Inj nephrosto/ureterogram w/img exstng access at WESTFIELD MEMORIAL HOSPITAL INC

189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$1,562.34

Cash price

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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.

$2,003.00

Gross charge

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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.

$53.21 with Univera vs $1,516.53 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 →

Payer
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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
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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 $53.21 ↓ -97%
Univera Univera Healthy New York $53.21 ↓ -97%
Amerihealth Amerihealth Caritas Medicare (NY) $56.18 ↓ -96%
Amerihealth Amerihealth Caritas D-SNP Medicare $56.18 ↓ -96%
Highmark Highmark Community Blue Medicare $57.22 ↓ -96%
Life Pittsburgh Life Pittsburgh Medicare $61.53 ↓ -96%
Highmark Highmark Security Blue $63.38 ↓ -96%
Univera Univera Medicare $64.90 ↓ -96%
Devoted Medicare Devoted Health Medicare Advantage $65.22 ↓ -96%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $65.22 ↓ -96%
American Health Plans American Health Plans Medicare $67.68 ↓ -96%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $70.62 ↓ -95%
Amerihealth Amerihealth Caritas HC Medicaid $77.58 ↓ -95%
Geisinger Geisinger CHIP $77.58 ↓ -95%
Geisinger Geisinger Medicaid HC $77.58 ↓ -95%
United Healthcare United Healthcare Medicaid $77.58 ↓ -95%
Amerihealth Amerihealth Caritas CHC Medicaid $77.58 ↓ -95%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $80.25 ↓ -95%
Highmark Highmark Together Blue $81.69 ↓ -95%
Jefferson Health Plans Jefferson Health Plans $81.86 ↓ -95%
Univera Univera Commercial $84.51 ↓ -95%
Highmark Highmark Community Blue $86.41 ↓ -94%
Highmark Highmark Blue High Performance $86.41 ↓ -94%
Highmark Highmark Indemnity $86.41 ↓ -94%
Highmark Highmark Managed Care $86.41 ↓ -94%
Highmark Highmark My Blue Access $86.41 ↓ -94%
Highmark Highmark My Direct Blue $86.41 ↓ -94%
Highmark Highmark Performance Blue $86.41 ↓ -94%
Highmark Highmark Social Mission Managed Care $86.41 ↓ -94%
Highmark Highmark Connect Blue $86.41 ↓ -94%
Highmark Highmark Social Mission Indemnity $86.41 ↓ -94%
Amerihealth Amerihealth Medicaid CHC $88.27 ↓ -94%
Amerihealth Amerihealth Medicaid HC $88.27 ↓ -94%
Cigna Cigna Commercial $103.63 ↓ -93%
United Healthcare United Healthcare Navigate Nexus Commercial $119.40 ↓ -92%
United Healthcare United Healthcare Commercial $125.88 ↓ -92%
United Healthcare United Healthcare Of OH Medicaid $125.88 ↓ -92%
Highmark Highmark Community Blue Medicare PPO $726.67 ↓ -53%
Highmark Highmark Complete Blue Medicare $726.67 ↓ -53%
Highmark Highmark Freedom Blue $734.57 ↓ -53%
Martin's Point Martin's Point $789.86 ↓ -49%
Aetna Aetna Medicare $821.45 ↓ -47%
Highmark Highmark Together Blue Medicare $821.45 ↓ -47%
Highmark Highmark Community Blue Medicare HMO $821.45 ↓ -47%
Amerihealth Amerihealth Medicare New York $829.35 ↓ -47%
Humana Humana Commercial $837.25 ↓ -46%
United Healthcare United Healthcare Medicare I-SNP $845.15 ↓ -46%
United Healthcare United Healthcare Medicare D-SNP $853.05 ↓ -45%
Molina Molina Ohio $860.94 ↓ -45%
Highmark Highmark Performance Blue Enhanced $1,150.51 ↓ -26%
United Healthcare United Healthcare CHIP $1,241.60 ↓ -21%
Aetna Aetna Commercial $1,516.53 ↓ -3%

Visitor-reported prices

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Inj nephrosto/ureterogram w/img exstng access at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $789.86 $44.14 – $1,305.64
Kings County Hospital Center Brooklyn $789.86 $44.14 – $1,305.64
Lincoln Medical Center Bronx $789.86 $75.04 – $1,184.79
Metropolitan Hospital Center New York $789.86 $75.04 – $1,184.79
UPMC Chautauqua Jamestown $2,092.80 $53.95 – $3,139.20
Queens Hospital Center Jamaica $789.86 $44.14 – $1,305.64
Woodhull Medical Center Brooklyn $789.86 $44.14 – $1,305.64
South Brooklyn Health Brooklyn $789.86 $75.04 – $1,184.79

All New-york hospitals for this procedure →