Vaccine pneumonococcal conjugate 20 valent (pcv20) im at WESTFIELD MEMORIAL HOSPITAL INC

189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$124.28

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$564.92

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$15.00 with Pennsylvania Health and Wellness vs $588.00 with Martin's Point — 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 →

Payer
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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
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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
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $15.00 ↓ -88%
Jefferson Health Plans Jefferson Health Plans $15.30 ↓ -88%
United Healthcare United Healthcare CHIP $16.00 ↓ -87%
Geisinger Geisinger Medicaid HC $16.00 ↓ -87%
United Healthcare United Healthcare Medicaid $16.00 ↓ -87%
Amerihealth Amerihealth Medicaid CHC $16.50 ↓ -87%
Amerihealth Amerihealth Medicaid HC $16.50 ↓ -87%
Univera Univera Healthy New York $288.33 ↑ +132%
Univera Univera Essential Plan $288.33 ↑ +132%
Univera Univera Commercial $288.33 ↑ +132%
Cigna Cigna Commercial $292.95 ↑ +136%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center Commercial $295.19 ↑ +138%
Geisinger Geisinger CHIP $295.19 ↑ +138%
Univera Univera Medicare $312.90 ↑ +152%
United Healthcare United Healthcare Navigate Nexus Commercial $318.49 ↑ +156%
United Healthcare United Healthcare Of OH Medicaid $336.56 ↑ +171%
United Healthcare United Healthcare Commercial $336.56 ↑ +171%
Highmark Highmark Together Blue $363.68 ↑ +193%
Highmark Highmark Managed Care $389.66 ↑ +214%
Highmark Highmark Indemnity $389.66 ↑ +214%
Highmark Highmark Connect Blue $389.66 ↑ +214%
Highmark Highmark Community Blue $389.66 ↑ +214%
Highmark Highmark Blue High Performance $389.66 ↑ +214%
Highmark Highmark Social Mission Managed Care $389.66 ↑ +214%
Highmark Highmark Performance Blue $389.66 ↑ +214%
Highmark Highmark My Direct Blue $389.66 ↑ +214%
Highmark Highmark My Blue Access $389.66 ↑ +214%
Highmark Highmark Social Mission Indemnity $389.66 ↑ +214%
Martin's Point Martin's Point $588.00 ↑ +373%

Visitor-reported prices

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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other New-york hospitals

Hospital City Cash price Negotiated range
UPMC Chautauqua Jamestown $192.00 $12.50 – $288.66
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $1,554.63 $57.65 – $444.18
NewYork-Presbyterian Queens Flushing $1,554.63 $57.65 – $444.18
NewYork-Presbyterian Columbia University Irving Medical Center New York $1,554.63 $43.23 – $444.18
Rochester General Hospital Rochester $462.57 $268.79 – $572.24
Clifton Springs Hospital and Clinic Clifton Springs $462.57 $274.64 – $341.00
Gouverneur Hospital Gouverneur $404.11 $298.65 – $312.90
Massena Hospital Massena $404.11 $312.90 – $312.90

All New-york hospitals for this procedure →