Oropharyngeal biopsy 42800 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$72.82
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.
$331.00
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.
$9.61 with Univera vs $3,365.54 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 | $9.61 | ↓ -87% |
| Univera | Univera Essential Plan | $9.61 | ↓ -87% |
| Univera | Univera Medicare | $12.06 | ↓ -83% |
| Univera | Univera Commercial | $14.13 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $57.23 | ↓ -21% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $57.23 | ↓ -21% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $71.94 | ↓ -1% |
| United Healthcare | United Healthcare Medicaid | $79.03 | ↑ +9% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $79.03 | ↑ +9% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $79.03 | ↑ +9% |
| Geisinger | Geisinger Medicaid HC | $79.03 | ↑ +9% |
| Geisinger | Geisinger CHIP | $79.03 | ↑ +9% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $81.75 | ↑ +12% |
| Jefferson Health Plans | Jefferson Health Plans | $83.39 | ↑ +15% |
| Amerihealth | Amerihealth Medicaid HC | $89.93 | ↑ +23% |
| Amerihealth | Amerihealth Medicaid CHC | $89.93 | ↑ +23% |
| Highmark | Highmark Community Blue Medicare | $102.46 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $110.17 | ↑ +51% |
| Highmark | Highmark Security Blue | $113.48 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $116.78 | ↑ +60% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $116.78 | ↑ +60% |
| American Health Plans | American Health Plans Medicare | $121.19 | ↑ +66% |
| Highmark | Highmark Together Blue | $126.10 | ↑ +73% |
| Highmark | Highmark Managed Care | $133.40 | ↑ +83% |
| Highmark | Highmark My Blue Access | $133.40 | ↑ +83% |
| Highmark | Highmark My Direct Blue | $133.40 | ↑ +83% |
| Highmark | Highmark Performance Blue | $133.40 | ↑ +83% |
| Highmark | Highmark Blue High Performance | $133.40 | ↑ +83% |
| Highmark | Highmark Social Mission Indemnity | $133.40 | ↑ +83% |
| Highmark | Highmark Social Mission Managed Care | $133.40 | ↑ +83% |
| Highmark | Highmark Connect Blue | $133.40 | ↑ +83% |
| Highmark | Highmark Indemnity | $133.40 | ↑ +83% |
| Highmark | Highmark Community Blue | $133.40 | ↑ +83% |
| Cigna | Cigna Commercial | $186.41 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $202.74 | ↑ +178% |
| United Healthcare | United Healthcare Commercial | $213.74 | ↑ +194% |
| United Healthcare | United Healthcare Of OH Medicaid | $213.74 | ↑ +194% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1605% |
| Highmark | Highmark Community Blue Medicare PPO | $1,612.66 | ↑ +2115% |
| Highmark | Highmark Complete Blue Medicare | $1,612.66 | ↑ +2115% |
| Highmark | Highmark Freedom Blue | $1,630.19 | ↑ +2139% |
| Martin's Point | Martin's Point | $1,752.89 | ↑ +2307% |
| Aetna | Aetna Medicare | $1,823.00 | ↑ +2403% |
| Highmark | Highmark Together Blue Medicare | $1,823.00 | ↑ +2403% |
| Highmark | Highmark Community Blue Medicare HMO | $1,823.00 | ↑ +2403% |
| Amerihealth | Amerihealth Medicare New York | $1,840.53 | ↑ +2428% |
| Humana | Humana Commercial | $1,858.06 | ↑ +2452% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,875.59 | ↑ +2476% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,893.12 | ↑ +2500% |
| Molina | Molina Ohio | $1,910.65 | ↑ +2524% |
| Highmark | Highmark Performance Blue Enhanced | $2,553.26 | ↑ +3406% |
| Aetna | Aetna Commercial | $3,365.54 | ↑ +4522% |
Visitor-reported prices
Comments
Oropharyngeal biopsy 42800 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,752.89 | $0.01 – $2,905.23 |
| Kings County Hospital Center | Brooklyn | $1,752.89 | $0.01 – $2,905.23 |
| Lincoln Medical Center | Bronx | $1,752.89 | $0.01 – $2,188.60 |
| Metropolitan Hospital Center | New York | $1,752.89 | $0.01 – $2,188.60 |
| Queens Hospital Center | Jamaica | $1,752.89 | $0.01 – $2,905.23 |
| Woodhull Medical Center | Brooklyn | $1,752.89 | $0.01 – $2,905.23 |
| South Brooklyn Health | Brooklyn | $1,752.89 | $0.01 – $2,188.60 |
| North Central Bronx | Bronx | $1,752.89 | $0.01 – $2,905.23 |