Ophth Ultrasound b & quant a at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$23.76
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.
?
What you pay up front if you don't use insurance.
$108.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$24.37 with Univera vs $292.87 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $24.37 | ↑ +3% |
| Univera | Univera Essential Plan | $24.37 | ↑ +3% |
| Highmark | Highmark Together Blue | $28.39 | ↑ +19% |
| Univera | Univera Medicare | $28.67 | ↑ +21% |
| Highmark | Highmark Indemnity | $30.03 | ↑ +26% |
| Highmark | Highmark Blue High Performance | $30.03 | ↑ +26% |
| Highmark | Highmark Community Blue | $30.03 | ↑ +26% |
| Highmark | Highmark Performance Blue | $30.03 | ↑ +26% |
| Highmark | Highmark My Direct Blue | $30.03 | ↑ +26% |
| Highmark | Highmark My Blue Access | $30.03 | ↑ +26% |
| Highmark | Highmark Connect Blue | $30.03 | ↑ +26% |
| Highmark | Highmark Managed Care | $30.03 | ↑ +26% |
| Highmark | Highmark Social Mission Managed Care | $30.03 | ↑ +26% |
| Highmark | Highmark Social Mission Indemnity | $30.03 | ↑ +26% |
| Univera | Univera Commercial | $34.70 | ↑ +46% |
| Cigna | Cigna Commercial | $46.31 | ↑ +95% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $69.94 | ↑ +194% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $69.94 | ↑ +194% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.49 | ↑ +214% |
| United Healthcare | United Healthcare Commercial | $78.54 | ↑ +231% |
| United Healthcare | United Healthcare Of OH Medicaid | $78.54 | ↑ +231% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $87.93 | ↑ +270% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $93.38 | ↑ +293% |
| Jefferson Health Plans | Jefferson Health Plans | $95.24 | ↑ +301% |
| Geisinger | Geisinger CHIP | $96.58 | ↑ +306% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $96.58 | ↑ +306% |
| Geisinger | Geisinger Medicaid HC | $96.58 | ↑ +306% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $96.58 | ↑ +306% |
| United Healthcare | United Healthcare Medicaid | $96.58 | ↑ +306% |
| United Healthcare | United Healthcare CHIP | $99.60 | ↑ +319% |
| Amerihealth | Amerihealth Medicaid HC | $102.71 | ↑ +332% |
| Amerihealth | Amerihealth Medicaid CHC | $102.71 | ↑ +332% |
| Highmark | Highmark Complete Blue Medicare | $140.33 | ↑ +491% |
| Highmark | Highmark Community Blue Medicare PPO | $140.33 | ↑ +491% |
| Highmark | Highmark Freedom Blue | $141.86 | ↑ +497% |
| Life Pittsburgh | Life Pittsburgh Medicare | $152.54 | ↑ +542% |
| American Health Plans | American Health Plans Medicare | $152.54 | ↑ +542% |
| Martin's Point | Martin's Point | $152.54 | ↑ +542% |
| Devoted Medicare | Devoted Health Medicare Advantage | $157.11 | ↑ +561% |
| Aetna | Aetna Medicare | $158.64 | ↑ +568% |
| Highmark | Highmark Community Blue Medicare HMO | $158.64 | ↑ +568% |
| Highmark | Highmark Security Blue | $158.64 | ↑ +568% |
| Highmark | Highmark Together Blue Medicare | $158.64 | ↑ +568% |
| Amerihealth | Amerihealth Medicare New York | $160.16 | ↑ +574% |
| Humana | Humana Commercial | $161.69 | ↑ +581% |
| United Healthcare | United Healthcare Medicare I-SNP | $163.21 | ↑ +587% |
| United Healthcare | United Healthcare Medicare D-SNP | $164.74 | ↑ +593% |
| Molina | Molina Ohio | $166.26 | ↑ +600% |
| Highmark | Highmark Performance Blue Enhanced | $222.18 | ↑ +835% |
| Aetna | Aetna Commercial | $292.87 | ↑ +1133% |
Visitor-reported prices
Comments
Ophth Ultrasound b & quant a at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $152.54 | $1.00 – $249.12 |
| Kings County Hospital Center | Brooklyn | $152.54 | $1.00 – $249.12 |
| Lincoln Medical Center | Bronx | $152.54 | $1.00 – $249.12 |
| Metropolitan Hospital Center | New York | $152.54 | $1.00 – $249.12 |
| Queens Hospital Center | Jamaica | $152.54 | $1.00 – $249.12 |
| Woodhull Medical Center | Brooklyn | $152.54 | $1.00 – $249.12 |
| South Brooklyn Health | Brooklyn | $152.54 | $1.00 – $249.12 |
| North Central Bronx | Bronx | $152.54 | $1.00 – $249.12 |