Small bowel endoscopy at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$87.34
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.
$397.00
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.
$115.87 with Univera vs $4,310.06 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 Healthy New York | $115.87 | ↑ +33% |
| Univera | Univera Essential Plan | $115.87 | ↑ +33% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $142.23 | ↑ +63% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $142.23 | ↑ +63% |
| Univera | Univera Medicare | $145.43 | ↑ +67% |
| Univera | Univera Commercial | $170.40 | ↑ +95% |
| Highmark | Highmark Together Blue | $171.88 | ↑ +97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $178.81 | ↑ +105% |
| Highmark | Highmark Connect Blue | $181.81 | ↑ +108% |
| Highmark | Highmark Blue High Performance | $181.81 | ↑ +108% |
| Highmark | Highmark Community Blue | $181.81 | ↑ +108% |
| Highmark | Highmark Indemnity | $181.81 | ↑ +108% |
| Highmark | Highmark Managed Care | $181.81 | ↑ +108% |
| Highmark | Highmark My Blue Access | $181.81 | ↑ +108% |
| Highmark | Highmark My Direct Blue | $181.81 | ↑ +108% |
| Highmark | Highmark Performance Blue | $181.81 | ↑ +108% |
| Highmark | Highmark Social Mission Indemnity | $181.81 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $181.81 | ↑ +108% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $196.42 | ↑ +125% |
| United Healthcare | United Healthcare Medicaid | $196.42 | ↑ +125% |
| Geisinger | Geisinger Medicaid HC | $196.42 | ↑ +125% |
| Geisinger | Geisinger CHIP | $196.42 | ↑ +125% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $196.42 | ↑ +125% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $203.19 | ↑ +133% |
| Jefferson Health Plans | Jefferson Health Plans | $207.25 | ↑ +137% |
| Amerihealth | Amerihealth Medicaid CHC | $223.51 | ↑ +156% |
| Amerihealth | Amerihealth Medicaid HC | $223.51 | ↑ +156% |
| Cigna | Cigna Commercial | $226.23 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $263.31 | ↑ +201% |
| United Healthcare | United Healthcare Commercial | $277.61 | ↑ +218% |
| United Healthcare | United Healthcare Of OH Medicaid | $277.61 | ↑ +218% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1322% |
| Highmark | Highmark Complete Blue Medicare | $2,065.24 | ↑ +2265% |
| Highmark | Highmark Community Blue Medicare PPO | $2,065.24 | ↑ +2265% |
| Highmark | Highmark Freedom Blue | $2,087.68 | ↑ +2290% |
| Martin's Point | Martin's Point | $2,244.82 | ↑ +2470% |
| Life Pittsburgh | Life Pittsburgh Medicare | $2,244.82 | ↑ +2470% |
| American Health Plans | American Health Plans Medicare | $2,244.82 | ↑ +2470% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,312.17 | ↑ +2547% |
| Aetna | Aetna Medicare | $2,334.61 | ↑ +2573% |
| Highmark | Highmark Together Blue Medicare | $2,334.61 | ↑ +2573% |
| Highmark | Highmark Security Blue | $2,334.61 | ↑ +2573% |
| Highmark | Highmark Community Blue Medicare HMO | $2,334.61 | ↑ +2573% |
| Amerihealth | Amerihealth Medicare New York | $2,357.06 | ↑ +2599% |
| Humana | Humana Commercial | $2,379.51 | ↑ +2624% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,401.96 | ↑ +2650% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,424.41 | ↑ +2676% |
| Molina | Molina Ohio | $2,446.86 | ↑ +2702% |
| Highmark | Highmark Performance Blue Enhanced | $3,269.81 | ↑ +3644% |
| Aetna | Aetna Commercial | $4,310.06 | ↑ +4835% |
Visitor-reported prices
Comments
Small bowel endoscopy at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $2,244.82 | $96.96 – $3,593.01 |
| Harlem Hospital Center | New York | $2,244.82 | $156.75 – $2,806.03 |
| Kings County Hospital Center | Brooklyn | $2,244.82 | $96.96 – $3,593.01 |
| Lincoln Medical Center | Bronx | $2,244.82 | $160.76 – $2,806.03 |
| Metropolitan Hospital Center | New York | $2,244.82 | $160.76 – $2,806.03 |
| UPMC Chautauqua | Jamestown | $1,738.20 | $119.39 – $2,607.30 |
| Queens Hospital Center | Jamaica | $2,244.82 | $96.96 – $3,593.01 |
| Woodhull Medical Center | Brooklyn | $2,244.82 | $96.96 – $3,593.01 |