Quant diff pulm perf and vent w/imaging at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$23.76
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.
$108.00
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.
$31.65 with Univera vs $1,222.98 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 |
|---|---|---|---|
| Univera | Univera Healthy New York | $31.65 | ↑ +33% |
| Univera | Univera Essential Plan | $31.65 | ↑ +33% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $32.32 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $32.32 | ↑ +36% |
| Univera | Univera Medicare | $37.24 | ↑ +57% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $40.63 | ↑ +71% |
| Univera | Univera Commercial | $41.33 | ↑ +74% |
| Highmark | Highmark Together Blue | $41.81 | ↑ +76% |
| Highmark | Highmark Connect Blue | $44.23 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $44.23 | ↑ +86% |
| Highmark | Highmark Community Blue | $44.23 | ↑ +86% |
| Highmark | Highmark Indemnity | $44.23 | ↑ +86% |
| Highmark | Highmark Managed Care | $44.23 | ↑ +86% |
| Highmark | Highmark My Blue Access | $44.23 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $44.23 | ↑ +86% |
| Highmark | Highmark Performance Blue | $44.23 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $44.23 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $44.23 | ↑ +86% |
| Geisinger | Geisinger CHIP | $44.63 | ↑ +88% |
| United Healthcare | United Healthcare Medicaid | $44.63 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $44.63 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $44.63 | ↑ +88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $44.63 | ↑ +88% |
| Cigna | Cigna Commercial | $61.42 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $74.33 | ↑ +213% |
| United Healthcare | United Healthcare Commercial | $78.37 | ↑ +230% |
| United Healthcare | United Healthcare Of OH Medicaid | $78.37 | ↑ +230% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $288.51 | ↑ +1114% |
| Jefferson Health Plans | Jefferson Health Plans | $294.28 | ↑ +1139% |
| United Healthcare | United Healthcare CHIP | $307.74 | ↑ +1195% |
| Amerihealth | Amerihealth Medicaid HC | $317.36 | ↑ +1236% |
| Amerihealth | Amerihealth Medicaid CHC | $317.36 | ↑ +1236% |
| Highmark | Highmark Complete Blue Medicare | $586.01 | ↑ +2366% |
| Highmark | Highmark Community Blue Medicare PPO | $586.01 | ↑ +2366% |
| Highmark | Highmark Freedom Blue | $592.38 | ↑ +2393% |
| Martin's Point | Martin's Point | $636.97 | ↑ +2581% |
| Life Pittsburgh | Life Pittsburgh Medicare | $636.97 | ↑ +2581% |
| American Health Plans | American Health Plans Medicare | $636.97 | ↑ +2581% |
| Devoted Medicare | Devoted Health Medicare Advantage | $656.08 | ↑ +2661% |
| Aetna | Aetna Medicare | $662.45 | ↑ +2688% |
| Highmark | Highmark Together Blue Medicare | $662.45 | ↑ +2688% |
| Highmark | Highmark Security Blue | $662.45 | ↑ +2688% |
| Highmark | Highmark Community Blue Medicare HMO | $662.45 | ↑ +2688% |
| Amerihealth | Amerihealth Medicare New York | $668.82 | ↑ +2715% |
| Humana | Humana Commercial | $675.19 | ↑ +2742% |
| United Healthcare | United Healthcare Medicare I-SNP | $681.55 | ↑ +2768% |
| United Healthcare | United Healthcare Medicare D-SNP | $687.92 | ↑ +2795% |
| Molina | Molina Ohio | $694.29 | ↑ +2822% |
| Highmark | Highmark Performance Blue Enhanced | $927.81 | ↑ +3805% |
| Aetna | Aetna Commercial | $1,222.98 | ↑ +5047% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $636.97 | $208.58 – $1,016.67 |
| Kings County Hospital Center | Brooklyn | $636.97 | $208.58 – $1,016.67 |
| Lincoln Medical Center | Bronx | $636.97 | $310.75 – $1,016.67 |
| Metropolitan Hospital Center | New York | $636.97 | $310.75 – $1,016.67 |
| UPMC Chautauqua | Jamestown | $574.80 | $278.90 – $1,649.37 |
| Queens Hospital Center | Jamaica | $636.97 | $208.58 – $1,016.67 |
| Woodhull Medical Center | Brooklyn | $636.97 | $208.58 – $1,016.67 |
| South Brooklyn Health | Brooklyn | $636.97 | $310.75 – $1,016.67 |