Trnscath plc vas stent w/s&i ea addl artery at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$127.60
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.
$580.00
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.
$165.37 with Univera vs $417.50 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 Healthy New York | $165.37 | ↑ +30% |
| Univera | Univera Essential Plan | $165.37 | ↑ +30% |
| Highmark | Highmark Community Blue Medicare | $179.80 | ↑ +41% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $187.65 | ↑ +47% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $187.65 | ↑ +47% |
| Life Pittsburgh | Life Pittsburgh Medicare | $193.33 | ↑ +52% |
| Highmark | Highmark Security Blue | $199.13 | ↑ +56% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $204.93 | ↑ +61% |
| Devoted Medicare | Devoted Health Medicare Advantage | $204.93 | ↑ +61% |
| American Health Plans | American Health Plans Medicare | $212.66 | ↑ +67% |
| Univera | Univera Medicare | $232.43 | ↑ +82% |
| Highmark | Highmark Together Blue | $232.73 | ↑ +82% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $235.90 | ↑ +85% |
| Highmark | Highmark Blue High Performance | $246.18 | ↑ +93% |
| Highmark | Highmark Connect Blue | $246.18 | ↑ +93% |
| Highmark | Highmark Indemnity | $246.18 | ↑ +93% |
| Highmark | Highmark Managed Care | $246.18 | ↑ +93% |
| Highmark | Highmark My Blue Access | $246.18 | ↑ +93% |
| Highmark | Highmark My Direct Blue | $246.18 | ↑ +93% |
| Highmark | Highmark Performance Blue | $246.18 | ↑ +93% |
| Highmark | Highmark Social Mission Indemnity | $246.18 | ↑ +93% |
| Highmark | Highmark Social Mission Managed Care | $246.18 | ↑ +93% |
| Highmark | Highmark Community Blue | $246.18 | ↑ +93% |
| Univera | Univera Commercial | $258.76 | ↑ +103% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $259.13 | ↑ +103% |
| Geisinger | Geisinger CHIP | $259.13 | ↑ +103% |
| United Healthcare | United Healthcare Medicaid | $259.13 | ↑ +103% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $259.13 | ↑ +103% |
| Geisinger | Geisinger Medicaid HC | $259.13 | ↑ +103% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $268.07 | ↑ +110% |
| Jefferson Health Plans | Jefferson Health Plans | $273.43 | ↑ +114% |
| United Healthcare | United Healthcare CHIP | $285.94 | ↑ +124% |
| Amerihealth | Amerihealth Medicaid HC | $294.87 | ↑ +131% |
| Amerihealth | Amerihealth Medicaid CHC | $294.87 | ↑ +131% |
| Cigna | Cigna Commercial | $329.90 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $396.00 | ↑ +210% |
| United Healthcare | United Healthcare Of OH Medicaid | $417.50 | ↑ +227% |
| United Healthcare | United Healthcare Commercial | $417.50 | ↑ +227% |
Visitor-reported prices
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Trnscath plc vas stent w/s&i ea addl artery at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Rochester General Hospital | Rochester | $10,582.23 | not published |
| The Unity Hospital of Rochester | Rochester | $10,159.66 | not published |
| Newark Wayne Community Hospital | Newark | $10,582.23 | $176.99 – $368.79 |
| Bellevue Hospital Center | NY 10016 | not published | $141.94 – $336.79 |
| Harlem Hospital Center | New York | not published | $233.88 – $336.79 |
| Kings County Hospital Center | Brooklyn | not published | $141.94 – $349.60 |
| Lincoln Medical Center | Bronx | not published | $242.78 – $349.60 |
| Metropolitan Hospital Center | New York | not published | $242.78 – $349.60 |