Incision of breast lesion at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$194.04
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.
$882.00
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.
$7.11 with Amerihealth vs $3,681.27 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $7.11 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $7.11 | ↓ -96% |
| Univera | Univera Essential Plan | $25.54 | ↓ -87% |
| Univera | Univera Healthy New York | $25.54 | ↓ -87% |
| Univera | Univera Medicare | $31.02 | ↓ -84% |
| Univera | Univera Commercial | $33.70 | ↓ -83% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $76.65 | ↓ -60% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $76.65 | ↓ -60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $96.36 | ↓ -50% |
| Geisinger | Geisinger Medicaid HC | $105.85 | ↓ -45% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $105.85 | ↓ -45% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $105.85 | ↓ -45% |
| United Healthcare | United Healthcare Medicaid | $105.85 | ↓ -45% |
| Geisinger | Geisinger CHIP | $105.85 | ↓ -45% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $109.50 | ↓ -44% |
| Jefferson Health Plans | Jefferson Health Plans | $111.69 | ↓ -42% |
| Highmark | Highmark Community Blue Medicare | $273.29 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $293.86 | ↑ +51% |
| Highmark | Highmark Security Blue | $302.68 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $311.49 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $311.49 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $323.25 | ↑ +67% |
| Highmark | Highmark Together Blue | $362.63 | ↑ +87% |
| Highmark | Highmark Managed Care | $383.59 | ↑ +98% |
| Highmark | Highmark My Blue Access | $383.59 | ↑ +98% |
| Highmark | Highmark My Direct Blue | $383.59 | ↑ +98% |
| Highmark | Highmark Performance Blue | $383.59 | ↑ +98% |
| Highmark | Highmark Blue High Performance | $383.59 | ↑ +98% |
| Highmark | Highmark Social Mission Indemnity | $383.59 | ↑ +98% |
| Highmark | Highmark Social Mission Managed Care | $383.59 | ↑ +98% |
| Highmark | Highmark Connect Blue | $383.59 | ↑ +98% |
| Highmark | Highmark Indemnity | $383.59 | ↑ +98% |
| Highmark | Highmark Community Blue | $383.59 | ↑ +98% |
| Cigna | Cigna Commercial | $499.72 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $562.08 | ↑ +190% |
| United Healthcare | United Healthcare Commercial | $592.59 | ↑ +205% |
| United Healthcare | United Healthcare Of OH Medicaid | $592.59 | ↑ +205% |
| Martin's Point | Martin's Point | $1,179.00 | ↑ +508% |
| United Healthcare | United Healthcare CHIP | $1,313.60 | ↑ +577% |
| Highmark | Highmark Community Blue Medicare PPO | $1,763.94 | ↑ +809% |
| Highmark | Highmark Complete Blue Medicare | $1,763.94 | ↑ +809% |
| Highmark | Highmark Freedom Blue | $1,783.11 | ↑ +819% |
| Aetna | Aetna Medicare | $1,994.02 | ↑ +928% |
| Highmark | Highmark Together Blue Medicare | $1,994.02 | ↑ +928% |
| Highmark | Highmark Community Blue Medicare HMO | $1,994.02 | ↑ +928% |
| Amerihealth | Amerihealth Medicare New York | $2,013.19 | ↑ +938% |
| Humana | Humana Commercial | $2,032.37 | ↑ +947% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,051.54 | ↑ +957% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,070.71 | ↑ +967% |
| Molina | Molina Ohio | $2,089.89 | ↑ +977% |
| Highmark | Highmark Performance Blue Enhanced | $2,792.78 | ↑ +1339% |
| Aetna | Aetna Commercial | $3,681.27 | ↑ +1797% |
Visitor-reported prices
Comments
Incision of breast lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,917.33 | $0.01 – $3,092.49 |
| Kings County Hospital Center | Brooklyn | $1,917.33 | $0.01 – $3,092.49 |
| Lincoln Medical Center | Bronx | $1,917.33 | $0.01 – $2,329.68 |
| Metropolitan Hospital Center | New York | $1,917.33 | $0.01 – $2,329.68 |
| UPMC Chautauqua | Jamestown | $1,223.40 | $91.25 – $2,039.03 |
| Queens Hospital Center | Jamaica | $1,917.33 | $0.01 – $3,092.49 |
| Woodhull Medical Center | Brooklyn | $1,917.33 | $0.01 – $3,092.49 |
| South Brooklyn Health | Brooklyn | $1,917.33 | $0.01 – $2,329.68 |