Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$34.59 with Highmark vs $98.77 with Highmark — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $34.59 | — |
| Univera | Univera Essential Plan | $42.79 | — |
| Univera | Univera Healthy New York | $42.79 | — |
| Highmark | Highmark Community Blue Medicare PPO | $43.80 | — |
| Highmark | Highmark Complete Blue Medicare | $43.80 | — |
| Highmark | Highmark Freedom Blue | $44.28 | — |
| Martin's Point | Martin's Point | $47.61 | — |
| American Health Plans | American Health Plans Medicare | $47.61 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $47.61 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $49.04 | — |
| United Healthcare | United Healthcare Commercial | $49.04 | — |
| Highmark | Highmark Community Blue Medicare HMO | $49.51 | — |
| Aetna | Aetna Medicare | $49.51 | — |
| Highmark | Highmark Security Blue | $49.51 | — |
| Highmark | Highmark Together Blue Medicare | $49.51 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $49.99 | — |
| Amerihealth | Amerihealth Medicare New York | $49.99 | — |
| Humana | Humana Commercial | $50.47 | — |
| Univera | Univera Medicare | $50.73 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $50.94 | — |
| United Healthcare | United Healthcare CHIP | $51.31 | — |
| United Healthcare | United Healthcare Medicaid | $51.31 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $51.42 | — |
| Molina | Molina Ohio | $51.89 | — |
| Univera | Univera Commercial | $57.36 | — |
| Highmark | Highmark My Direct Blue | $59.18 | — |
| Highmark | Highmark Connect Blue | $60.12 | — |
| Highmark | Highmark Community Blue | $60.12 | — |
| Highmark | Highmark Blue High Performance | $60.12 | — |
| Highmark | Highmark Performance Blue | $60.12 | — |
| Highmark | Highmark Social Mission Indemnity | $60.12 | — |
| Highmark | Highmark Social Mission Managed Care | $60.12 | — |
| Highmark | Highmark My Blue Access | $60.12 | — |
| Highmark | Highmark Managed Care | $60.12 | — |
| Highmark | Highmark Indemnity | $60.12 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.95 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $78.89 | — |
| Cigna | Cigna Commercial | $81.82 | — |
| Aetna | Aetna Commercial | $91.41 | — |
| Highmark | Highmark Performance Blue Enhanced | $98.77 | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $57.05 | $42.79 – $242.25 |
| Kings County Hospital Center | Brooklyn | $58.30 | $42.79 – $242.25 |
| Lincoln Medical Center | Bronx | $58.30 | $47.97 – $242.25 |
| Metropolitan Hospital Center | New York | $57.05 | $47.14 – $242.25 |
| UPMC Chautauqua | Jamestown | $93.00 | $25.12 – $139.50 |
| Queens Hospital Center | Jamaica | $57.98 | $42.79 – $242.25 |
| Woodhull Medical Center | Brooklyn | $58.30 | $42.79 – $242.25 |
| South Brooklyn Health | Brooklyn | $58.30 | $47.97 – $242.25 |