Treatment of eyelid lesions at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$29.48
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.
?
What you pay up front if you don't use insurance.
$134.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.84 with Univera vs $679.18 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $38.84 | ↑ +32% |
| Univera | Univera Healthy New York | $38.84 | ↑ +32% |
| Highmark | Highmark Community Blue Medicare | $41.43 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $44.55 | ↑ +51% |
| Highmark | Highmark Security Blue | $45.89 | ↑ +56% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $47.22 | ↑ +60% |
| Devoted Medicare | Devoted Health Medicare Advantage | $47.22 | ↑ +60% |
| Univera | Univera Medicare | $48.67 | ↑ +65% |
| American Health Plans | American Health Plans Medicare | $49.01 | ↑ +66% |
| Highmark | Highmark Together Blue | $59.33 | ↑ +101% |
| Highmark | Highmark Social Mission Indemnity | $62.77 | ↑ +113% |
| Highmark | Highmark Blue High Performance | $62.77 | ↑ +113% |
| Highmark | Highmark Community Blue | $62.77 | ↑ +113% |
| Highmark | Highmark My Direct Blue | $62.77 | ↑ +113% |
| Highmark | Highmark Performance Blue | $62.77 | ↑ +113% |
| Highmark | Highmark Connect Blue | $62.77 | ↑ +113% |
| Highmark | Highmark Social Mission Managed Care | $62.77 | ↑ +113% |
| Highmark | Highmark Indemnity | $62.77 | ↑ +113% |
| Highmark | Highmark Managed Care | $62.77 | ↑ +113% |
| Highmark | Highmark My Blue Access | $62.77 | ↑ +113% |
| Univera | Univera Commercial | $64.94 | ↑ +120% |
| Cigna | Cigna Commercial | $75.16 | ↑ +155% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $89.02 | ↑ +202% |
| United Healthcare | United Healthcare Of OH Medicaid | $93.86 | ↑ +218% |
| United Healthcare | United Healthcare Commercial | $93.86 | ↑ +218% |
| United Healthcare | United Healthcare Medicaid | $258.35 | ↑ +776% |
| United Healthcare | United Healthcare CHIP | $258.35 | ↑ +776% |
| Highmark | Highmark Complete Blue Medicare | $325.44 | ↑ +1004% |
| Highmark | Highmark Community Blue Medicare PPO | $325.44 | ↑ +1004% |
| Highmark | Highmark Freedom Blue | $328.98 | ↑ +1016% |
| Martin's Point | Martin's Point | $353.74 | ↑ +1100% |
| Aetna | Aetna Medicare | $367.89 | ↑ +1148% |
| Highmark | Highmark Together Blue Medicare | $367.89 | ↑ +1148% |
| Highmark | Highmark Community Blue Medicare HMO | $367.89 | ↑ +1148% |
| Amerihealth | Amerihealth Medicare New York | $371.43 | ↑ +1160% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $371.43 | ↑ +1160% |
| Humana | Humana Commercial | $374.97 | ↑ +1172% |
| United Healthcare | United Healthcare Medicare I-SNP | $378.50 | ↑ +1184% |
| United Healthcare | United Healthcare Medicare D-SNP | $382.04 | ↑ +1196% |
| Molina | Molina Ohio | $385.58 | ↑ +1208% |
| Highmark | Highmark Performance Blue Enhanced | $515.26 | ↑ +1648% |
| Aetna | Aetna Commercial | $679.18 | ↑ +2204% |
Visitor-reported prices
Comments
Treatment of eyelid lesions at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $353.74 | $28.15 – $792.42 |
| Harlem Hospital Center | New York | $353.74 | $51.79 – $792.42 |
| Kings County Hospital Center | Brooklyn | $353.74 | $28.15 – $792.42 |
| Lincoln Medical Center | Bronx | $353.74 | $52.71 – $792.42 |
| Metropolitan Hospital Center | New York | $353.74 | $52.71 – $792.42 |
| Queens Hospital Center | Jamaica | $353.74 | $28.15 – $792.42 |
| Woodhull Medical Center | Brooklyn | $353.74 | $28.15 – $792.42 |
| South Brooklyn Health | Brooklyn | $353.74 | $52.71 – $792.42 |