Removal of scrotum lesion at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$221.10
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.
$1,005.00
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.
$29.18 with Univera vs $4,654.32 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 Essential Plan | $29.18 | ↓ -87% |
| Univera | Univera Healthy New York | $29.18 | ↓ -87% |
| Univera | Univera Medicare | $37.08 | ↓ -83% |
| Univera | Univera Commercial | $47.72 | ↓ -78% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $84.00 | ↓ -62% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $84.00 | ↓ -62% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $105.60 | ↓ -52% |
| Geisinger | Geisinger CHIP | $116.00 | ↓ -48% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $116.00 | ↓ -48% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $116.00 | ↓ -48% |
| Geisinger | Geisinger Medicaid HC | $116.00 | ↓ -48% |
| United Healthcare | United Healthcare Medicaid | $116.00 | ↓ -48% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $120.00 | ↓ -46% |
| Jefferson Health Plans | Jefferson Health Plans | $122.40 | ↓ -45% |
| Amerihealth | Amerihealth Medicaid CHC | $132.00 | ↓ -40% |
| Amerihealth | Amerihealth Medicaid HC | $132.00 | ↓ -40% |
| Highmark | Highmark Together Blue | $460.16 | ↑ +108% |
| Highmark | Highmark Performance Blue | $486.77 | ↑ +120% |
| Highmark | Highmark Community Blue | $486.77 | ↑ +120% |
| Highmark | Highmark Connect Blue | $486.77 | ↑ +120% |
| Highmark | Highmark Indemnity | $486.77 | ↑ +120% |
| Highmark | Highmark Managed Care | $486.77 | ↑ +120% |
| Highmark | Highmark My Blue Access | $486.77 | ↑ +120% |
| Highmark | Highmark My Direct Blue | $486.77 | ↑ +120% |
| Highmark | Highmark Blue High Performance | $486.77 | ↑ +120% |
| Highmark | Highmark Social Mission Indemnity | $486.77 | ↑ +120% |
| Highmark | Highmark Social Mission Managed Care | $486.77 | ↑ +120% |
| Cigna | Cigna Commercial | $568.39 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $646.41 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $681.50 | ↑ +208% |
| United Healthcare | United Healthcare Of OH Medicaid | $681.50 | ↑ +208% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +462% |
| Highmark | Highmark Community Blue Medicare PPO | $2,230.19 | ↑ +909% |
| Highmark | Highmark Complete Blue Medicare | $2,230.19 | ↑ +909% |
| Highmark | Highmark Freedom Blue | $2,254.44 | ↑ +920% |
| American Health Plans | American Health Plans Medicare | $2,424.12 | ↑ +996% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,424.12 | ↑ +996% |
| Martin's Point | Martin's Point | $2,424.12 | ↑ +996% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,496.85 | ↑ +1029% |
| Highmark | Highmark Together Blue Medicare | $2,521.09 | ↑ +1040% |
| Highmark | Highmark Community Blue Medicare HMO | $2,521.09 | ↑ +1040% |
| Highmark | Highmark Security Blue | $2,521.09 | ↑ +1040% |
| Aetna | Aetna Medicare | $2,521.09 | ↑ +1040% |
| Amerihealth | Amerihealth Medicare New York | $2,545.33 | ↑ +1051% |
| Humana | Humana Commercial | $2,569.57 | ↑ +1062% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,593.81 | ↑ +1073% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,618.05 | ↑ +1084% |
| Molina | Molina Ohio | $2,642.30 | ↑ +1095% |
| Highmark | Highmark Performance Blue Enhanced | $3,530.98 | ↑ +1497% |
| Aetna | Aetna Commercial | $4,654.32 | ↑ +2005% |
Visitor-reported prices
Comments
Removal of scrotum lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $2,424.12 | $213.68 – $3,914.09 |
| Harlem Hospital Center | New York | $2,424.12 | $399.58 – $3,030.16 |
| Kings County Hospital Center | Brooklyn | $2,424.12 | $213.68 – $3,914.09 |
| Lincoln Medical Center | Bronx | $2,424.12 | $410.10 – $3,030.16 |
| Metropolitan Hospital Center | New York | $2,424.12 | $410.10 – $3,030.16 |
| Queens Hospital Center | Jamaica | $2,424.12 | $213.68 – $3,914.09 |
| Woodhull Medical Center | Brooklyn | $2,424.12 | $213.68 – $3,914.09 |
| South Brooklyn Health | Brooklyn | $2,424.12 | $410.10 – $3,030.16 |