Puncture spinal lumbar diagnostic at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$1,620.84
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.
$2,078.00
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.
$44.10 with Amerihealth vs $1,573.44 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.10 | ↓ -97% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $44.10 | ↓ -97% |
| Univera | Univera Healthy New York | $51.12 | ↓ -97% |
| Univera | Univera Essential Plan | $51.12 | ↓ -97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.44 | ↓ -97% |
| Highmark | Highmark Community Blue Medicare | $56.04 | ↓ -97% |
| Life Pittsburgh | Life Pittsburgh Medicare | $60.26 | ↓ -96% |
| Geisinger | Geisinger Medicaid HC | $60.90 | ↓ -96% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $60.90 | ↓ -96% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $60.90 | ↓ -96% |
| United Healthcare | United Healthcare Medicaid | $60.90 | ↓ -96% |
| Geisinger | Geisinger CHIP | $60.90 | ↓ -96% |
| Univera | Univera Medicare | $62.05 | ↓ -96% |
| Highmark | Highmark Security Blue | $62.07 | ↓ -96% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $63.00 | ↓ -96% |
| Devoted Medicare | Devoted Health Medicare Advantage | $63.88 | ↓ -96% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $63.88 | ↓ -96% |
| Jefferson Health Plans | Jefferson Health Plans | $64.26 | ↓ -96% |
| Highmark | Highmark Together Blue | $66.01 | ↓ -96% |
| American Health Plans | American Health Plans Medicare | $66.29 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid HC | $69.30 | ↓ -96% |
| Amerihealth | Amerihealth Medicaid CHC | $69.30 | ↓ -96% |
| Highmark | Highmark Indemnity | $69.83 | ↓ -96% |
| Highmark | Highmark Managed Care | $69.83 | ↓ -96% |
| Highmark | Highmark My Blue Access | $69.83 | ↓ -96% |
| Highmark | Highmark My Direct Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Community Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Blue High Performance | $69.83 | ↓ -96% |
| Highmark | Highmark Social Mission Indemnity | $69.83 | ↓ -96% |
| Highmark | Highmark Social Mission Managed Care | $69.83 | ↓ -96% |
| Highmark | Highmark Performance Blue | $69.83 | ↓ -96% |
| Highmark | Highmark Connect Blue | $69.83 | ↓ -96% |
| Univera | Univera Commercial | $73.01 | ↓ -95% |
| Cigna | Cigna Commercial | $101.55 | ↓ -94% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $114.51 | ↓ -93% |
| United Healthcare | United Healthcare Commercial | $120.73 | ↓ -93% |
| United Healthcare | United Healthcare Of OH Medicaid | $120.73 | ↓ -93% |
| Martin's Point | Martin's Point | $402.00 | ↓ -75% |
| United Healthcare | United Healthcare CHIP | $572.80 | ↓ -65% |
| Highmark | Highmark Complete Blue Medicare | $753.94 | ↓ -53% |
| Highmark | Highmark Community Blue Medicare PPO | $753.94 | ↓ -53% |
| Highmark | Highmark Freedom Blue | $762.14 | ↓ -53% |
| Aetna | Aetna Medicare | $852.28 | ↓ -47% |
| Highmark | Highmark Community Blue Medicare HMO | $852.28 | ↓ -47% |
| Highmark | Highmark Together Blue Medicare | $852.28 | ↓ -47% |
| Amerihealth | Amerihealth Medicare New York | $860.48 | ↓ -47% |
| Humana | Humana Commercial | $868.67 | ↓ -46% |
| United Healthcare | United Healthcare Medicare I-SNP | $876.87 | ↓ -46% |
| United Healthcare | United Healthcare Medicare D-SNP | $885.06 | ↓ -45% |
| Molina | Molina Ohio | $893.26 | ↓ -45% |
| Highmark | Highmark Performance Blue Enhanced | $1,193.68 | ↓ -26% |
| Aetna | Aetna Commercial | $1,573.44 | ↓ -3% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $819.50 | $0.01 – $1,321.71 |
| Kings County Hospital Center | Brooklyn | $819.50 | $0.01 – $1,321.71 |
| Lincoln Medical Center | Bronx | $819.50 | $0.01 – $995.69 |
| Metropolitan Hospital Center | New York | $819.50 | $0.01 – $995.69 |
| UPMC Chautauqua | Jamestown | $261.60 | $52.50 – $871.51 |
| Queens Hospital Center | Jamaica | $819.50 | $0.01 – $1,321.71 |
| Woodhull Medical Center | Brooklyn | $819.50 | $0.01 – $1,321.71 |
| South Brooklyn Health | Brooklyn | $819.50 | $0.01 – $995.69 |