Pembrolizumab 25 mg/ml intravenous solution 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$42.55 with Highmark vs $121.49 with Highmark — 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 |
|---|---|---|---|
| Highmark | Highmark Together Blue | $42.55 | — |
| Highmark | Highmark Complete Blue Medicare | $53.88 | — |
| Highmark | Highmark Community Blue Medicare PPO | $53.88 | — |
| Highmark | Highmark Freedom Blue | $54.46 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $55.25 | — |
| Geisinger | Geisinger CHIP | $55.25 | — |
| Cigna | Cigna Commercial | $57.60 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $58.56 | — |
| Martin's Point | Martin's Point | $58.56 | — |
| Univera | Univera Healthy New York | $58.56 | — |
| Univera | Univera Essential Plan | $58.56 | — |
| American Health Plans | American Health Plans Medicare | $58.56 | — |
| Amerihealth | Amerihealth Medicaid CHC | $58.56 | — |
| Amerihealth | Amerihealth Medicaid HC | $58.56 | — |
| Univera | Univera Medicare | $58.56 | — |
| Univera | Univera Commercial | $59.67 | — |
| United Healthcare | United Healthcare Commercial | $60.32 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $60.32 | — |
| Aetna | Aetna Medicare | $60.90 | — |
| Highmark | Highmark Security Blue | $60.90 | — |
| Highmark | Highmark Community Blue Medicare HMO | $60.90 | — |
| Highmark | Highmark Together Blue Medicare | $60.90 | — |
| Amerihealth | Amerihealth Medicare New York | $61.49 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $61.49 | — |
| Humana | Humana Commercial | $62.08 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $62.66 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $63.25 | — |
| Molina | Molina Ohio | $63.83 | — |
| Highmark | Highmark My Direct Blue | $72.79 | — |
| Highmark | Highmark Blue High Performance | $73.91 | — |
| Highmark | Highmark Community Blue | $73.91 | — |
| Highmark | Highmark Connect Blue | $73.91 | — |
| Highmark | Highmark Indemnity | $73.91 | — |
| Highmark | Highmark Managed Care | $73.91 | — |
| Highmark | Highmark My Blue Access | $73.91 | — |
| Highmark | Highmark Performance Blue | $73.91 | — |
| Highmark | Highmark Social Mission Indemnity | $73.91 | — |
| Highmark | Highmark Social Mission Managed Care | $73.91 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $75.17 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $79.55 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $82.87 | — |
| Aetna | Aetna Commercial | $112.44 | — |
| Highmark | Highmark Performance Blue Enhanced | $121.49 | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor | $5,059.32 | $55.63 – $8,178.26 |
| NewYork-Presbyterian Queens | Flushing | $5,059.32 | $55.63 – $8,178.55 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York | $5,059.32 | $55.63 – $6,160.41 |
| Rochester General Hospital | Rochester | not published | $57.69 – $111.78 |
| Clifton Springs Hospital and Clinic | Clifton Springs | not published | $50.26 – $64.10 |
| The Unity Hospital of Rochester | Rochester | not published | $57.69 – $64.10 |
| Newark Wayne Community Hospital | Newark | not published | $57.69 – $73.72 |