Insertion single tranvenous electrode/ppm/implantable defibrillator at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$225.28
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.
$1,024.00
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.
$20.66 with Univera vs $18,803.45 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 | $20.66 | ↓ -91% |
| Univera | Univera Essential Plan | $20.66 | ↓ -91% |
| Univera | Univera Medicare | $42.53 | ↓ -81% |
| Univera | Univera Commercial | $46.42 | ↓ -79% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $374.51 | ↑ +66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $374.51 | ↑ +66% |
| Highmark | Highmark Together Blue | $415.49 | ↑ +84% |
| Highmark | Highmark Blue High Performance | $439.52 | ↑ +95% |
| Highmark | Highmark Community Blue | $439.52 | ↑ +95% |
| Highmark | Highmark Connect Blue | $439.52 | ↑ +95% |
| Highmark | Highmark Indemnity | $439.52 | ↑ +95% |
| Highmark | Highmark Social Mission Managed Care | $439.52 | ↑ +95% |
| Highmark | Highmark Social Mission Indemnity | $439.52 | ↑ +95% |
| Highmark | Highmark Performance Blue | $439.52 | ↑ +95% |
| Highmark | Highmark My Direct Blue | $439.52 | ↑ +95% |
| Highmark | Highmark My Blue Access | $439.52 | ↑ +95% |
| Highmark | Highmark Managed Care | $439.52 | ↑ +95% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $470.82 | ↑ +109% |
| United Healthcare | United Healthcare Medicaid | $517.19 | ↑ +130% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $517.19 | ↑ +130% |
| Geisinger | Geisinger Medicaid HC | $517.19 | ↑ +130% |
| Geisinger | Geisinger CHIP | $517.19 | ↑ +130% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $517.19 | ↑ +130% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $535.02 | ↑ +137% |
| Jefferson Health Plans | Jefferson Health Plans | $545.72 | ↑ +142% |
| Cigna | Cigna Commercial | $581.16 | ↑ +158% |
| Amerihealth | Amerihealth Medicaid HC | $588.52 | ↑ +161% |
| Amerihealth | Amerihealth Medicaid CHC | $588.52 | ↑ +161% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $683.54 | ↑ +203% |
| United Healthcare | United Healthcare Commercial | $720.65 | ↑ +220% |
| United Healthcare | United Healthcare Of OH Medicaid | $720.65 | ↑ +220% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +451% |
| Highmark | Highmark Complete Blue Medicare | $9,009.99 | ↑ +3899% |
| Highmark | Highmark Community Blue Medicare PPO | $9,009.99 | ↑ +3899% |
| Highmark | Highmark Freedom Blue | $9,107.92 | ↑ +3943% |
| Life Pittsburgh | Life Pittsburgh Medicare | $9,793.46 | ↑ +4247% |
| Martin's Point | Martin's Point | $9,793.46 | ↑ +4247% |
| American Health Plans | American Health Plans Medicare | $9,793.46 | ↑ +4247% |
| Devoted Medicare | Devoted Health Medicare Advantage | $10,087.27 | ↑ +4378% |
| Highmark | Highmark Together Blue Medicare | $10,185.20 | ↑ +4421% |
| Highmark | Highmark Community Blue Medicare HMO | $10,185.20 | ↑ +4421% |
| Highmark | Highmark Security Blue | $10,185.20 | ↑ +4421% |
| Aetna | Aetna Medicare | $10,185.20 | ↑ +4421% |
| Amerihealth | Amerihealth Medicare New York | $10,283.14 | ↑ +4465% |
| Humana | Humana Commercial | $10,381.07 | ↑ +4508% |
| United Healthcare | United Healthcare Medicare I-SNP | $10,479.01 | ↑ +4552% |
| United Healthcare | United Healthcare Medicare D-SNP | $10,576.94 | ↑ +4595% |
| Molina | Molina Ohio | $10,674.88 | ↑ +4638% |
| Highmark | Highmark Performance Blue Enhanced | $14,265.16 | ↑ +6232% |
| Aetna | Aetna Commercial | $18,803.45 | ↑ +8247% |
Visitor-reported prices
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Insertion single tranvenous electrode/ppm/implantable defibrillator at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $9,793.46 | $236.63 – $20,660.07 |
| Harlem Hospital Center | New York | $9,793.46 | $417.24 – $20,660.07 |
| Kings County Hospital Center | Brooklyn | $9,793.46 | $236.63 – $20,660.07 |
| Lincoln Medical Center | Bronx | $9,793.46 | $432.19 – $20,660.07 |
| Metropolitan Hospital Center | New York | $9,793.46 | $432.19 – $20,660.07 |
| UPMC Chautauqua | Jamestown | $4,527.00 | $445.85 – $10,729.38 |
| Queens Hospital Center | Jamaica | $9,793.46 | $236.63 – $20,660.07 |
| Woodhull Medical Center | Brooklyn | $9,793.46 | $236.63 – $20,660.07 |