Partial removal of tibia at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$514.80
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.
$2,340.00
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.
$67.96 with Univera vs $7,371.92 with Aetna — 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 Essential Plan | $67.96 | ↓ -87% |
| Univera | Univera Healthy New York | $67.96 | ↓ -87% |
| Univera | Univera Medicare | $89.00 | ↓ -83% |
| Univera | Univera Commercial | $99.94 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $402.15 | ↓ -22% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $402.15 | ↓ -22% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $505.56 | ↓ -2% |
| Geisinger | Geisinger CHIP | $555.35 | ↑ +8% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $555.35 | ↑ +8% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $555.35 | ↑ +8% |
| Geisinger | Geisinger Medicaid HC | $555.35 | ↑ +8% |
| United Healthcare | United Healthcare Medicaid | $555.35 | ↑ +8% |
| Highmark | Highmark Together Blue | $874.12 | ↑ +70% |
| Highmark | Highmark Community Blue | $924.66 | ↑ +80% |
| Highmark | Highmark Social Mission Managed Care | $924.66 | ↑ +80% |
| Highmark | Highmark Social Mission Indemnity | $924.66 | ↑ +80% |
| Highmark | Highmark Blue High Performance | $924.66 | ↑ +80% |
| Highmark | Highmark Performance Blue | $924.66 | ↑ +80% |
| Highmark | Highmark Connect Blue | $924.66 | ↑ +80% |
| Highmark | Highmark My Direct Blue | $924.66 | ↑ +80% |
| Highmark | Highmark Indemnity | $924.66 | ↑ +80% |
| Highmark | Highmark My Blue Access | $924.66 | ↑ +80% |
| Highmark | Highmark Managed Care | $924.66 | ↑ +80% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +126% |
| Jefferson Health Plans | Jefferson Health Plans | $1,187.28 | ↑ +131% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +141% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +149% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +149% |
| Cigna | Cigna Commercial | $1,329.21 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,517.77 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,600.18 | ↑ +211% |
| United Healthcare | United Healthcare Commercial | $1,600.18 | ↑ +211% |
| Highmark | Highmark Complete Blue Medicare | $3,532.38 | ↑ +586% |
| Highmark | Highmark Community Blue Medicare PPO | $3,532.38 | ↑ +586% |
| Highmark | Highmark Freedom Blue | $3,570.77 | ↑ +594% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,839.54 | ↑ +646% |
| Martin's Point | Martin's Point | $3,839.54 | ↑ +646% |
| American Health Plans | American Health Plans Medicare | $3,839.54 | ↑ +646% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,954.73 | ↑ +668% |
| Highmark | Highmark Together Blue Medicare | $3,993.12 | ↑ +676% |
| Highmark | Highmark Community Blue Medicare HMO | $3,993.12 | ↑ +676% |
| Highmark | Highmark Security Blue | $3,993.12 | ↑ +676% |
| Aetna | Aetna Medicare | $3,993.12 | ↑ +676% |
| Amerihealth | Amerihealth Medicare New York | $4,031.52 | ↑ +683% |
| Humana | Humana Commercial | $4,069.91 | ↑ +691% |
| United Healthcare | United Healthcare Medicare I-SNP | $4,108.31 | ↑ +698% |
| United Healthcare | United Healthcare Medicare D-SNP | $4,146.71 | ↑ +705% |
| Molina | Molina Ohio | $4,185.10 | ↑ +713% |
| Highmark | Highmark Performance Blue Enhanced | $5,592.68 | ↑ +986% |
| Aetna | Aetna Commercial | $7,371.92 | ↑ +1332% |
Visitor-reported prices
Comments
Partial removal of tibia at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $3,839.54 | $513.36 – $8,168.77 |
| Kings County Hospital Center | Brooklyn | $3,839.54 | $513.36 – $8,168.77 |
| Lincoln Medical Center | Bronx | $3,839.54 | $974.31 – $8,168.77 |
| Metropolitan Hospital Center | New York | $3,839.54 | $974.31 – $8,168.77 |
| Queens Hospital Center | Jamaica | $3,839.54 | $513.36 – $8,168.77 |
| Woodhull Medical Center | Brooklyn | $3,839.54 | $513.36 – $8,168.77 |
| South Brooklyn Health | Brooklyn | $3,839.54 | $974.31 – $8,168.77 |
| North Central Bronx | Bronx | $3,839.54 | $974.31 – $8,168.77 |