Plc pq device breast ea addl lesion Ultrasound guide at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$25.74
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.
$117.00
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.
$12.00 with Amerihealth vs $84.91 with United Healthcare — 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Medicaid HC | $12.00 | ↓ -53% |
| Amerihealth | Amerihealth Medicaid CHC | $12.00 | ↓ -53% |
| Univera | Univera Essential Plan | $33.97 | ↑ +32% |
| Univera | Univera Healthy New York | $33.97 | ↑ +32% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $35.68 | ↑ +39% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $35.68 | ↑ +39% |
| Highmark | Highmark Community Blue Medicare | $36.13 | ↑ +40% |
| Life Pittsburgh | Life Pittsburgh Medicare | $38.85 | ↑ +51% |
| Highmark | Highmark Security Blue | $40.02 | ↑ +55% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $41.18 | ↑ +60% |
| Devoted Medicare | Devoted Health Medicare Advantage | $41.18 | ↑ +60% |
| Univera | Univera Medicare | $41.25 | ↑ +60% |
| American Health Plans | American Health Plans Medicare | $42.74 | ↑ +66% |
| Univera | Univera Commercial | $44.81 | ↑ +74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $44.85 | ↑ +74% |
| Highmark | Highmark Together Blue | $47.23 | ↑ +83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $49.27 | ↑ +91% |
| Geisinger | Geisinger Medicaid HC | $49.27 | ↑ +91% |
| United Healthcare | United Healthcare Medicaid | $49.27 | ↑ +91% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $49.27 | ↑ +91% |
| Geisinger | Geisinger CHIP | $49.27 | ↑ +91% |
| Highmark | Highmark Social Mission Indemnity | $49.96 | ↑ +94% |
| Highmark | Highmark Social Mission Managed Care | $49.96 | ↑ +94% |
| Highmark | Highmark Community Blue | $49.96 | ↑ +94% |
| Highmark | Highmark Blue High Performance | $49.96 | ↑ +94% |
| Highmark | Highmark Connect Blue | $49.96 | ↑ +94% |
| Highmark | Highmark Indemnity | $49.96 | ↑ +94% |
| Highmark | Highmark Managed Care | $49.96 | ↑ +94% |
| Highmark | Highmark My Blue Access | $49.96 | ↑ +94% |
| Highmark | Highmark My Direct Blue | $49.96 | ↑ +94% |
| Highmark | Highmark Performance Blue | $49.96 | ↑ +94% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $50.97 | ↑ +98% |
| Jefferson Health Plans | Jefferson Health Plans | $51.99 | ↑ +102% |
| United Healthcare | United Healthcare CHIP | $54.37 | ↑ +111% |
| Cigna | Cigna Commercial | $66.50 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $80.54 | ↑ +213% |
| United Healthcare | United Healthcare Commercial | $84.91 | ↑ +230% |
| United Healthcare | United Healthcare Of OH Medicaid | $84.91 | ↑ +230% |
Visitor-reported prices
Comments
Plc pq device breast ea addl lesion Ultrasound guide at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $259.79 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $139.70 | $30.02 – $49.23 |
| Canton-Potsdam Hospital | Potsdam | $307.06 | $31.42 – $36.66 |
| Newark Wayne Community Hospital | Newark | $259.79 | $34.91 – $72.74 |
| Bellevue Hospital Center | NY 10016 | not published | $27.14 – $65.17 |
| Kings County Hospital Center | Brooklyn | not published | $27.14 – $66.61 |
| Lincoln Medical Center | Bronx | not published | $46.26 – $66.61 |
| Metropolitan Hospital Center | New York | not published | $46.26 – $66.61 |