Ghs layered repair over 3.0 cm -12057 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$1,169.22
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.
$1,499.00
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.
$19.32 with Amerihealth vs $1,241.60 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas Medicare (NY) | $19.32 | ↓ -98% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $19.32 | ↓ -98% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $24.29 | ↓ -98% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $26.68 | ↓ -98% |
| Geisinger | Geisinger CHIP | $26.68 | ↓ -98% |
| United Healthcare | United Healthcare Medicaid | $26.68 | ↓ -98% |
| Geisinger | Geisinger Medicaid HC | $26.68 | ↓ -98% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $26.68 | ↓ -98% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $27.60 | ↓ -98% |
| Jefferson Health Plans | Jefferson Health Plans | $28.15 | ↓ -98% |
| Univera | Univera Essential Plan | $33.93 | ↓ -97% |
| Univera | Univera Healthy New York | $33.93 | ↓ -97% |
| Univera | Univera Medicare | $41.20 | ↓ -96% |
| Univera | Univera Commercial | $44.76 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $148.16 | ↓ -87% |
| Amerihealth | Amerihealth Medicaid CHC | $148.16 | ↓ -87% |
| Highmark | Highmark Together Blue | $241.17 | ↓ -79% |
| Highmark | Highmark Community Blue Medicare | $365.10 | ↓ -69% |
| Life Pittsburgh | Life Pittsburgh Medicare | $392.58 | ↓ -66% |
| Highmark | Highmark Security Blue | $404.36 | ↓ -65% |
| Highmark | Highmark My Direct Blue | $412.65 | ↓ -65% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $416.13 | ↓ -64% |
| Devoted Medicare | Devoted Health Medicare Advantage | $416.13 | ↓ -64% |
| American Health Plans | American Health Plans Medicare | $431.84 | ↓ -63% |
| Highmark | Highmark Complete Blue Medicare | $434.96 | ↓ -63% |
| Highmark | Highmark Community Blue Medicare PPO | $434.96 | ↓ -63% |
| Highmark | Highmark Freedom Blue | $439.69 | ↓ -62% |
| Highmark | Highmark Social Mission Managed Care | $440.39 | ↓ -62% |
| Highmark | Highmark Connect Blue | $440.39 | ↓ -62% |
| Highmark | Highmark Indemnity | $440.39 | ↓ -62% |
| Highmark | Highmark Managed Care | $440.39 | ↓ -62% |
| Highmark | Highmark My Blue Access | $440.39 | ↓ -62% |
| Highmark | Highmark Performance Blue | $440.39 | ↓ -62% |
| Highmark | Highmark Social Mission Indemnity | $440.39 | ↓ -62% |
| Highmark | Highmark Community Blue | $440.39 | ↓ -62% |
| Highmark | Highmark Blue High Performance | $440.39 | ↓ -62% |
| Martin's Point | Martin's Point | $472.79 | ↓ -60% |
| United Healthcare | United Healthcare Commercial | $486.97 | ↓ -58% |
| Highmark | Highmark Community Blue Medicare HMO | $491.70 | ↓ -58% |
| Aetna | Aetna Medicare | $491.70 | ↓ -58% |
| Highmark | Highmark Together Blue Medicare | $491.70 | ↓ -58% |
| Amerihealth | Amerihealth Medicare New York | $496.43 | ↓ -58% |
| Humana | Humana Commercial | $501.16 | ↓ -57% |
| United Healthcare | United Healthcare Medicare I-SNP | $505.88 | ↓ -57% |
| United Healthcare | United Healthcare Medicare D-SNP | $510.61 | ↓ -56% |
| Molina | Molina Ohio | $515.34 | ↓ -56% |
| Cigna | Cigna Commercial | $663.61 | ↓ -43% |
| Highmark | Highmark Performance Blue Enhanced | $688.66 | ↓ -41% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $775.73 | ↓ -34% |
| United Healthcare | United Healthcare Of OH Medicaid | $817.85 | ↓ -30% |
| Aetna | Aetna Commercial | $907.75 | ↓ -22% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +6% |
Visitor-reported prices
Comments
Ghs layered repair over 3.0 cm -12057 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $472.79 | $242.40 – $761.17 |
| Kings County Hospital Center | Brooklyn | $472.79 | $242.40 – $761.17 |
| Lincoln Medical Center | Bronx | $472.79 | $421.18 – $671.36 |
| Metropolitan Hospital Center | New York | $472.79 | $421.18 – $671.36 |
| Queens Hospital Center | Jamaica | $472.79 | $242.40 – $761.17 |
| Woodhull Medical Center | Brooklyn | $472.79 | $242.40 – $761.17 |
| South Brooklyn Health | Brooklyn | $472.79 | $421.18 – $671.36 |
| North Central Bronx | Bronx | $472.79 | $421.18 – $761.17 |