Repair defect of artery at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$839.08
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.
?
What you pay up front if you don't use insurance.
$3,814.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$75.93 with Univera vs $2,700.19 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $75.93 | ↓ -91% |
| Univera | Univera Healthy New York | $75.93 | ↓ -91% |
| Univera | Univera Medicare | $106.72 | ↓ -87% |
| Univera | Univera Commercial | $118.81 | ↓ -86% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $201.08 | ↓ -76% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $201.08 | ↓ -76% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $252.78 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $277.68 | ↓ -67% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $277.68 | ↓ -67% |
| Geisinger | Geisinger CHIP | $277.68 | ↓ -67% |
| Geisinger | Geisinger Medicaid HC | $277.68 | ↓ -67% |
| United Healthcare | United Healthcare Medicaid | $277.68 | ↓ -67% |
| United Healthcare | United Healthcare CHIP | $306.40 | ↓ -63% |
| Highmark | Highmark Together Blue | $1,531.81 | ↑ +83% |
| Highmark | Highmark Performance Blue | $1,620.38 | ↑ +93% |
| Highmark | Highmark Social Mission Indemnity | $1,620.38 | ↑ +93% |
| Highmark | Highmark Social Mission Managed Care | $1,620.38 | ↑ +93% |
| Highmark | Highmark Indemnity | $1,620.38 | ↑ +93% |
| Highmark | Highmark My Blue Access | $1,620.38 | ↑ +93% |
| Highmark | Highmark My Direct Blue | $1,620.38 | ↑ +93% |
| Highmark | Highmark Connect Blue | $1,620.38 | ↑ +93% |
| Highmark | Highmark Community Blue | $1,620.38 | ↑ +93% |
| Highmark | Highmark Blue High Performance | $1,620.38 | ↑ +93% |
| Highmark | Highmark Managed Care | $1,620.38 | ↑ +93% |
| Cigna | Cigna Commercial | $2,165.11 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $2,561.13 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $2,700.19 | ↑ +222% |
| United Healthcare | United Healthcare Of OH Medicaid | $2,700.19 | ↑ +222% |
Visitor-reported prices
Comments
Repair defect of artery at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $9,262.67 | not published |
| Clifton Springs Hospital and Clinic | Clifton Springs | $9,262.67 | $1,019.20 – $1,535.75 |
| The Unity Hospital of Rochester | Rochester | $11,400.21 | not published |
| Newark Wayne Community Hospital | Newark | $9,262.67 | $1,185.12 – $2,469.43 |
| Bellevue Hospital Center | NY 10016 | not published | $868.90 – $2,231.61 |
| Harlem Hospital Center | New York | not published | $1,549.73 – $2,231.61 |
| Kings County Hospital Center | Brooklyn | not published | $868.90 – $2,320.52 |
| Lincoln Medical Center | Bronx | not published | $1,553.00 – $2,320.52 |