Remove hip/pelvis lesion 27047 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$225.28
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.
$1,024.00
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.
$15.00 with Amerihealth vs $6,502.72 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 Medicaid CHC | $15.00 | ↓ -93% |
| Amerihealth | Amerihealth Medicaid HC | $15.00 | ↓ -93% |
| Univera | Univera Essential Plan | $29.59 | ↓ -87% |
| Univera | Univera Healthy New York | $29.59 | ↓ -87% |
| Univera | Univera Medicare | $38.75 | ↓ -83% |
| Univera | Univera Commercial | $43.51 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $56.70 | ↓ -75% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $56.70 | ↓ -75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $71.28 | ↓ -68% |
| Geisinger | Geisinger Medicaid HC | $78.30 | ↓ -65% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $78.30 | ↓ -65% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $78.30 | ↓ -65% |
| United Healthcare | United Healthcare Medicaid | $78.30 | ↓ -65% |
| Geisinger | Geisinger CHIP | $78.30 | ↓ -65% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $81.00 | ↓ -64% |
| Jefferson Health Plans | Jefferson Health Plans | $82.62 | ↓ -63% |
| Highmark | Highmark Community Blue Medicare | $317.42 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $341.31 | ↑ +52% |
| Highmark | Highmark Security Blue | $351.55 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $361.79 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $361.79 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $375.44 | ↑ +67% |
| Highmark | Highmark Together Blue | $382.50 | ↑ +70% |
| Highmark | Highmark Managed Care | $404.62 | ↑ +80% |
| Highmark | Highmark My Blue Access | $404.62 | ↑ +80% |
| Highmark | Highmark My Direct Blue | $404.62 | ↑ +80% |
| Highmark | Highmark Performance Blue | $404.62 | ↑ +80% |
| Highmark | Highmark Blue High Performance | $404.62 | ↑ +80% |
| Highmark | Highmark Social Mission Indemnity | $404.62 | ↑ +80% |
| Highmark | Highmark Social Mission Managed Care | $404.62 | ↑ +80% |
| Highmark | Highmark Connect Blue | $404.62 | ↑ +80% |
| Highmark | Highmark Indemnity | $404.62 | ↑ +80% |
| Highmark | Highmark Community Blue | $404.62 | ↑ +80% |
| Cigna | Cigna Commercial | $579.98 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $656.62 | ↑ +191% |
| United Healthcare | United Healthcare Commercial | $692.27 | ↑ +207% |
| United Healthcare | United Healthcare Of OH Medicaid | $692.27 | ↑ +207% |
| United Healthcare | United Healthcare CHIP | $1,091.20 | ↑ +384% |
| Martin's Point | Martin's Point | $1,165.00 | ↑ +417% |
| Highmark | Highmark Community Blue Medicare PPO | $3,115.89 | ↑ +1283% |
| Highmark | Highmark Complete Blue Medicare | $3,115.89 | ↑ +1283% |
| Highmark | Highmark Freedom Blue | $3,149.76 | ↑ +1298% |
| Aetna | Aetna Medicare | $3,522.31 | ↑ +1464% |
| Highmark | Highmark Together Blue Medicare | $3,522.31 | ↑ +1464% |
| Highmark | Highmark Community Blue Medicare HMO | $3,522.31 | ↑ +1464% |
| Amerihealth | Amerihealth Medicare New York | $3,556.18 | ↑ +1479% |
| Humana | Humana Commercial | $3,590.05 | ↑ +1494% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,623.91 | ↑ +1509% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,657.78 | ↑ +1524% |
| Molina | Molina Ohio | $3,691.65 | ↑ +1539% |
| Highmark | Highmark Performance Blue Enhanced | $4,933.26 | ↑ +2090% |
| Aetna | Aetna Commercial | $6,502.72 | ↑ +2787% |
Visitor-reported prices
Comments
Remove hip/pelvis lesion 27047 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $3,386.84 | $293.16 – $7,251.82 |
| Kings County Hospital Center | Brooklyn | $3,386.84 | $293.16 – $7,251.82 |
| Lincoln Medical Center | Bronx | $3,386.84 | $433.03 – $7,251.82 |
| Metropolitan Hospital Center | New York | $3,386.84 | $433.03 – $7,251.82 |
| Queens Hospital Center | Jamaica | $3,386.84 | $293.16 – $7,251.82 |
| Woodhull Medical Center | Brooklyn | $3,386.84 | $293.16 – $7,251.82 |
| South Brooklyn Health | Brooklyn | $3,386.84 | $433.03 – $7,251.82 |
| North Central Bronx | Bronx | $3,386.84 | $433.03 – $7,251.82 |