M.avium-intra dna dir prob at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$18.04
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.
$82.00
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.
$10.34 with Univera vs $56.61 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 |
|---|---|---|---|
| Univera | Univera Medicare | $10.34 | ↓ -43% |
| Highmark | Highmark Social Mission Managed Care | $18.01 | ↓ -0% |
| Highmark | Highmark Social Mission Indemnity | $18.01 | ↓ -0% |
| Highmark | Highmark Performance Blue | $18.01 | ↓ -0% |
| Highmark | Highmark My Direct Blue | $18.01 | ↓ -0% |
| Highmark | Highmark Together Blue | $18.01 | ↓ -0% |
| Highmark | Highmark Blue High Performance | $18.01 | ↓ -0% |
| Highmark | Highmark Community Blue | $18.01 | ↓ -0% |
| Highmark | Highmark My Blue Access | $18.01 | ↓ -0% |
| Highmark | Highmark Managed Care | $18.01 | ↓ -0% |
| Highmark | Highmark Connect Blue | $18.01 | ↓ -0% |
| Highmark | Highmark Indemnity | $18.01 | ↓ -0% |
| Univera | Univera Commercial | $18.13 | ↑ +0% |
| Univera | Univera Healthy New York | $19.43 | ↑ +8% |
| Univera | Univera Essential Plan | $19.43 | ↑ +8% |
| Highmark | Highmark Complete Blue Medicare | $25.11 | ↑ +39% |
| Highmark | Highmark Community Blue Medicare PPO | $25.11 | ↑ +39% |
| Highmark | Highmark Freedom Blue | $25.38 | ↑ +41% |
| Cigna | Cigna Commercial | $26.12 | ↑ +45% |
| United Healthcare | United Healthcare Medicaid | $26.64 | ↑ +48% |
| United Healthcare | United Healthcare CHIP | $26.64 | ↑ +48% |
| Life Pittsburgh | Life Pittsburgh Medicare | $27.29 | ↑ +51% |
| American Health Plans | American Health Plans Medicare | $27.29 | ↑ +51% |
| Martin's Point | Martin's Point | $27.29 | ↑ +51% |
| United Healthcare | United Healthcare Commercial | $28.11 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $28.11 | ↑ +56% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $28.19 | ↑ +56% |
| Highmark | Highmark Security Blue | $28.38 | ↑ +57% |
| Aetna | Aetna Medicare | $28.38 | ↑ +57% |
| Highmark | Highmark Community Blue Medicare HMO | $28.38 | ↑ +57% |
| Highmark | Highmark Together Blue Medicare | $28.38 | ↑ +57% |
| Amerihealth | Amerihealth Medicare New York | $28.65 | ↑ +59% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $28.65 | ↑ +59% |
| Humana | Humana Commercial | $28.93 | ↑ +60% |
| United Healthcare | United Healthcare Medicare I-SNP | $29.20 | ↑ +62% |
| United Healthcare | United Healthcare Medicare D-SNP | $29.47 | ↑ +63% |
| United Healthcare | United Healthcare Of OH Medicaid | $29.69 | ↑ +65% |
| Molina | Molina Ohio | $29.75 | ↑ +65% |
| Aetna | Aetna Commercial | $52.40 | ↑ +190% |
| Highmark | Highmark Performance Blue Enhanced | $56.61 | ↑ +214% |
Visitor-reported prices
Comments
M.avium-intra dna dir prob at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $27.29 | $1.00 – $67.80 |
| Kings County Hospital Center | Brooklyn | $27.29 | $1.00 – $67.80 |
| Lincoln Medical Center | Bronx | $27.29 | $1.00 – $67.80 |
| Metropolitan Hospital Center | New York | $27.29 | $1.00 – $67.80 |
| Queens Hospital Center | Jamaica | $27.29 | $1.00 – $67.80 |
| Woodhull Medical Center | Brooklyn | $27.29 | $1.00 – $67.80 |
| South Brooklyn Health | Brooklyn | $27.29 | $1.00 – $67.80 |
| North Central Bronx | Bronx | $27.29 | $1.00 – $67.80 |