Ins/rplc spi npg/rcvr pocket at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$210.10
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.
$955.00
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.
$27.67 with Univera vs $69,237.56 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $27.67 | ↓ -87% |
| Univera | Univera Healthy New York | $27.67 | ↓ -87% |
| Univera | Univera Medicare | $33.58 | ↓ -84% |
| Univera | Univera Commercial | $39.52 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.21 | ↓ -70% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.21 | ↓ -70% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.46 | ↓ -62% |
| Geisinger | Geisinger CHIP | $87.29 | ↓ -58% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.29 | ↓ -58% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.29 | ↓ -58% |
| Geisinger | Geisinger Medicaid HC | $87.29 | ↓ -58% |
| United Healthcare | United Healthcare Medicaid | $87.29 | ↓ -58% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $90.30 | ↓ -57% |
| Jefferson Health Plans | Jefferson Health Plans | $92.11 | ↓ -56% |
| Amerihealth | Amerihealth Medicaid CHC | $99.33 | ↓ -53% |
| Amerihealth | Amerihealth Medicaid HC | $99.33 | ↓ -53% |
| Highmark | Highmark Together Blue | $394.78 | ↑ +88% |
| Highmark | Highmark Performance Blue | $417.60 | ↑ +99% |
| Highmark | Highmark Community Blue | $417.60 | ↑ +99% |
| Highmark | Highmark Connect Blue | $417.60 | ↑ +99% |
| Highmark | Highmark Indemnity | $417.60 | ↑ +99% |
| Highmark | Highmark Managed Care | $417.60 | ↑ +99% |
| Highmark | Highmark My Blue Access | $417.60 | ↑ +99% |
| Highmark | Highmark My Direct Blue | $417.60 | ↑ +99% |
| Highmark | Highmark Blue High Performance | $417.60 | ↑ +99% |
| Highmark | Highmark Social Mission Indemnity | $417.60 | ↑ +99% |
| Highmark | Highmark Social Mission Managed Care | $417.60 | ↑ +99% |
| Cigna | Cigna Commercial | $543.83 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $655.81 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $691.42 | ↑ +229% |
| United Healthcare | United Healthcare Of OH Medicaid | $691.42 | ↑ +229% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +491% |
| Highmark | Highmark Community Blue Medicare PPO | $33,176.33 | ↑ +15691% |
| Highmark | Highmark Complete Blue Medicare | $33,176.33 | ↑ +15691% |
| Highmark | Highmark Freedom Blue | $33,536.94 | ↑ +15862% |
| American Health Plans | American Health Plans Medicare | $36,061.23 | ↑ +17064% |
| Life Pittsburgh | Life Pittsburgh Medicare | $36,061.23 | ↑ +17064% |
| Martin's Point | Martin's Point | $36,061.23 | ↑ +17064% |
| Devoted Medicare | Devoted Health Medicare Advantage | $37,143.06 | ↑ +17579% |
| Highmark | Highmark Together Blue Medicare | $37,503.68 | ↑ +17750% |
| Highmark | Highmark Community Blue Medicare HMO | $37,503.68 | ↑ +17750% |
| Highmark | Highmark Security Blue | $37,503.68 | ↑ +17750% |
| Aetna | Aetna Medicare | $37,503.68 | ↑ +17750% |
| Amerihealth | Amerihealth Medicare New York | $37,864.29 | ↑ +17922% |
| Humana | Humana Commercial | $38,224.90 | ↑ +18094% |
| United Healthcare | United Healthcare Medicare I-SNP | $38,585.51 | ↑ +18265% |
| United Healthcare | United Healthcare Medicare D-SNP | $38,946.13 | ↑ +18437% |
| Molina | Molina Ohio | $39,306.74 | ↑ +18609% |
| Highmark | Highmark Performance Blue Enhanced | $52,526.78 | ↑ +24901% |
| Aetna | Aetna Commercial | $69,237.56 | ↑ +32855% |
Visitor-reported prices
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Ins/rplc spi npg/rcvr pocket at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $36,061.23 | $282.96 – $57,778.76 |
| Harlem Hospital Center | New York | $36,061.23 | $387.41 – $45,076.53 |
| Kings County Hospital Center | Brooklyn | $36,061.23 | $282.96 – $57,778.76 |
| Lincoln Medical Center | Bronx | $36,061.23 | $400.51 – $45,076.53 |
| Metropolitan Hospital Center | New York | $36,061.23 | $400.51 – $45,076.53 |
| Queens Hospital Center | Jamaica | $36,061.23 | $282.96 – $57,778.76 |
| Woodhull Medical Center | Brooklyn | $36,061.23 | $282.96 – $57,778.76 |
| South Brooklyn Health | Brooklyn | $36,061.23 | $400.51 – $45,076.53 |