#flow interp 9 - 15 markers at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$37.18
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.
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What you pay up front if you don't use insurance.
$169.00
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.
$49.96 with Univera vs $107.70 with United Healthcare — 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 | $49.96 | ↑ +34% |
| Univera | Univera Essential Plan | $49.96 | ↑ +34% |
| Univera | Univera Medicare | $58.78 | ↑ +58% |
| Cigna | Cigna Commercial | $59.94 | ↑ +61% |
| Univera | Univera Commercial | $64.66 | ↑ +74% |
| Amerihealth | Amerihealth Medicaid HC | $67.31 | ↑ +81% |
| Jefferson Health Plans | Jefferson Health Plans | $67.31 | ↑ +81% |
| Amerihealth | Amerihealth Medicaid CHC | $67.31 | ↑ +81% |
| Highmark | Highmark Together Blue | $67.71 | ↑ +82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $70.68 | ↑ +90% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $70.68 | ↑ +90% |
| Highmark | Highmark Performance Blue | $71.62 | ↑ +93% |
| Highmark | Highmark Blue High Performance | $71.62 | ↑ +93% |
| Highmark | Highmark Community Blue | $71.62 | ↑ +93% |
| Highmark | Highmark Connect Blue | $71.62 | ↑ +93% |
| Highmark | Highmark Indemnity | $71.62 | ↑ +93% |
| Highmark | Highmark Managed Care | $71.62 | ↑ +93% |
| Highmark | Highmark My Blue Access | $71.62 | ↑ +93% |
| Highmark | Highmark My Direct Blue | $71.62 | ↑ +93% |
| Highmark | Highmark Social Mission Indemnity | $71.62 | ↑ +93% |
| Highmark | Highmark Social Mission Managed Care | $71.62 | ↑ +93% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $86.52 | ↑ +133% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $88.85 | ↑ +139% |
| United Healthcare | United Healthcare Commercial | $91.36 | ↑ +146% |
| United Healthcare | United Healthcare Of OH Medicaid | $91.36 | ↑ +146% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $97.60 | ↑ +163% |
| United Healthcare | United Healthcare Medicaid | $97.60 | ↑ +163% |
| Geisinger | Geisinger Medicaid HC | $97.60 | ↑ +163% |
| Geisinger | Geisinger CHIP | $97.60 | ↑ +163% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $97.60 | ↑ +163% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $100.97 | ↑ +172% |
| United Healthcare | United Healthcare CHIP | $107.70 | ↑ +190% |
Visitor-reported prices
Comments
#flow interp 9 - 15 markers at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $961.20 | $51.83 – $1,441.80 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $878.00 | $32.38 – $306.45 |
| NewYork-Presbyterian Queens | Flushing | $878.00 | $32.38 – $137.44 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $878.00 | $32.38 – $191.61 |
| Rochester General Hospital | Rochester | $187.91 | $25.25 – $49.67 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $187.91 | $25.25 – $56.81 |
| Gouverneur Hospital | Gouverneur | $150.78 | $25.25 – $25.25 |
| Massena Hospital | Massena | $151.57 | $37.88 – $37.88 |