Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$313.72
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.
$1,426.00
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.
$28.70 with Univera vs $23,777.77 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 Healthy New York | $28.70 | ↓ -91% |
| Univera | Univera Essential Plan | $28.70 | ↓ -91% |
| Univera | Univera Medicare | $59.08 | ↓ -81% |
| Univera | Univera Commercial | $64.48 | ↓ -79% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $486.22 | ↑ +55% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $486.22 | ↑ +55% |
| Highmark | Highmark Together Blue | $577.08 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $610.45 | ↑ +95% |
| Highmark | Highmark Community Blue | $610.45 | ↑ +95% |
| Highmark | Highmark Connect Blue | $610.45 | ↑ +95% |
| Highmark | Highmark Indemnity | $610.45 | ↑ +95% |
| Highmark | Highmark Social Mission Managed Care | $610.45 | ↑ +95% |
| Highmark | Highmark Social Mission Indemnity | $610.45 | ↑ +95% |
| Highmark | Highmark Performance Blue | $610.45 | ↑ +95% |
| Highmark | Highmark My Direct Blue | $610.45 | ↑ +95% |
| Highmark | Highmark My Blue Access | $610.45 | ↑ +95% |
| Highmark | Highmark Managed Care | $610.45 | ↑ +95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $611.25 | ↑ +95% |
| United Healthcare | United Healthcare Medicaid | $671.45 | ↑ +114% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $671.45 | ↑ +114% |
| Geisinger | Geisinger Medicaid HC | $671.45 | ↑ +114% |
| Geisinger | Geisinger CHIP | $671.45 | ↑ +114% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $671.45 | ↑ +114% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $694.61 | ↑ +121% |
| Jefferson Health Plans | Jefferson Health Plans | $708.50 | ↑ +126% |
| Amerihealth | Amerihealth Medicaid HC | $764.07 | ↑ +144% |
| Amerihealth | Amerihealth Medicaid CHC | $764.07 | ↑ +144% |
| Cigna | Cigna Commercial | $810.01 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $961.31 | ↑ +206% |
| United Healthcare | United Healthcare Commercial | $1,013.50 | ↑ +223% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,013.50 | ↑ +223% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +296% |
| Highmark | Highmark Complete Blue Medicare | $11,393.51 | ↑ +3532% |
| Highmark | Highmark Community Blue Medicare PPO | $11,393.51 | ↑ +3532% |
| Highmark | Highmark Freedom Blue | $11,517.36 | ↑ +3571% |
| Life Pittsburgh | Life Pittsburgh Medicare | $12,384.25 | ↑ +3848% |
| Martin's Point | Martin's Point | $12,384.25 | ↑ +3848% |
| American Health Plans | American Health Plans Medicare | $12,384.25 | ↑ +3848% |
| Devoted Medicare | Devoted Health Medicare Advantage | $12,755.78 | ↑ +3966% |
| Highmark | Highmark Together Blue Medicare | $12,879.62 | ↑ +4005% |
| Highmark | Highmark Community Blue Medicare HMO | $12,879.62 | ↑ +4005% |
| Highmark | Highmark Security Blue | $12,879.62 | ↑ +4005% |
| Aetna | Aetna Medicare | $12,879.62 | ↑ +4005% |
| Amerihealth | Amerihealth Medicare New York | $13,003.47 | ↑ +4045% |
| Humana | Humana Commercial | $13,127.31 | ↑ +4084% |
| United Healthcare | United Healthcare Medicare I-SNP | $13,251.15 | ↑ +4124% |
| United Healthcare | United Healthcare Medicare D-SNP | $13,374.99 | ↑ +4163% |
| Molina | Molina Ohio | $13,498.84 | ↑ +4203% |
| Highmark | Highmark Performance Blue Enhanced | $18,038.90 | ↑ +5650% |
| Aetna | Aetna Commercial | $23,777.77 | ↑ +7479% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $12,384.25 | $0.01 – $19,570.59 |
| Kings County Hospital Center | Brooklyn | $12,384.25 | $0.01 – $19,570.59 |
| Lincoln Medical Center | Bronx | $12,384.25 | $0.01 – $14,743.18 |
| Metropolitan Hospital Center | New York | $12,384.25 | $0.01 – $14,743.18 |
| UPMC Chautauqua | Jamestown | $11,075.40 | $578.84 – $16,613.10 |
| Queens Hospital Center | Jamaica | $12,384.25 | $0.01 – $19,570.59 |
| Woodhull Medical Center | Brooklyn | $12,384.25 | $0.01 – $19,570.59 |
| South Brooklyn Health | Brooklyn | $12,384.25 | $0.01 – $14,743.18 |