Revise graft w/vein at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$558.36
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.
$2,538.00
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.
$50.62 with Univera vs $12,282.03 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 | $50.62 | ↓ -91% |
| Univera | Univera Healthy New York | $50.62 | ↓ -91% |
| Univera | Univera Medicare | $71.15 | ↓ -87% |
| Univera | Univera Commercial | $79.21 | ↓ -86% |
| Highmark | Highmark Together Blue | $1,021.33 | ↑ +83% |
| Highmark | Highmark Managed Care | $1,080.39 | ↑ +93% |
| Highmark | Highmark Social Mission Managed Care | $1,080.39 | ↑ +93% |
| Highmark | Highmark Social Mission Indemnity | $1,080.39 | ↑ +93% |
| Highmark | Highmark Blue High Performance | $1,080.39 | ↑ +93% |
| Highmark | Highmark Community Blue | $1,080.39 | ↑ +93% |
| Highmark | Highmark My Blue Access | $1,080.39 | ↑ +93% |
| Highmark | Highmark Performance Blue | $1,080.39 | ↑ +93% |
| Highmark | Highmark Connect Blue | $1,080.39 | ↑ +93% |
| Highmark | Highmark My Direct Blue | $1,080.39 | ↑ +93% |
| Highmark | Highmark Indemnity | $1,080.39 | ↑ +93% |
| Cigna | Cigna Commercial | $1,442.82 | ↑ +158% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,719.61 | ↑ +208% |
| United Healthcare | United Healthcare Commercial | $1,812.97 | ↑ +225% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,812.97 | ↑ +225% |
| United Healthcare | United Healthcare CHIP | $5,016.40 | ↑ +798% |
| United Healthcare | United Healthcare Medicaid | $5,016.40 | ↑ +798% |
| Highmark | Highmark Complete Blue Medicare | $5,885.14 | ↑ +954% |
| Highmark | Highmark Community Blue Medicare PPO | $5,885.14 | ↑ +954% |
| Highmark | Highmark Freedom Blue | $5,949.11 | ↑ +965% |
| American Health Plans | American Health Plans Medicare | $6,396.89 | ↑ +1046% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,396.89 | ↑ +1046% |
| Martin's Point | Martin's Point | $6,396.89 | ↑ +1046% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,588.80 | ↑ +1080% |
| Highmark | Highmark Security Blue | $6,652.76 | ↑ +1091% |
| Aetna | Aetna Medicare | $6,652.76 | ↑ +1091% |
| Highmark | Highmark Community Blue Medicare HMO | $6,652.76 | ↑ +1091% |
| Highmark | Highmark Together Blue Medicare | $6,652.76 | ↑ +1091% |
| Amerihealth | Amerihealth Medicare New York | $6,716.73 | ↑ +1103% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $6,716.73 | ↑ +1103% |
| Humana | Humana Commercial | $6,780.70 | ↑ +1114% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,844.67 | ↑ +1126% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,908.64 | ↑ +1137% |
| Molina | Molina Ohio | $6,972.61 | ↑ +1149% |
| Highmark | Highmark Performance Blue Enhanced | $9,317.71 | ↑ +1569% |
| Aetna | Aetna Commercial | $12,282.03 | ↑ +2100% |
Visitor-reported prices
Comments
Revise graft w/vein at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $6,396.89 | $577.73 – $13,892.12 |
| Harlem Hospital Center | New York | $6,396.89 | $1,032.78 – $13,892.12 |
| Kings County Hospital Center | Brooklyn | $6,396.89 | $577.73 – $13,892.12 |
| Lincoln Medical Center | Bronx | $6,396.89 | $1,039.00 – $13,892.12 |
| Metropolitan Hospital Center | New York | $6,396.89 | $1,039.00 – $13,892.12 |
| Queens Hospital Center | Jamaica | $6,396.89 | $577.73 – $13,892.12 |
| Woodhull Medical Center | Brooklyn | $6,396.89 | $577.73 – $13,892.12 |
| South Brooklyn Health | Brooklyn | $6,396.89 | $1,039.00 – $13,892.12 |