Inj proc elbow arthro at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$599.82
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.
$769.00
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.
$8.00 with Amerihealth vs $131.35 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 Medicaid CHC | $8.00 | ↓ -99% |
| Amerihealth | Amerihealth Medicaid HC | $8.00 | ↓ -99% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -94% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↓ -92% |
| Geisinger | Geisinger CHIP | $50.75 | ↓ -92% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↓ -92% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↓ -92% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↓ -92% |
| United Healthcare | United Healthcare Medicaid | $50.75 | ↓ -92% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $52.50 | ↓ -91% |
| Jefferson Health Plans | Jefferson Health Plans | $53.55 | ↓ -91% |
| Univera | Univera Healthy New York | $53.72 | ↓ -91% |
| Univera | Univera Essential Plan | $53.72 | ↓ -91% |
| United Healthcare | United Healthcare CHIP | $56.00 | ↓ -91% |
| Highmark | Highmark Community Blue Medicare | $57.33 | ↓ -90% |
| Life Pittsburgh | Life Pittsburgh Medicare | $61.65 | ↓ -90% |
| Highmark | Highmark Security Blue | $63.50 | ↓ -89% |
| Devoted Medicare | Devoted Health Medicare Advantage | $65.35 | ↓ -89% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $65.35 | ↓ -89% |
| American Health Plans | American Health Plans Medicare | $67.82 | ↓ -89% |
| Univera | Univera Medicare | $70.35 | ↓ -88% |
| Highmark | Highmark Together Blue | $74.84 | ↓ -88% |
| Univera | Univera Commercial | $79.00 | ↓ -87% |
| Highmark | Highmark Performance Blue | $79.17 | ↓ -87% |
| Highmark | Highmark My Direct Blue | $79.17 | ↓ -87% |
| Highmark | Highmark My Blue Access | $79.17 | ↓ -87% |
| Highmark | Highmark Managed Care | $79.17 | ↓ -87% |
| Highmark | Highmark Indemnity | $79.17 | ↓ -87% |
| Highmark | Highmark Social Mission Indemnity | $79.17 | ↓ -87% |
| Highmark | Highmark Connect Blue | $79.17 | ↓ -87% |
| Highmark | Highmark Blue High Performance | $79.17 | ↓ -87% |
| Highmark | Highmark Community Blue | $79.17 | ↓ -87% |
| Highmark | Highmark Social Mission Managed Care | $79.17 | ↓ -87% |
| Cigna | Cigna Commercial | $104.98 | ↓ -82% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $124.58 | ↓ -79% |
| United Healthcare | United Healthcare Of OH Medicaid | $131.35 | ↓ -78% |
| United Healthcare | United Healthcare Commercial | $131.35 | ↓ -78% |
Visitor-reported prices
Comments
Inj proc elbow arthro at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $201.00 | $55.52 – $301.50 |
| Rochester General Hospital | Rochester | $199.53 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $199.53 | $46.76 – $77.06 |
| Gouverneur Hospital | Gouverneur | $98.72 | not published |
| Massena Hospital | Massena | $99.25 | not published |
| Canton-Potsdam Hospital | Potsdam | $104.69 | $48.93 – $57.09 |
| The Unity Hospital of Rochester | Rochester | $245.58 | not published |
| Newark Wayne Community Hospital | Newark | $199.53 | $54.37 – $113.29 |