Insert semi-rigid prosthesis at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$329.78
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.
$1,499.00
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.
$43.48 with Univera vs $29,519.44 with Aetna — 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 Essential Plan | $43.48 | ↓ -87% |
| Univera | Univera Healthy New York | $43.48 | ↓ -87% |
| Univera | Univera Medicare | $55.26 | ↓ -83% |
| Univera | Univera Commercial | $71.11 | ↓ -78% |
| Highmark | Highmark Together Blue | $685.10 | ↑ +108% |
| Highmark | Highmark Managed Care | $724.71 | ↑ +120% |
| Highmark | Highmark Social Mission Managed Care | $724.71 | ↑ +120% |
| Highmark | Highmark Social Mission Indemnity | $724.71 | ↑ +120% |
| Highmark | Highmark Blue High Performance | $724.71 | ↑ +120% |
| Highmark | Highmark Community Blue | $724.71 | ↑ +120% |
| Highmark | Highmark My Blue Access | $724.71 | ↑ +120% |
| Highmark | Highmark Performance Blue | $724.71 | ↑ +120% |
| Highmark | Highmark Connect Blue | $724.71 | ↑ +120% |
| Highmark | Highmark My Direct Blue | $724.71 | ↑ +120% |
| Highmark | Highmark Indemnity | $724.71 | ↑ +120% |
| Cigna | Cigna Commercial | $848.83 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $975.51 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $1,028.48 | ↑ +212% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,028.48 | ↑ +212% |
| United Healthcare | United Healthcare CHIP | $11,739.39 | ↑ +3460% |
| United Healthcare | United Healthcare Medicaid | $11,739.39 | ↑ +3460% |
| Highmark | Highmark Complete Blue Medicare | $14,144.73 | ↑ +4189% |
| Highmark | Highmark Community Blue Medicare PPO | $14,144.73 | ↑ +4189% |
| Highmark | Highmark Freedom Blue | $14,298.48 | ↑ +4236% |
| American Health Plans | American Health Plans Medicare | $15,374.71 | ↑ +4562% |
| Life Pittsburgh | Life Pittsburgh Medicare | $15,374.71 | ↑ +4562% |
| Martin's Point | Martin's Point | $15,374.71 | ↑ +4562% |
| Devoted Medicare | Devoted Health Medicare Advantage | $15,835.95 | ↑ +4702% |
| Highmark | Highmark Security Blue | $15,989.70 | ↑ +4749% |
| Aetna | Aetna Medicare | $15,989.70 | ↑ +4749% |
| Highmark | Highmark Community Blue Medicare HMO | $15,989.70 | ↑ +4749% |
| Highmark | Highmark Together Blue Medicare | $15,989.70 | ↑ +4749% |
| Amerihealth | Amerihealth Medicare New York | $16,143.45 | ↑ +4795% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $16,143.45 | ↑ +4795% |
| Humana | Humana Commercial | $16,297.19 | ↑ +4842% |
| United Healthcare | United Healthcare Medicare I-SNP | $16,450.94 | ↑ +4888% |
| United Healthcare | United Healthcare Medicare D-SNP | $16,604.69 | ↑ +4935% |
| Molina | Molina Ohio | $16,758.43 | ↑ +4982% |
| Highmark | Highmark Performance Blue Enhanced | $22,394.80 | ↑ +6691% |
| Aetna | Aetna Commercial | $29,519.44 | ↑ +8851% |
Visitor-reported prices
Comments
Insert semi-rigid prosthesis at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $15,374.71 | $0.01 – $24,703.77 |
| Kings County Hospital Center | Brooklyn | $15,374.71 | $0.01 – $24,703.77 |
| Lincoln Medical Center | Bronx | $15,374.71 | $0.01 – $18,610.17 |
| Metropolitan Hospital Center | New York | $15,374.71 | $0.01 – $18,610.17 |
| Queens Hospital Center | Jamaica | $15,374.71 | $0.01 – $24,703.77 |
| Woodhull Medical Center | Brooklyn | $15,374.71 | $0.01 – $24,703.77 |
| South Brooklyn Health | Brooklyn | $15,374.71 | $0.01 – $18,610.17 |
| North Central Bronx | Bronx | $15,374.71 | $0.01 – $24,703.77 |