
| Highmark | Highmark Freedom Blue | $6,510.33 | ↑ +1721% |
| American Health Plans | American Health Plans Medicare | $7,000.36 | ↑ +1858% |
| Life Pittsburgh | Life Pittsburgh Medicare | $7,000.36 | ↑ +1858% |
| Martin's Point | Martin's Point | $7,000.36 | ↑ +1858% |
| Devoted Medicare | Devoted Health Medicare Advantage | $7,210.37 | ↑ +1917% |
| Highmark | Highmark Together Blue Medicare | $7,280.37 | ↑ +1936% |
| Highmark | Highmark Community Blue Medicare HMO | $7,280.37 | ↑ +1936% |
| Highmark | Highmark Security Blue | $7,280.37 | ↑ +1936% |
| Aetna | Aetna Medicare | $7,280.37 | ↑ +1936% |
| Amerihealth | Amerihealth Medicare New York | $7,350.37 | ↑ +1956% |
| Humana | Humana Commercial | $7,420.38 | ↑ +1976% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,490.38 | ↑ +1995% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,560.38 | ↑ +2015% |
| Molina | Molina Ohio | $7,630.39 | ↑ +2034% |
| Highmark | Highmark Performance Blue Enhanced | $10,196.72 | ↑ +2752% |
| Aetna | Aetna Commercial | $13,440.68 | ↑ +3660% |
Visitor-reported prices
Comments
Excision of lingual tonsil at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $7,000.36 | $336.86 – $14,779.26 |
| Kings County Hospital Center | Brooklyn | $7,000.36 | $336.86 – $14,779.26 |
| Lincoln Medical Center | Bronx | $7,000.36 | $681.33 – $14,779.26 |
| Metropolitan Hospital Center | New York | $7,000.36 | $681.33 – $14,779.26 |
| Queens Hospital Center | Jamaica | $7,000.36 | $336.86 – $14,779.26 |
| Woodhull Medical Center | Brooklyn | $7,000.36 | $336.86 – $14,779.26 |
| South Brooklyn Health | Brooklyn | $7,000.36 | $681.33 – $14,779.26 |
| North Central Bronx | Bronx | $7,000.36 | $681.33 – $14,779.26 |