Reconstruct lip w/local flap 40525 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$340.56
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.
$1,548.00
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.
$40.63 with Univera vs $7,368.42 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 | $40.63 | ↓ -88% |
| Univera | Univera Essential Plan | $40.63 | ↓ -88% |
| Univera | Univera Medicare | $51.00 | ↓ -85% |
| Univera | Univera Commercial | $59.75 | ↓ -82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $512.56 | ↑ +51% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $512.56 | ↑ +51% |
| Highmark | Highmark Together Blue | $592.50 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $626.77 | ↑ +84% |
| Highmark | Highmark Community Blue | $626.77 | ↑ +84% |
| Highmark | Highmark Connect Blue | $626.77 | ↑ +84% |
| Highmark | Highmark Indemnity | $626.77 | ↑ +84% |
| Highmark | Highmark Social Mission Managed Care | $626.77 | ↑ +84% |
| Highmark | Highmark Social Mission Indemnity | $626.77 | ↑ +84% |
| Highmark | Highmark Performance Blue | $626.77 | ↑ +84% |
| Highmark | Highmark My Direct Blue | $626.77 | ↑ +84% |
| Highmark | Highmark My Blue Access | $626.77 | ↑ +84% |
| Highmark | Highmark Managed Care | $626.77 | ↑ +84% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $644.36 | ↑ +89% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $707.82 | ↑ +108% |
| United Healthcare | United Healthcare Medicaid | $707.82 | ↑ +108% |
| Geisinger | Geisinger CHIP | $707.82 | ↑ +108% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $707.82 | ↑ +108% |
| Geisinger | Geisinger Medicaid HC | $707.82 | ↑ +108% |
| Cigna | Cigna Commercial | $879.65 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,002.71 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $1,057.15 | ↑ +210% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,057.15 | ↑ +210% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +242% |
| Jefferson Health Plans | Jefferson Health Plans | $1,187.28 | ↑ +249% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +265% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +276% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +276% |
| Highmark | Highmark Complete Blue Medicare | $3,530.70 | ↑ +937% |
| Highmark | Highmark Community Blue Medicare PPO | $3,530.70 | ↑ +937% |
| Highmark | Highmark Freedom Blue | $3,569.08 | ↑ +948% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,837.72 | ↑ +1027% |
| Martin's Point | Martin's Point | $3,837.72 | ↑ +1027% |
| American Health Plans | American Health Plans Medicare | $3,837.72 | ↑ +1027% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,952.85 | ↑ +1061% |
| Highmark | Highmark Together Blue Medicare | $3,991.23 | ↑ +1072% |
| Highmark | Highmark Community Blue Medicare HMO | $3,991.23 | ↑ +1072% |
| Highmark | Highmark Security Blue | $3,991.23 | ↑ +1072% |
| Aetna | Aetna Medicare | $3,991.23 | ↑ +1072% |
| Amerihealth | Amerihealth Medicare New York | $4,029.61 | ↑ +1083% |
| Humana | Humana Commercial | $4,067.98 | ↑ +1094% |
| United Healthcare | United Healthcare Medicare I-SNP | $4,106.36 | ↑ +1106% |
| United Healthcare | United Healthcare Medicare D-SNP | $4,144.74 | ↑ +1117% |
| Molina | Molina Ohio | $4,183.11 | ↑ +1128% |
| Highmark | Highmark Performance Blue Enhanced | $5,590.02 | ↑ +1541% |
| Aetna | Aetna Commercial | $7,368.42 | ↑ +2064% |
Visitor-reported prices
Comments
Reconstruct lip w/local flap 40525 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $3,837.72 | $320.77 – $8,277.27 |
| Harlem Hospital Center | New York | $3,837.72 | $623.34 – $8,277.27 |
| Kings County Hospital Center | Brooklyn | $3,837.72 | $320.77 – $8,277.27 |
| Lincoln Medical Center | Bronx | $3,837.72 | $641.65 – $8,277.27 |
| Metropolitan Hospital Center | New York | $3,837.72 | $641.65 – $8,277.27 |
| Queens Hospital Center | Jamaica | $3,837.72 | $320.77 – $8,277.27 |
| Woodhull Medical Center | Brooklyn | $3,837.72 | $320.77 – $8,277.27 |
| South Brooklyn Health | Brooklyn | $3,837.72 | $641.65 – $8,277.27 |