Fundus photography with i&r 92250 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$12.54
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.
$57.00
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.
$13.36 with Univera vs $292.87 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 | $13.36 | ↑ +7% |
| Univera | Univera Essential Plan | $13.36 | ↑ +7% |
| Univera | Univera Medicare | $16.44 | ↑ +31% |
| Highmark | Highmark Together Blue | $16.83 | ↑ +34% |
| Highmark | Highmark Indemnity | $17.81 | ↑ +42% |
| Highmark | Highmark Blue High Performance | $17.81 | ↑ +42% |
| Highmark | Highmark Community Blue | $17.81 | ↑ +42% |
| Highmark | Highmark Connect Blue | $17.81 | ↑ +42% |
| Highmark | Highmark Social Mission Managed Care | $17.81 | ↑ +42% |
| Highmark | Highmark Social Mission Indemnity | $17.81 | ↑ +42% |
| Highmark | Highmark Performance Blue | $17.81 | ↑ +42% |
| Highmark | Highmark My Direct Blue | $17.81 | ↑ +42% |
| Highmark | Highmark My Blue Access | $17.81 | ↑ +42% |
| Highmark | Highmark Managed Care | $17.81 | ↑ +42% |
| Univera | Univera Commercial | $18.08 | ↑ +44% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $18.16 | ↑ +45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $18.16 | ↑ +45% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $22.84 | ↑ +82% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $25.09 | ↑ +100% |
| United Healthcare | United Healthcare Medicaid | $25.09 | ↑ +100% |
| Geisinger | Geisinger CHIP | $25.09 | ↑ +100% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $25.09 | ↑ +100% |
| Geisinger | Geisinger Medicaid HC | $25.09 | ↑ +100% |
| Cigna | Cigna Commercial | $25.44 | ↑ +103% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $38.90 | ↑ +210% |
| United Healthcare | United Healthcare Commercial | $41.01 | ↑ +227% |
| United Healthcare | United Healthcare Of OH Medicaid | $41.01 | ↑ +227% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $53.80 | ↑ +329% |
| Jefferson Health Plans | Jefferson Health Plans | $54.88 | ↑ +338% |
| United Healthcare | United Healthcare CHIP | $57.39 | ↑ +358% |
| Amerihealth | Amerihealth Medicaid HC | $59.19 | ↑ +372% |
| Amerihealth | Amerihealth Medicaid CHC | $59.19 | ↑ +372% |
| Highmark | Highmark Complete Blue Medicare | $140.33 | ↑ +1019% |
| Highmark | Highmark Community Blue Medicare PPO | $140.33 | ↑ +1019% |
| Highmark | Highmark Freedom Blue | $141.86 | ↑ +1031% |
| Life Pittsburgh | Life Pittsburgh Medicare | $152.54 | ↑ +1116% |
| Martin's Point | Martin's Point | $152.54 | ↑ +1116% |
| American Health Plans | American Health Plans Medicare | $152.54 | ↑ +1116% |
| Devoted Medicare | Devoted Health Medicare Advantage | $157.11 | ↑ +1153% |
| Highmark | Highmark Together Blue Medicare | $158.64 | ↑ +1165% |
| Highmark | Highmark Community Blue Medicare HMO | $158.64 | ↑ +1165% |
| Highmark | Highmark Security Blue | $158.64 | ↑ +1165% |
| Aetna | Aetna Medicare | $158.64 | ↑ +1165% |
| Amerihealth | Amerihealth Medicare New York | $160.16 | ↑ +1177% |
| Humana | Humana Commercial | $161.69 | ↑ +1189% |
| United Healthcare | United Healthcare Medicare I-SNP | $163.21 | ↑ +1202% |
| United Healthcare | United Healthcare Medicare D-SNP | $164.74 | ↑ +1214% |
| Molina | Molina Ohio | $166.26 | ↑ +1226% |
| Highmark | Highmark Performance Blue Enhanced | $222.18 | ↑ +1672% |
| Aetna | Aetna Commercial | $292.87 | ↑ +2235% |
Visitor-reported prices
Comments
Fundus photography with i&r 92250 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $152.54 | $40.50 – $249.12 |
| Kings County Hospital Center | Brooklyn | $152.54 | $41.41 – $249.12 |
| Lincoln Medical Center | Bronx | $152.54 | $41.41 – $249.12 |
| Metropolitan Hospital Center | New York | $152.54 | $41.41 – $249.12 |
| Queens Hospital Center | Jamaica | $152.54 | $41.01 – $249.12 |
| Woodhull Medical Center | Brooklyn | $152.54 | $41.41 – $249.12 |
| South Brooklyn Health | Brooklyn | $152.54 | $41.41 – $249.12 |
| North Central Bronx | Bronx | $152.54 | $41.41 – $249.12 |