Thrombomodulin at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$11.44
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.
$52.00
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.
$6.63 with Univera vs $35.83 with Highmark — 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 Medicare | $6.63 | ↓ -42% |
| Univera | Univera Commercial | $9.31 | ↓ -19% |
| Univera | Univera Essential Plan | $9.98 | ↓ -13% |
| Univera | Univera Healthy New York | $9.98 | ↓ -13% |
| Highmark | Highmark Community Blue | $11.40 | ↓ -0% |
| Highmark | Highmark Social Mission Indemnity | $11.40 | ↓ -0% |
| Highmark | Highmark Social Mission Managed Care | $11.40 | ↓ -0% |
| Highmark | Highmark Together Blue | $11.40 | ↓ -0% |
| Highmark | Highmark Blue High Performance | $11.40 | ↓ -0% |
| Highmark | Highmark Connect Blue | $11.40 | ↓ -0% |
| Highmark | Highmark Indemnity | $11.40 | ↓ -0% |
| Highmark | Highmark Managed Care | $11.40 | ↓ -0% |
| Highmark | Highmark My Blue Access | $11.40 | ↓ -0% |
| Highmark | Highmark My Direct Blue | $11.40 | ↓ -0% |
| Highmark | Highmark Performance Blue | $11.40 | ↓ -0% |
| Highmark | Highmark Community Blue Medicare PPO | $15.89 | ↑ +39% |
| Highmark | Highmark Complete Blue Medicare | $15.89 | ↑ +39% |
| Highmark | Highmark Freedom Blue | $16.06 | ↑ +40% |
| Cigna | Cigna Commercial | $16.68 | ↑ +46% |
| United Healthcare | United Healthcare Medicaid | $16.85 | ↑ +47% |
| United Healthcare | United Healthcare CHIP | $16.85 | ↑ +47% |
| Life Pittsburgh | Life Pittsburgh Medicare | $17.27 | ↑ +51% |
| American Health Plans | American Health Plans Medicare | $17.27 | ↑ +51% |
| Martin's Point | Martin's Point | $17.27 | ↑ +51% |
| United Healthcare | United Healthcare Commercial | $17.79 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $17.79 | ↑ +56% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $17.84 | ↑ +56% |
| Highmark | Highmark Security Blue | $17.96 | ↑ +57% |
| Aetna | Aetna Medicare | $17.96 | ↑ +57% |
| Highmark | Highmark Community Blue Medicare HMO | $17.96 | ↑ +57% |
| Highmark | Highmark Together Blue Medicare | $17.96 | ↑ +57% |
| Amerihealth | Amerihealth Medicare New York | $18.13 | ↑ +58% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $18.13 | ↑ +58% |
| Humana | Humana Commercial | $18.31 | ↑ +60% |
| United Healthcare | United Healthcare Medicare I-SNP | $18.48 | ↑ +62% |
| United Healthcare | United Healthcare Medicare D-SNP | $18.65 | ↑ +63% |
| United Healthcare | United Healthcare Of OH Medicaid | $18.79 | ↑ +64% |
| Molina | Molina Ohio | $18.82 | ↑ +65% |
| Aetna | Aetna Commercial | $33.16 | ↑ +190% |
| Highmark | Highmark Performance Blue Enhanced | $35.83 | ↑ +213% |
Visitor-reported prices
Comments
Thrombomodulin at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $17.27 | $7.74 – $42.78 |
| Harlem Hospital Center | New York | $17.27 | $13.47 – $42.78 |
| Kings County Hospital Center | Brooklyn | $17.27 | $7.74 – $42.78 |
| Lincoln Medical Center | Bronx | $17.27 | $13.47 – $42.78 |
| Metropolitan Hospital Center | New York | $17.27 | $13.47 – $42.78 |
| Queens Hospital Center | Jamaica | $17.27 | $7.74 – $42.78 |
| Woodhull Medical Center | Brooklyn | $17.27 | $7.74 – $42.78 |
| South Brooklyn Health | Brooklyn | $17.27 | $13.47 – $42.78 |