Repair of knee cartilage at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$404.14
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.
$1,837.00
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.
$7.10 with Amerihealth vs $16,230.92 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 | $7.10 | ↓ -98% |
| Amerihealth | Amerihealth Medicaid HC | $7.10 | ↓ -98% |
| Univera | Univera Essential Plan | $53.01 | ↓ -87% |
| Univera | Univera Healthy New York | $53.01 | ↓ -87% |
| Univera | Univera Medicare | $69.42 | ↓ -83% |
| Univera | Univera Commercial | $77.95 | ↓ -81% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $113.40 | ↓ -72% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $113.40 | ↓ -72% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $142.56 | ↓ -65% |
| Geisinger | Geisinger CHIP | $156.60 | ↓ -61% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $156.60 | ↓ -61% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $156.60 | ↓ -61% |
| Geisinger | Geisinger Medicaid HC | $156.60 | ↓ -61% |
| United Healthcare | United Healthcare Medicaid | $156.60 | ↓ -61% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $162.00 | ↓ -60% |
| Jefferson Health Plans | Jefferson Health Plans | $165.24 | ↓ -59% |
| Highmark | Highmark Together Blue | $683.73 | ↑ +69% |
| Highmark | Highmark Community Blue | $723.26 | ↑ +79% |
| Highmark | Highmark Indemnity | $723.26 | ↑ +79% |
| Highmark | Highmark Managed Care | $723.26 | ↑ +79% |
| Highmark | Highmark My Blue Access | $723.26 | ↑ +79% |
| Highmark | Highmark My Direct Blue | $723.26 | ↑ +79% |
| Highmark | Highmark Performance Blue | $723.26 | ↑ +79% |
| Highmark | Highmark Social Mission Indemnity | $723.26 | ↑ +79% |
| Highmark | Highmark Social Mission Managed Care | $723.26 | ↑ +79% |
| Highmark | Highmark Blue High Performance | $723.26 | ↑ +79% |
| Highmark | Highmark Connect Blue | $723.26 | ↑ +79% |
| Cigna | Cigna Commercial | $1,035.87 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,170.78 | ↑ +190% |
| United Healthcare | United Healthcare Commercial | $1,234.34 | ↑ +205% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,234.34 | ↑ +205% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +207% |
| Highmark | Highmark Complete Blue Medicare | $7,777.32 | ↑ +1824% |
| Highmark | Highmark Community Blue Medicare PPO | $7,777.32 | ↑ +1824% |
| Highmark | Highmark Freedom Blue | $7,861.85 | ↑ +1845% |
| American Health Plans | American Health Plans Medicare | $8,453.60 | ↑ +1992% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8,453.60 | ↑ +1992% |
| Martin's Point | Martin's Point | $8,453.60 | ↑ +1992% |
| Devoted Medicare | Devoted Health Medicare Advantage | $8,707.21 | ↑ +2055% |
| Highmark | Highmark Community Blue Medicare HMO | $8,791.75 | ↑ +2075% |
| Aetna | Aetna Medicare | $8,791.75 | ↑ +2075% |
| Highmark | Highmark Together Blue Medicare | $8,791.75 | ↑ +2075% |
| Highmark | Highmark Security Blue | $8,791.75 | ↑ +2075% |
| Amerihealth | Amerihealth Medicare New York | $8,876.28 | ↑ +2096% |
| Humana | Humana Commercial | $8,960.82 | ↑ +2117% |
| United Healthcare | United Healthcare Medicare I-SNP | $9,045.36 | ↑ +2138% |
| United Healthcare | United Healthcare Medicare D-SNP | $9,129.89 | ↑ +2159% |
| Molina | Molina Ohio | $9,214.43 | ↑ +2180% |
| Highmark | Highmark Performance Blue Enhanced | $12,313.52 | ↑ +2947% |
| Aetna | Aetna Commercial | $16,230.92 | ↑ +3916% |
Visitor-reported prices
Comments
Repair of knee cartilage at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $8,453.60 | $372.28 – $18,115.63 |
| Harlem Hospital Center | New York | $8,453.60 | $748.62 – $18,115.63 |
| Kings County Hospital Center | Brooklyn | $8,453.60 | $372.28 – $18,115.63 |
| Lincoln Medical Center | Bronx | $8,453.60 | $773.49 – $18,115.63 |
| Metropolitan Hospital Center | New York | $8,453.60 | $773.49 – $18,115.63 |
| Queens Hospital Center | Jamaica | $8,453.60 | $372.28 – $18,115.63 |
| Woodhull Medical Center | Brooklyn | $8,453.60 | $372.28 – $18,115.63 |
| South Brooklyn Health | Brooklyn | $8,453.60 | $773.49 – $18,115.63 |