Prgrmg dev eval pm/ldls pm at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$19.14
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.
$87.00
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.
$15.81 with Pennsylvania Health and Wellness vs $84.72 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 |
|---|---|---|---|
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $15.81 | ↓ -17% |
| Jefferson Health Plans | Jefferson Health Plans | $16.13 | ↓ -16% |
| United Healthcare | United Healthcare Medicaid | $16.86 | ↓ -12% |
| Geisinger | Geisinger Medicaid HC | $16.86 | ↓ -12% |
| Geisinger | Geisinger CHIP | $16.86 | ↓ -12% |
| United Healthcare | United Healthcare CHIP | $16.86 | ↓ -12% |
| Amerihealth | Amerihealth Medicaid HC | $17.39 | ↓ -9% |
| Amerihealth | Amerihealth Medicaid CHC | $17.39 | ↓ -9% |
| Highmark | Highmark Together Blue | $22.51 | ↑ +18% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $22.74 | ↑ +19% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $22.74 | ↑ +19% |
| Univera | Univera Healthy New York | $25.25 | ↑ +32% |
| Univera | Univera Essential Plan | $25.25 | ↑ +32% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $28.59 | ↑ +49% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $31.41 | ↑ +64% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $31.41 | ↑ +64% |
| Univera | Univera Medicare | $33.57 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $34.14 | ↑ +78% |
| Highmark | Highmark Social Mission Indemnity | $34.14 | ↑ +78% |
| Highmark | Highmark Connect Blue | $34.14 | ↑ +78% |
| Highmark | Highmark Blue High Performance | $34.14 | ↑ +78% |
| Highmark | Highmark Indemnity | $34.14 | ↑ +78% |
| Highmark | Highmark Managed Care | $34.14 | ↑ +78% |
| Highmark | Highmark My Blue Access | $34.14 | ↑ +78% |
| Highmark | Highmark My Direct Blue | $34.14 | ↑ +78% |
| Highmark | Highmark Performance Blue | $34.14 | ↑ +78% |
| Highmark | Highmark Community Blue | $34.14 | ↑ +78% |
| Highmark | Highmark Community Blue Medicare PPO | $40.60 | ↑ +112% |
| Highmark | Highmark Complete Blue Medicare | $40.60 | ↑ +112% |
| Highmark | Highmark Freedom Blue | $41.04 | ↑ +114% |
| Univera | Univera Commercial | $42.75 | ↑ +123% |
| Life Pittsburgh | Life Pittsburgh Medicare | $44.13 | ↑ +131% |
| American Health Plans | American Health Plans Medicare | $44.13 | ↑ +131% |
| Martin's Point | Martin's Point | $44.13 | ↑ +131% |
| Devoted Medicare | Devoted Health Medicare Advantage | $45.45 | ↑ +137% |
| United Healthcare | United Healthcare Commercial | $45.45 | ↑ +137% |
| Aetna | Aetna Medicare | $45.89 | ↑ +140% |
| Highmark | Highmark Community Blue Medicare HMO | $45.89 | ↑ +140% |
| Highmark | Highmark Together Blue Medicare | $45.89 | ↑ +140% |
| Highmark | Highmark Security Blue | $45.89 | ↑ +140% |
| Amerihealth | Amerihealth Medicare New York | $46.33 | ↑ +142% |
| Humana | Humana Commercial | $46.78 | ↑ +144% |
| United Healthcare | United Healthcare Medicare I-SNP | $47.22 | ↑ +147% |
| United Healthcare | United Healthcare Medicare D-SNP | $47.66 | ↑ +149% |
| Molina | Molina Ohio | $48.10 | ↑ +151% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $48.84 | ↑ +155% |
| Cigna | Cigna Commercial | $48.91 | ↑ +156% |
| United Healthcare | United Healthcare Of OH Medicaid | $51.49 | ↑ +169% |
| Highmark | Highmark Performance Blue Enhanced | $64.28 | ↑ +236% |
| Aetna | Aetna Commercial | $84.72 | ↑ +343% |
Visitor-reported prices
Comments
Prgrmg dev eval pm/ldls pm at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $44.13 | $38.67 – $73.41 |
| Kings County Hospital Center | Brooklyn | $44.13 | $38.67 – $75.09 |
| Lincoln Medical Center | Bronx | $44.13 | $38.67 – $75.09 |
| Metropolitan Hospital Center | New York | $44.13 | $38.67 – $75.09 |
| Queens Hospital Center | Jamaica | $44.13 | $38.67 – $74.45 |
| Woodhull Medical Center | Brooklyn | $44.13 | $38.67 – $75.09 |
| South Brooklyn Health | Brooklyn | $44.13 | $38.67 – $75.09 |
| North Central Bronx | Bronx | $44.13 | $38.67 – $75.09 |