Sigmoid/rmv tumor/polyp/hot bx for 45333 at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$57.64
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.
$262.00
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.
$75.95 with Univera vs $2,071.45 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 | $75.95 | ↑ +32% |
| Univera | Univera Healthy New York | $75.95 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $81.19 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $87.30 | ↑ +51% |
| Highmark | Highmark Security Blue | $89.92 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $92.54 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $92.54 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $96.03 | ↑ +67% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $99.37 | ↑ +72% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $99.37 | ↑ +72% |
| Univera | Univera Medicare | $104.27 | ↑ +81% |
| Highmark | Highmark Together Blue | $113.23 | ↑ +96% |
| Highmark | Highmark My Direct Blue | $119.78 | ↑ +108% |
| Highmark | Highmark Blue High Performance | $119.78 | ↑ +108% |
| Highmark | Highmark Community Blue | $119.78 | ↑ +108% |
| Highmark | Highmark Connect Blue | $119.78 | ↑ +108% |
| Highmark | Highmark Indemnity | $119.78 | ↑ +108% |
| Highmark | Highmark Managed Care | $119.78 | ↑ +108% |
| Highmark | Highmark My Blue Access | $119.78 | ↑ +108% |
| Highmark | Highmark Performance Blue | $119.78 | ↑ +108% |
| Highmark | Highmark Social Mission Indemnity | $119.78 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $119.78 | ↑ +108% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $124.92 | ↑ +117% |
| Univera | Univera Commercial | $135.81 | ↑ +136% |
| United Healthcare | United Healthcare Medicaid | $137.23 | ↑ +138% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $137.23 | ↑ +138% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $137.23 | ↑ +138% |
| Geisinger | Geisinger Medicaid HC | $137.23 | ↑ +138% |
| Geisinger | Geisinger CHIP | $137.23 | ↑ +138% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $141.96 | ↑ +146% |
| Jefferson Health Plans | Jefferson Health Plans | $144.80 | ↑ +151% |
| Cigna | Cigna Commercial | $148.68 | ↑ +158% |
| Amerihealth | Amerihealth Medicaid CHC | $156.16 | ↑ +171% |
| Amerihealth | Amerihealth Medicaid HC | $156.16 | ↑ +171% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $172.11 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $181.45 | ↑ +215% |
| United Healthcare | United Healthcare Of OH Medicaid | $181.45 | ↑ +215% |
| Martin's Point | Martin's Point | $883.00 | ↑ +1432% |
| Highmark | Highmark Complete Blue Medicare | $992.57 | ↑ +1622% |
| Highmark | Highmark Community Blue Medicare PPO | $992.57 | ↑ +1622% |
| Highmark | Highmark Freedom Blue | $1,003.36 | ↑ +1641% |
| Highmark | Highmark Together Blue Medicare | $1,122.04 | ↑ +1847% |
| Aetna | Aetna Medicare | $1,122.04 | ↑ +1847% |
| Highmark | Highmark Community Blue Medicare HMO | $1,122.04 | ↑ +1847% |
| Amerihealth | Amerihealth Medicare New York | $1,132.83 | ↑ +1865% |
| Humana | Humana Commercial | $1,143.61 | ↑ +1884% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,154.40 | ↑ +1903% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,165.19 | ↑ +1921% |
| Molina | Molina Ohio | $1,175.98 | ↑ +1940% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +2054% |
| Highmark | Highmark Performance Blue Enhanced | $1,571.50 | ↑ +2626% |
| Aetna | Aetna Commercial | $2,071.45 | ↑ +3494% |
Visitor-reported prices
Comments
Sigmoid/rmv tumor/polyp/hot bx for 45333 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,078.88 | $62.51 – $1,741.28 |
| Kings County Hospital Center | Brooklyn | $1,078.88 | $62.51 – $1,741.28 |
| Lincoln Medical Center | Bronx | $1,078.88 | $107.59 – $1,348.60 |
| Metropolitan Hospital Center | New York | $1,078.88 | $107.59 – $1,348.60 |
| UPMC Chautauqua | Jamestown | $993.60 | $77.99 – $1,490.40 |
| Queens Hospital Center | Jamaica | $1,078.88 | $62.51 – $1,741.28 |
| Woodhull Medical Center | Brooklyn | $1,078.88 | $62.51 – $1,741.28 |
| South Brooklyn Health | Brooklyn | $1,078.88 | $107.59 – $1,348.60 |