New Patient Office Visit (level 5) at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$528.06
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.
$677.00
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.
$20.80 with United Healthcare vs $472.50 with Martin's Point — 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 CHIP | $20.80 | ↓ -96% |
| United Healthcare | United Healthcare Medicaid | $20.80 | ↓ -96% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $63.00 | ↓ -88% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $63.00 | ↓ -88% |
| Carelon | Carelon Beaver County | $67.64 | ↓ -87% |
| Carelon | Carelon Armstrong County | $67.64 | ↓ -87% |
| Carelon | Carelon Butler County | $67.64 | ↓ -87% |
| Carelon | Carelon Indiana County | $67.64 | ↓ -87% |
| Carelon | Carelon Lawrence County | $67.64 | ↓ -87% |
| Carelon | Carelon Washington County | $67.64 | ↓ -87% |
| Carelon | Carelon Westmoreland County | $67.64 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $79.20 | ↓ -85% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $87.00 | ↓ -84% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $87.00 | ↓ -84% |
| Geisinger | Geisinger Medicaid HC | $87.00 | ↓ -84% |
| Geisinger | Geisinger CHIP | $87.00 | ↓ -84% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $90.00 | ↓ -83% |
| Jefferson Health Plans | Jefferson Health Plans | $91.80 | ↓ -83% |
| Amerihealth | Amerihealth Medicaid CHC | $99.00 | ↓ -81% |
| Amerihealth | Amerihealth Medicaid HC | $99.00 | ↓ -81% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center for You Advantage (SNP) | $110.00 | ↓ -79% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center Kids (CHIP) | $110.00 | ↓ -79% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Northcentral (HCNC) | $110.00 | ↓ -79% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center Commercial (BHS) | $110.00 | ↓ -79% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Allegheny (HCAL) | $110.00 | ↓ -79% |
| Community Care Behavorial Health HealthChoices | Community Care Behavorial Health HealthChoices Erie (HCER) | $110.00 | ↓ -79% |
| Community Care Behavorial Health University of Pittsburgh Medical Center | Community Care Behavorial Health University of Pittsburgh Medical Center For Life (LIFE) | $110.00 | ↓ -79% |
| Univera | Univera Healthy New York | $152.38 | ↓ -71% |
| Univera | Univera Essential Plan | $152.38 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare | $157.82 | ↓ -70% |
| Univera | Univera Medicare | $160.21 | ↓ -70% |
| Life Pittsburgh | Life Pittsburgh Medicare | $169.70 | ↓ -68% |
| Highmark | Highmark Security Blue | $174.79 | ↓ -67% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $179.88 | ↓ -66% |
| Devoted Medicare | Devoted Health Medicare Advantage | $179.88 | ↓ -66% |
| Highmark | Highmark Together Blue | $182.22 | ↓ -65% |
| Univera | Univera Commercial | $185.70 | ↓ -65% |
| American Health Plans | American Health Plans Medicare | $186.67 | ↓ -65% |
| Highmark | Highmark Managed Care | $192.75 | ↓ -63% |
| Highmark | Highmark Community Blue | $192.75 | ↓ -63% |
| Highmark | Highmark Blue High Performance | $192.75 | ↓ -63% |
| Highmark | Highmark Connect Blue | $192.75 | ↓ -63% |
| Highmark | Highmark My Blue Access | $192.75 | ↓ -63% |
| Highmark | Highmark My Direct Blue | $192.75 | ↓ -63% |
| Highmark | Highmark Performance Blue | $192.75 | ↓ -63% |
| Highmark | Highmark Social Mission Indemnity | $192.75 | ↓ -63% |
| Highmark | Highmark Social Mission Managed Care | $192.75 | ↓ -63% |
| Highmark | Highmark Indemnity | $192.75 | ↓ -63% |
| Cigna | Cigna Commercial | $288.80 | ↓ -45% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $305.19 | ↓ -42% |
| United Healthcare | United Healthcare Of OH Medicaid | $321.76 | ↓ -39% |
| United Healthcare | United Healthcare Commercial | $321.76 | ↓ -39% |
| Martin's Point | Martin's Point | $472.50 | ↓ -11% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Chautauqua | Jamestown | $217.80 | $61.00 – $321.30 |
| NewYork-Presbyterian Queens | Flushing | $1,014.00 | $1,567.74 – $1,644.31 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $715.00 | $1,597.27 – $1,597.27 |
| Rochester General Hospital | Rochester | $584.79 | $72.00 – $72.00 |
| Clifton Springs Hospital and Clinic | Clifton Springs | $584.79 | $52.50 – $255.63 |
| Gouverneur Hospital | Gouverneur | $514.76 | $76.97 – $272.05 |
| Massena Hospital | Massena | $517.48 | $76.97 – $272.05 |
| Canton-Potsdam Hospital | Potsdam | $524.87 | $139.66 – $272.05 |