X-ray exam of perineum at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$18.26
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.
?
What you pay up front if you don't use insurance.
$83.00
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.
$24.07 with Univera vs $549.20 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 Healthy New York | $24.07 | ↑ +32% |
| Univera | Univera Essential Plan | $24.07 | ↑ +32% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $26.46 | ↑ +45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $26.46 | ↑ +45% |
| Univera | Univera Medicare | $28.32 | ↑ +55% |
| Highmark | Highmark Together Blue | $33.22 | ↑ +82% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $33.26 | ↑ +82% |
| Univera | Univera Commercial | $34.27 | ↑ +88% |
| Highmark | Highmark Connect Blue | $35.15 | ↑ +92% |
| Highmark | Highmark Blue High Performance | $35.15 | ↑ +92% |
| Highmark | Highmark Community Blue | $35.15 | ↑ +92% |
| Highmark | Highmark Indemnity | $35.15 | ↑ +92% |
| Highmark | Highmark Managed Care | $35.15 | ↑ +92% |
| Highmark | Highmark My Blue Access | $35.15 | ↑ +92% |
| Highmark | Highmark My Direct Blue | $35.15 | ↑ +92% |
| Highmark | Highmark Performance Blue | $35.15 | ↑ +92% |
| Highmark | Highmark Social Mission Indemnity | $35.15 | ↑ +92% |
| Highmark | Highmark Social Mission Managed Care | $35.15 | ↑ +92% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $36.54 | ↑ +100% |
| United Healthcare | United Healthcare Medicaid | $36.54 | ↑ +100% |
| Geisinger | Geisinger Medicaid HC | $36.54 | ↑ +100% |
| Geisinger | Geisinger CHIP | $36.54 | ↑ +100% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $36.54 | ↑ +100% |
| Cigna | Cigna Commercial | $46.76 | ↑ +156% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $56.30 | ↑ +208% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $56.70 | ↑ +211% |
| Jefferson Health Plans | Jefferson Health Plans | $57.83 | ↑ +217% |
| United Healthcare | United Healthcare Commercial | $59.35 | ↑ +225% |
| United Healthcare | United Healthcare Of OH Medicaid | $59.35 | ↑ +225% |
| United Healthcare | United Healthcare CHIP | $60.48 | ↑ +231% |
| Amerihealth | Amerihealth Medicaid HC | $62.37 | ↑ +242% |
| Amerihealth | Amerihealth Medicaid CHC | $62.37 | ↑ +242% |
| Highmark | Highmark Complete Blue Medicare | $263.16 | ↑ +1341% |
| Highmark | Highmark Community Blue Medicare PPO | $263.16 | ↑ +1341% |
| Highmark | Highmark Freedom Blue | $266.02 | ↑ +1357% |
| Martin's Point | Martin's Point | $286.04 | ↑ +1466% |
| Life Pittsburgh | Life Pittsburgh Medicare | $286.04 | ↑ +1466% |
| American Health Plans | American Health Plans Medicare | $286.04 | ↑ +1466% |
| Devoted Medicare | Devoted Health Medicare Advantage | $294.62 | ↑ +1513% |
| Aetna | Aetna Medicare | $297.48 | ↑ +1529% |
| Highmark | Highmark Together Blue Medicare | $297.48 | ↑ +1529% |
| Highmark | Highmark Security Blue | $297.48 | ↑ +1529% |
| Highmark | Highmark Community Blue Medicare HMO | $297.48 | ↑ +1529% |
| Amerihealth | Amerihealth Medicare New York | $300.34 | ↑ +1545% |
| Humana | Humana Commercial | $303.20 | ↑ +1560% |
| United Healthcare | United Healthcare Medicare I-SNP | $306.06 | ↑ +1576% |
| United Healthcare | United Healthcare Medicare D-SNP | $308.93 | ↑ +1592% |
| Molina | Molina Ohio | $311.79 | ↑ +1608% |
| Highmark | Highmark Performance Blue Enhanced | $416.65 | ↑ +2182% |
| Aetna | Aetna Commercial | $549.20 | ↑ +2908% |
Visitor-reported prices
Comments
X-ray exam of perineum at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $286.04 | $1.00 – $446.76 |
| Kings County Hospital Center | Brooklyn | $286.04 | $1.00 – $446.76 |
| Lincoln Medical Center | Bronx | $286.04 | $1.00 – $446.76 |
| Metropolitan Hospital Center | New York | $286.04 | $1.00 – $446.76 |
| Queens Hospital Center | Jamaica | $286.04 | $1.00 – $446.76 |
| Woodhull Medical Center | Brooklyn | $286.04 | $1.00 – $446.76 |
| South Brooklyn Health | Brooklyn | $286.04 | $1.00 – $446.76 |
| North Central Bronx | Bronx | $286.04 | $1.00 – $446.76 |