Protein analysis w/probe at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$11.00
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.
$50.00
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.
$11.57 with Univera vs $54.39 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 |
|---|---|---|---|
| Univera | Univera Medicare | $11.57 | ↑ +5% |
| Univera | Univera Healthy New York | $14.44 | ↑ +31% |
| Univera | Univera Essential Plan | $14.44 | ↑ +31% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $15.97 | ↑ +45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $15.97 | ↑ +45% |
| Cigna | Cigna Commercial | $17.28 | ↑ +57% |
| Highmark | Highmark Managed Care | $17.30 | ↑ +57% |
| Highmark | Highmark My Direct Blue | $17.30 | ↑ +57% |
| Highmark | Highmark My Blue Access | $17.30 | ↑ +57% |
| Highmark | Highmark Connect Blue | $17.30 | ↑ +57% |
| Highmark | Highmark Indemnity | $17.30 | ↑ +57% |
| Highmark | Highmark Together Blue | $17.30 | ↑ +57% |
| Highmark | Highmark Social Mission Managed Care | $17.30 | ↑ +57% |
| Highmark | Highmark Social Mission Indemnity | $17.30 | ↑ +57% |
| Highmark | Highmark Blue High Performance | $17.30 | ↑ +57% |
| Highmark | Highmark Community Blue | $17.30 | ↑ +57% |
| Highmark | Highmark Performance Blue | $17.30 | ↑ +57% |
| Amerihealth | Amerihealth Medicaid CHC | $17.59 | ↑ +60% |
| Amerihealth | Amerihealth Medicaid HC | $17.59 | ↑ +60% |
| Jefferson Health Plans | Jefferson Health Plans | $17.59 | ↑ +60% |
| Univera | Univera Commercial | $18.68 | ↑ +70% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $20.08 | ↑ +83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $22.05 | ↑ +100% |
| Geisinger | Geisinger Medicaid HC | $22.05 | ↑ +100% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $22.05 | ↑ +100% |
| United Healthcare | United Healthcare Medicaid | $22.05 | ↑ +100% |
| Geisinger | Geisinger CHIP | $22.05 | ↑ +100% |
| Highmark | Highmark Complete Blue Medicare | $24.12 | ↑ +119% |
| Highmark | Highmark Community Blue Medicare PPO | $24.12 | ↑ +119% |
| Highmark | Highmark Freedom Blue | $24.38 | ↑ +122% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $25.13 | ↑ +128% |
| Life Pittsburgh | Life Pittsburgh Medicare | $26.22 | ↑ +138% |
| American Health Plans | American Health Plans Medicare | $26.22 | ↑ +138% |
| Martin's Point | Martin's Point | $26.22 | ↑ +138% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $26.38 | ↑ +140% |
| United Healthcare | United Healthcare Of OH Medicaid | $26.54 | ↑ +141% |
| United Healthcare | United Healthcare Commercial | $26.54 | ↑ +141% |
| Devoted Medicare | Devoted Health Medicare Advantage | $27.01 | ↑ +146% |
| Aetna | Aetna Medicare | $27.27 | ↑ +148% |
| Highmark | Highmark Community Blue Medicare HMO | $27.27 | ↑ +148% |
| Highmark | Highmark Security Blue | $27.27 | ↑ +148% |
| Highmark | Highmark Together Blue Medicare | $27.27 | ↑ +148% |
| Amerihealth | Amerihealth Medicare New York | $27.53 | ↑ +150% |
| Humana | Humana Commercial | $27.79 | ↑ +153% |
| United Healthcare | United Healthcare Medicare I-SNP | $28.06 | ↑ +155% |
| United Healthcare | United Healthcare CHIP | $28.14 | ↑ +156% |
| United Healthcare | United Healthcare Medicare D-SNP | $28.32 | ↑ +157% |
| Molina | Molina Ohio | $28.58 | ↑ +160% |
| Aetna | Aetna Commercial | $50.34 | ↑ +358% |
| Highmark | Highmark Performance Blue Enhanced | $54.39 | ↑ +394% |
Visitor-reported prices
Comments
Protein analysis w/probe at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | not published | $16.88 – $78.62 |
| Harlem Hospital Center | New York | not published | $29.37 – $78.34 |
| Kings County Hospital Center | Brooklyn | not published | $16.88 – $78.34 |
| Lincoln Medical Center | Bronx | not published | $29.37 – $78.62 |
| Metropolitan Hospital Center | New York | not published | $29.37 – $78.34 |
| Queens Hospital Center | Jamaica | not published | $16.88 – $78.90 |
| Woodhull Medical Center | Brooklyn | not published | $16.88 – $78.34 |
| South Brooklyn Health | Brooklyn | not published | $29.37 – $78.34 |