Insert self-contd prosthesis at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$412.50
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.
$1,875.00
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.
$54.46 with Univera vs $45,733.12 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 | $54.46 | ↓ -87% |
| Univera | Univera Healthy New York | $54.46 | ↓ -87% |
| Univera | Univera Medicare | $69.20 | ↓ -83% |
| Univera | Univera Commercial | $89.05 | ↓ -78% |
| Highmark | Highmark Together Blue | $858.95 | ↑ +108% |
| Highmark | Highmark Managed Care | $908.61 | ↑ +120% |
| Highmark | Highmark Social Mission Managed Care | $908.61 | ↑ +120% |
| Highmark | Highmark Social Mission Indemnity | $908.61 | ↑ +120% |
| Highmark | Highmark Blue High Performance | $908.61 | ↑ +120% |
| Highmark | Highmark Community Blue | $908.61 | ↑ +120% |
| Highmark | Highmark My Blue Access | $908.61 | ↑ +120% |
| Highmark | Highmark Performance Blue | $908.61 | ↑ +120% |
| Highmark | Highmark Connect Blue | $908.61 | ↑ +120% |
| Highmark | Highmark My Direct Blue | $908.61 | ↑ +120% |
| Highmark | Highmark Indemnity | $908.61 | ↑ +120% |
| Cigna | Cigna Commercial | $1,060.01 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,203.12 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $1,268.44 | ↑ +208% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,268.44 | ↑ +208% |
| United Healthcare | United Healthcare CHIP | $18,818.94 | ↑ +4462% |
| United Healthcare | United Healthcare Medicaid | $18,818.94 | ↑ +4462% |
| Highmark | Highmark Complete Blue Medicare | $21,913.79 | ↑ +5212% |
| Highmark | Highmark Community Blue Medicare PPO | $21,913.79 | ↑ +5212% |
| Highmark | Highmark Freedom Blue | $22,151.98 | ↑ +5270% |
| American Health Plans | American Health Plans Medicare | $23,819.33 | ↑ +5674% |
| Life Pittsburgh | Life Pittsburgh Medicare | $23,819.33 | ↑ +5674% |
| Martin's Point | Martin's Point | $23,819.33 | ↑ +5674% |
| Devoted Medicare | Devoted Health Medicare Advantage | $24,533.91 | ↑ +5848% |
| Highmark | Highmark Security Blue | $24,772.11 | ↑ +5905% |
| Aetna | Aetna Medicare | $24,772.11 | ↑ +5905% |
| Highmark | Highmark Community Blue Medicare HMO | $24,772.11 | ↑ +5905% |
| Highmark | Highmark Together Blue Medicare | $24,772.11 | ↑ +5905% |
| Amerihealth | Amerihealth Medicare New York | $25,010.30 | ↑ +5963% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $25,010.30 | ↑ +5963% |
| Humana | Humana Commercial | $25,248.49 | ↑ +6021% |
| United Healthcare | United Healthcare Medicare I-SNP | $25,486.69 | ↑ +6079% |
| United Healthcare | United Healthcare Medicare D-SNP | $25,724.88 | ↑ +6136% |
| Molina | Molina Ohio | $25,963.07 | ↑ +6194% |
| Highmark | Highmark Performance Blue Enhanced | $34,695.24 | ↑ +8311% |
| Aetna | Aetna Commercial | $45,733.12 | ↑ +10987% |
Visitor-reported prices
Comments
Insert self-contd prosthesis at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $23,819.33 | $400.42 – $51,744.17 |
| Kings County Hospital Center | Brooklyn | $23,819.33 | $400.42 – $51,744.17 |
| Lincoln Medical Center | Bronx | $23,819.33 | $765.92 – $51,744.17 |
| Metropolitan Hospital Center | New York | $23,819.33 | $765.92 – $51,744.17 |
| Queens Hospital Center | Jamaica | $23,819.33 | $400.42 – $51,744.17 |
| Woodhull Medical Center | Brooklyn | $23,819.33 | $400.42 – $51,744.17 |
| South Brooklyn Health | Brooklyn | $23,819.33 | $765.92 – $51,744.17 |
| North Central Bronx | Bronx | $23,819.33 | $765.92 – $51,744.17 |