Inj proc lumbr disk ea lvl at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$96.58
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.
?
What you pay up front if you don't use insurance.
$439.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$126.99 with Univera vs $1,241.60 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $126.99 | ↑ +31% |
| Univera | Univera Essential Plan | $126.99 | ↑ +31% |
| Highmark | Highmark Community Blue Medicare | $135.99 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $146.23 | ↑ +51% |
| Highmark | Highmark Security Blue | $150.62 | ↑ +56% |
| Univera | Univera Medicare | $154.13 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $155.00 | ↑ +60% |
| Devoted Medicare | Devoted Health Medicare Advantage | $155.00 | ↑ +60% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $160.26 | ↑ +66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $160.26 | ↑ +66% |
| American Health Plans | American Health Plans Medicare | $160.85 | ↑ +67% |
| Highmark | Highmark Together Blue | $176.79 | ↑ +83% |
| Univera | Univera Commercial | $181.38 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $187.01 | ↑ +94% |
| Highmark | Highmark Connect Blue | $187.01 | ↑ +94% |
| Highmark | Highmark Indemnity | $187.01 | ↑ +94% |
| Highmark | Highmark Managed Care | $187.01 | ↑ +94% |
| Highmark | Highmark My Blue Access | $187.01 | ↑ +94% |
| Highmark | Highmark My Direct Blue | $187.01 | ↑ +94% |
| Highmark | Highmark Performance Blue | $187.01 | ↑ +94% |
| Highmark | Highmark Social Mission Indemnity | $187.01 | ↑ +94% |
| Highmark | Highmark Social Mission Managed Care | $187.01 | ↑ +94% |
| Highmark | Highmark Community Blue | $187.01 | ↑ +94% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $201.47 | ↑ +109% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $221.31 | ↑ +129% |
| Geisinger | Geisinger CHIP | $221.31 | ↑ +129% |
| United Healthcare | United Healthcare Medicaid | $221.31 | ↑ +129% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $221.31 | ↑ +129% |
| Geisinger | Geisinger Medicaid HC | $221.31 | ↑ +129% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $228.95 | ↑ +137% |
| Jefferson Health Plans | Jefferson Health Plans | $233.52 | ↑ +142% |
| Cigna | Cigna Commercial | $247.61 | ↑ +156% |
| Amerihealth | Amerihealth Medicaid HC | $251.84 | ↑ +161% |
| Amerihealth | Amerihealth Medicaid CHC | $251.84 | ↑ +161% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $305.10 | ↑ +216% |
| United Healthcare | United Healthcare Of OH Medicaid | $321.66 | ↑ +233% |
| United Healthcare | United Healthcare Commercial | $321.66 | ↑ +233% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1186% |
Visitor-reported prices
Comments
Inj proc lumbr disk ea lvl at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $635.00 | $388.62 – $806.40 |
| The Unity Hospital of Rochester | Rochester | $608.38 | not published |
| Bellevue Hospital Center | NY 10016 | not published | $98.33 – $246.46 |
| Kings County Hospital Center | Brooklyn | not published | $98.33 – $252.00 |
| Lincoln Medical Center | Bronx | not published | $175.00 – $252.00 |
| Metropolitan Hospital Center | New York | not published | $175.00 – $252.00 |
| Queens Hospital Center | Jamaica | not published | $98.33 – $245.81 |
| Woodhull Medical Center | Brooklyn | not published | $98.33 – $252.00 |