Lso r post pnl sj-t9 pre cst at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
not published by hospital
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.
not published by hospital
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.
$98.18 with United Healthcare vs $395.09 with Highmark — 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 |
|---|---|---|---|
| United Healthcare | United Healthcare Navigate Nexus Commercial | $98.18 | — |
| United Healthcare | United Healthcare Commercial | $103.25 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $103.25 | — |
| Univera | Univera Commercial | $114.50 | — |
| Univera | Univera Healthy New York | $114.50 | — |
| Univera | Univera Essential Plan | $114.50 | — |
| Univera | Univera Medicare | $114.50 | — |
| Highmark | Highmark Together Blue | $138.38 | — |
| Highmark | Highmark Indemnity | $157.12 | — |
| Highmark | Highmark Blue High Performance | $157.12 | — |
| Highmark | Highmark Community Blue | $157.12 | — |
| Highmark | Highmark Connect Blue | $157.12 | — |
| Highmark | Highmark Managed Care | $157.12 | — |
| Highmark | Highmark My Blue Access | $157.12 | — |
| Highmark | Highmark My Direct Blue | $157.12 | — |
| Highmark | Highmark Performance Blue | $157.12 | — |
| Highmark | Highmark Social Mission Indemnity | $157.12 | — |
| Highmark | Highmark Social Mission Managed Care | $157.12 | — |
| United Healthcare | United Healthcare Medicaid | $162.90 | — |
| United Healthcare | United Healthcare CHIP | $162.90 | — |
| Highmark | Highmark Complete Blue Medicare | $175.21 | — |
| Highmark | Highmark Community Blue Medicare PPO | $175.21 | — |
| Highmark | Highmark Freedom Blue | $177.12 | — |
| American Health Plans | American Health Plans Medicare | $190.45 | — |
| Martin's Point | Martin's Point | $190.45 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $190.45 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $196.16 | — |
| Highmark | Highmark Security Blue | $198.07 | — |
| Aetna | Aetna Medicare | $198.07 | — |
| Highmark | Highmark Community Blue Medicare HMO | $198.07 | — |
| Highmark | Highmark Together Blue Medicare | $198.07 | — |
| Amerihealth | Amerihealth Medicare New York | $199.97 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $199.97 | — |
| Humana | Humana Commercial | $201.88 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $203.78 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $205.69 | — |
| Molina | Molina Ohio | $207.59 | — |
| Aetna | Aetna Commercial | $365.66 | — |
| Highmark | Highmark Performance Blue Enhanced | $395.09 | — |
Visitor-reported prices
Comments
Lso r post pnl sj-t9 pre cst at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | not published | $107.76 – $219.35 |
| Harlem Hospital Center | New York | not published | $144.23 – $219.35 |
| Kings County Hospital Center | Brooklyn | not published | $144.23 – $219.35 |
| Lincoln Medical Center | Bronx | not published | $144.23 – $219.35 |
| Metropolitan Hospital Center | New York | not published | $144.23 – $219.35 |
| Queens Hospital Center | Jamaica | not published | $144.23 – $219.35 |
| Woodhull Medical Center | Brooklyn | not published | $144.23 – $219.35 |
| South Brooklyn Health | Brooklyn | not published | $144.23 – $219.35 |