Version cephalic external at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$63.36
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.
$288.00
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.
$82.25 with Univera vs $7,224.05 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 | $82.25 | ↑ +30% |
| Univera | Univera Healthy New York | $82.25 | ↑ +30% |
| Univera | Univera Medicare | $98.37 | ↑ +55% |
| Univera | Univera Commercial | $109.83 | ↑ +73% |
| Highmark | Highmark Together Blue | $120.27 | ↑ +90% |
| Highmark | Highmark Managed Care | $127.23 | ↑ +101% |
| Highmark | Highmark Social Mission Managed Care | $127.23 | ↑ +101% |
| Highmark | Highmark Social Mission Indemnity | $127.23 | ↑ +101% |
| Highmark | Highmark Blue High Performance | $127.23 | ↑ +101% |
| Highmark | Highmark Community Blue | $127.23 | ↑ +101% |
| Highmark | Highmark My Blue Access | $127.23 | ↑ +101% |
| Highmark | Highmark Performance Blue | $127.23 | ↑ +101% |
| Highmark | Highmark Connect Blue | $127.23 | ↑ +101% |
| Highmark | Highmark My Direct Blue | $127.23 | ↑ +101% |
| Highmark | Highmark Indemnity | $127.23 | ↑ +101% |
| Cigna | Cigna Commercial | $164.05 | ↑ +159% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $190.84 | ↑ +201% |
| United Healthcare | United Healthcare Commercial | $201.20 | ↑ +218% |
| United Healthcare | United Healthcare Of OH Medicaid | $201.20 | ↑ +218% |
| Martin's Point | Martin's Point | $255.00 | ↑ +302% |
| United Healthcare | United Healthcare Medicaid | $2,759.58 | ↑ +4255% |
| United Healthcare | United Healthcare CHIP | $2,759.58 | ↑ +4255% |
| Highmark | Highmark Complete Blue Medicare | $3,461.53 | ↑ +5363% |
| Highmark | Highmark Community Blue Medicare PPO | $3,461.53 | ↑ +5363% |
| Highmark | Highmark Freedom Blue | $3,499.15 | ↑ +5423% |
| American Health Plans | American Health Plans Medicare | $3,762.53 | ↑ +5838% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,762.53 | ↑ +5838% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,875.40 | ↑ +6016% |
| Highmark | Highmark Security Blue | $3,913.03 | ↑ +6076% |
| Aetna | Aetna Medicare | $3,913.03 | ↑ +6076% |
| Highmark | Highmark Community Blue Medicare HMO | $3,913.03 | ↑ +6076% |
| Highmark | Highmark Together Blue Medicare | $3,913.03 | ↑ +6076% |
| Amerihealth | Amerihealth Medicare New York | $3,950.66 | ↑ +6135% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $3,950.66 | ↑ +6135% |
| Humana | Humana Commercial | $3,988.28 | ↑ +6195% |
| United Healthcare | United Healthcare Medicare I-SNP | $4,025.91 | ↑ +6254% |
| United Healthcare | United Healthcare Medicare D-SNP | $4,063.53 | ↑ +6313% |
| Molina | Molina Ohio | $4,101.16 | ↑ +6373% |
| Highmark | Highmark Performance Blue Enhanced | $5,480.50 | ↑ +8550% |
| Aetna | Aetna Commercial | $7,224.05 | ↑ +11302% |
Visitor-reported prices
Comments
Version cephalic external at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $3,762.53 | $0.01 – $6,061.28 |
| Kings County Hospital Center | Brooklyn | $3,762.53 | $0.01 – $6,061.28 |
| Lincoln Medical Center | Bronx | $3,762.53 | $0.01 – $4,566.16 |
| Metropolitan Hospital Center | New York | $3,762.53 | $0.01 – $4,566.16 |
| UPMC Chautauqua | Jamestown | $294.00 | $35.35 – $4,001.35 |
| Queens Hospital Center | Jamaica | $3,762.53 | $0.01 – $6,061.28 |
| Woodhull Medical Center | Brooklyn | $3,762.53 | $0.01 – $6,061.28 |
| South Brooklyn Health | Brooklyn | $3,762.53 | $0.01 – $4,566.16 |