Peritoneogram rs&i at WESTFIELD MEMORIAL HOSPITAL INC

189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$13.42

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$61.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$15.02 with Amerihealth vs $1,245.77 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 →

Payer
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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
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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
Amerihealth Amerihealth Caritas Medicare (NY) $15.02 ↑ +12%
Amerihealth Amerihealth Caritas D-SNP Medicare $15.02 ↑ +12%
Univera Univera Essential Plan $17.96 ↑ +34%
Univera Univera Healthy New York $17.96 ↑ +34%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $18.88 ↑ +41%
Geisinger Geisinger Medicaid HC $20.74 ↑ +55%
Amerihealth Amerihealth Caritas CHC Medicaid $20.74 ↑ +55%
Amerihealth Amerihealth Caritas HC Medicaid $20.74 ↑ +55%
United Healthcare United Healthcare Medicaid $20.74 ↑ +55%
Geisinger Geisinger CHIP $20.74 ↑ +55%
Univera Univera Medicare $21.13 ↑ +57%
Highmark Highmark Together Blue $24.83 ↑ +85%
Univera Univera Commercial $25.57 ↑ +91%
Highmark Highmark Blue High Performance $26.26 ↑ +96%
Highmark Highmark Community Blue $26.26 ↑ +96%
Highmark Highmark My Blue Access $26.26 ↑ +96%
Highmark Highmark Performance Blue $26.26 ↑ +96%
Highmark Highmark My Direct Blue $26.26 ↑ +96%
Highmark Highmark Social Mission Managed Care $26.26 ↑ +96%
Highmark Highmark Connect Blue $26.26 ↑ +96%
Highmark Highmark Social Mission Indemnity $26.26 ↑ +96%
Highmark Highmark Indemnity $26.26 ↑ +96%
Highmark Highmark Managed Care $26.26 ↑ +96%
Cigna Cigna Commercial $35.00 ↑ +161%
United Healthcare United Healthcare Navigate Nexus Commercial $42.29 ↑ +215%
United Healthcare United Healthcare Commercial $44.59 ↑ +232%
United Healthcare United Healthcare Of OH Medicaid $44.59 ↑ +232%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $59.09 ↑ +340%
Jefferson Health Plans Jefferson Health Plans $60.27 ↑ +349%
United Healthcare United Healthcare CHIP $63.02 ↑ +370%
Amerihealth Amerihealth Medicaid HC $64.99 ↑ +384%
Amerihealth Amerihealth Medicaid CHC $64.99 ↑ +384%
Highmark Highmark Community Blue Medicare PPO $596.93 ↑ +4348%
Highmark Highmark Complete Blue Medicare $596.93 ↑ +4348%
Highmark Highmark Freedom Blue $603.42 ↑ +4396%
American Health Plans American Health Plans Medicare $648.84 ↑ +4735%
Life Pittsburgh Life Pittsburgh Medicare $648.84 ↑ +4735%
Martin's Point Martin's Point $648.84 ↑ +4735%
Devoted Medicare Devoted Health Medicare Advantage $668.30 ↑ +4880%
Highmark Highmark Security Blue $674.79 ↑ +4928%
Highmark Highmark Community Blue Medicare HMO $674.79 ↑ +4928%
Highmark Highmark Together Blue Medicare $674.79 ↑ +4928%
Aetna Aetna Medicare $674.79 ↑ +4928%
Amerihealth Amerihealth Medicare New York $681.28 ↑ +4977%
Humana Humana Commercial $687.77 ↑ +5025%
United Healthcare United Healthcare Medicare I-SNP $694.25 ↑ +5073%
United Healthcare United Healthcare Medicare D-SNP $700.74 ↑ +5122%
Molina Molina Ohio $707.23 ↑ +5170%
Highmark Highmark Performance Blue Enhanced $945.09 ↑ +6942%
Aetna Aetna Commercial $1,245.77 ↑ +9183%

Visitor-reported prices

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Peritoneogram rs&i at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $648.84 $23.99 – $1,364.16
Kings County Hospital Center Brooklyn $648.84 $23.99 – $1,364.16
Lincoln Medical Center Bronx $648.84 $23.99 – $1,364.16
Metropolitan Hospital Center New York $648.84 $23.99 – $1,364.16
Queens Hospital Center Jamaica $648.84 $23.99 – $1,364.16
Woodhull Medical Center Brooklyn $648.84 $23.99 – $1,364.16
South Brooklyn Health Brooklyn $648.84 $23.99 – $1,364.16
North Central Bronx Bronx $648.84 $23.99 – $1,364.16

All New-york hospitals for this procedure →