Thoracic duct procedure at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$359.26
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.
$1,633.00
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.
$51.90 with Univera vs $1,091.56 with United Healthcare — 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 | $51.90 | ↓ -86% |
| Univera | Univera Healthy New York | $51.90 | ↓ -86% |
| Univera | Univera Medicare | $64.10 | ↓ -82% |
| Univera | Univera Commercial | $68.24 | ↓ -81% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $78.75 | ↓ -78% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $78.75 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $99.00 | ↓ -72% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $108.75 | ↓ -70% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $108.75 | ↓ -70% |
| Geisinger | Geisinger CHIP | $108.75 | ↓ -70% |
| Geisinger | Geisinger Medicaid HC | $108.75 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $108.75 | ↓ -70% |
| United Healthcare | United Healthcare CHIP | $120.00 | ↓ -67% |
| Highmark | Highmark Together Blue | $660.33 | ↑ +84% |
| Highmark | Highmark Performance Blue | $698.51 | ↑ +94% |
| Highmark | Highmark Social Mission Indemnity | $698.51 | ↑ +94% |
| Highmark | Highmark Social Mission Managed Care | $698.51 | ↑ +94% |
| Highmark | Highmark Indemnity | $698.51 | ↑ +94% |
| Highmark | Highmark My Blue Access | $698.51 | ↑ +94% |
| Highmark | Highmark My Direct Blue | $698.51 | ↑ +94% |
| Highmark | Highmark Connect Blue | $698.51 | ↑ +94% |
| Highmark | Highmark Community Blue | $698.51 | ↑ +94% |
| Highmark | Highmark Blue High Performance | $698.51 | ↑ +94% |
| Highmark | Highmark Managed Care | $698.51 | ↑ +94% |
| Cigna | Cigna Commercial | $921.78 | ↑ +157% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,035.35 | ↑ +188% |
| United Healthcare | United Healthcare Commercial | $1,091.56 | ↑ +204% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,091.56 | ↑ +204% |
Visitor-reported prices
Comments
Thoracic duct procedure at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $6,184.83 | not published |
| The Unity Hospital of Rochester | Rochester | $7,612.10 | not published |
| Newark Wayne Community Hospital | Newark | $6,184.83 | $495.27 – $1,031.99 |
| Bellevue Hospital Center | NY 10016 | not published | $363.60 – $948.72 |
| Kings County Hospital Center | Brooklyn | not published | $363.60 – $977.90 |
| Lincoln Medical Center | Bronx | not published | $674.00 – $977.90 |
| Metropolitan Hospital Center | New York | not published | $674.00 – $977.90 |
| Queens Hospital Center | Jamaica | not published | $363.60 – $946.21 |