Reconstruction ankle joint at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$691.24
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.
$3,142.00
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.
$90.41 with Univera vs $2,152.75 with United Healthcare — 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 Essential Plan | $90.41 | ↓ -87% |
| Univera | Univera Healthy New York | $90.41 | ↓ -87% |
| Univera | Univera Medicare | $118.40 | ↓ -83% |
| Univera | Univera Commercial | $132.95 | ↓ -81% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $210.00 | ↓ -70% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $210.00 | ↓ -70% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | ↓ -62% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $290.00 | ↓ -58% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $290.00 | ↓ -58% |
| Geisinger | Geisinger CHIP | $290.00 | ↓ -58% |
| Geisinger | Geisinger Medicaid HC | $290.00 | ↓ -58% |
| United Healthcare | United Healthcare Medicaid | $290.00 | ↓ -58% |
| United Healthcare | United Healthcare CHIP | $320.00 | ↓ -54% |
| Highmark | Highmark Together Blue | $1,370.60 | ↑ +98% |
| Highmark | Highmark Performance Blue | $1,449.86 | ↑ +110% |
| Highmark | Highmark Social Mission Indemnity | $1,449.86 | ↑ +110% |
| Highmark | Highmark Social Mission Managed Care | $1,449.86 | ↑ +110% |
| Highmark | Highmark Indemnity | $1,449.86 | ↑ +110% |
| Highmark | Highmark My Blue Access | $1,449.86 | ↑ +110% |
| Highmark | Highmark My Direct Blue | $1,449.86 | ↑ +110% |
| Highmark | Highmark Connect Blue | $1,449.86 | ↑ +110% |
| Highmark | Highmark Community Blue | $1,449.86 | ↑ +110% |
| Highmark | Highmark Blue High Performance | $1,449.86 | ↑ +110% |
| Highmark | Highmark Managed Care | $1,449.86 | ↑ +110% |
| Cigna | Cigna Commercial | $1,770.84 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,041.89 | ↑ +195% |
| United Healthcare | United Healthcare Commercial | $2,152.75 | ↑ +211% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,152.75 | ↑ +211% |
Visitor-reported prices
Comments
Reconstruction ankle joint at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $17,913.59 | $1,138.11 – $43,774.37 |
| Kings County Hospital Center | Brooklyn | $17,913.59 | $1,138.11 – $43,774.37 |
| Queens Hospital Center | Jamaica | $17,913.59 | $1,138.11 – $43,774.37 |
| Woodhull Medical Center | Brooklyn | $17,913.59 | $1,138.11 – $43,774.37 |
| Harlem Hospital Center | New York | not published | $1,269.51 – $43,774.37 |
| Lincoln Medical Center | Bronx | not published | $1,310.30 – $43,774.37 |
| Metropolitan Hospital Center | New York | not published | $1,310.30 – $43,774.37 |
| South Brooklyn Health | Brooklyn | not published | $1,310.30 – $43,774.37 |