Upper Endoscopy (EGD, with biopsy) at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$84.26
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.
$383.00
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.
$111.70 with Univera vs $2,130.18 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 Essential Plan | $111.70 | ↑ +33% |
| Univera | Univera Healthy New York | $111.70 | ↑ +33% |
| Highmark | Highmark Community Blue Medicare | $118.71 | ↑ +41% |
| Life Pittsburgh | Life Pittsburgh Medicare | $127.64 | ↑ +51% |
| Highmark | Highmark Security Blue | $131.47 | ↑ +56% |
| Devoted Medicare | Devoted Health Medicare Advantage | $135.30 | ↑ +61% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $135.30 | ↑ +61% |
| Univera | Univera Medicare | $140.19 | ↑ +66% |
| American Health Plans | American Health Plans Medicare | $140.40 | ↑ +67% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $156.01 | ↑ +85% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $156.01 | ↑ +85% |
| Univera | Univera Commercial | $164.26 | ↑ +95% |
| Highmark | Highmark Together Blue | $165.80 | ↑ +97% |
| Highmark | Highmark My Direct Blue | $175.40 | ↑ +108% |
| Highmark | Highmark Blue High Performance | $175.40 | ↑ +108% |
| Highmark | Highmark Community Blue | $175.40 | ↑ +108% |
| Highmark | Highmark Connect Blue | $175.40 | ↑ +108% |
| Highmark | Highmark Indemnity | $175.40 | ↑ +108% |
| Highmark | Highmark Managed Care | $175.40 | ↑ +108% |
| Highmark | Highmark My Blue Access | $175.40 | ↑ +108% |
| Highmark | Highmark Performance Blue | $175.40 | ↑ +108% |
| Highmark | Highmark Social Mission Indemnity | $175.40 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $175.40 | ↑ +108% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $196.13 | ↑ +133% |
| Geisinger | Geisinger Medicaid HC | $215.44 | ↑ +156% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $215.44 | ↑ +156% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $215.44 | ↑ +156% |
| Geisinger | Geisinger CHIP | $215.44 | ↑ +156% |
| United Healthcare | United Healthcare Medicaid | $215.44 | ↑ +156% |
| Cigna | Cigna Commercial | $218.19 | ↑ +159% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $222.87 | ↑ +165% |
| Jefferson Health Plans | Jefferson Health Plans | $227.33 | ↑ +170% |
| Amerihealth | Amerihealth Medicaid HC | $245.16 | ↑ +191% |
| Amerihealth | Amerihealth Medicaid CHC | $245.16 | ↑ +191% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $253.76 | ↑ +201% |
| United Healthcare | United Healthcare Of OH Medicaid | $267.54 | ↑ +218% |
| United Healthcare | United Healthcare Commercial | $267.54 | ↑ +218% |
| United Healthcare | United Healthcare CHIP | $449.60 | ↑ +434% |
| Highmark | Highmark Community Blue Medicare PPO | $1,020.71 | ↑ +1111% |
| Highmark | Highmark Complete Blue Medicare | $1,020.71 | ↑ +1111% |
| Highmark | Highmark Freedom Blue | $1,031.81 | ↑ +1125% |
| Martin's Point | Martin's Point | $1,109.47 | ↑ +1217% |
| Highmark | Highmark Community Blue Medicare HMO | $1,153.85 | ↑ +1269% |
| Highmark | Highmark Together Blue Medicare | $1,153.85 | ↑ +1269% |
| Aetna | Aetna Medicare | $1,153.85 | ↑ +1269% |
| Amerihealth | Amerihealth Medicare New York | $1,164.94 | ↑ +1283% |
| Humana | Humana Commercial | $1,176.04 | ↑ +1296% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,187.13 | ↑ +1309% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,198.23 | ↑ +1322% |
| Molina | Molina Ohio | $1,209.32 | ↑ +1335% |
| Highmark | Highmark Performance Blue Enhanced | $1,616.06 | ↑ +1818% |
| Aetna | Aetna Commercial | $2,130.18 | ↑ +2428% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $1,109.47 | $121.20 – $1,698.26 |
| Kings County Hospital Center | Brooklyn | $1,109.47 | $121.20 – $1,698.26 |
| Lincoln Medical Center | Bronx | $1,109.47 | $155.38 – $1,279.36 |
| Metropolitan Hospital Center | New York | $1,109.47 | $155.38 – $1,279.36 |
| UPMC Chautauqua | Jamestown | $1,152.60 | $115.04 – $1,728.90 |
| Queens Hospital Center | Jamaica | $1,109.47 | $121.20 – $1,698.26 |
| Woodhull Medical Center | Brooklyn | $1,109.47 | $121.20 – $1,698.26 |
| South Brooklyn Health | Brooklyn | $1,109.47 | $155.38 – $1,279.36 |