X-ray exam of tear duct at WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
$8.80
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.
$40.00
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.
$11.86 with Univera vs $549.20 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 | $11.86 | ↑ +35% |
| Univera | Univera Healthy New York | $11.86 | ↑ +35% |
| Univera | Univera Medicare | $13.95 | ↑ +59% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $14.43 | ↑ +64% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $14.43 | ↑ +64% |
| Highmark | Highmark Together Blue | $16.42 | ↑ +87% |
| Univera | Univera Commercial | $16.88 | ↑ +92% |
| Highmark | Highmark Blue High Performance | $17.37 | ↑ +97% |
| Highmark | Highmark Community Blue | $17.37 | ↑ +97% |
| Highmark | Highmark Connect Blue | $17.37 | ↑ +97% |
| Highmark | Highmark Indemnity | $17.37 | ↑ +97% |
| Highmark | Highmark Social Mission Managed Care | $17.37 | ↑ +97% |
| Highmark | Highmark Social Mission Indemnity | $17.37 | ↑ +97% |
| Highmark | Highmark Performance Blue | $17.37 | ↑ +97% |
| Highmark | Highmark My Direct Blue | $17.37 | ↑ +97% |
| Highmark | Highmark My Blue Access | $17.37 | ↑ +97% |
| Highmark | Highmark Managed Care | $17.37 | ↑ +97% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $18.14 | ↑ +106% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $19.92 | ↑ +126% |
| United Healthcare | United Healthcare Medicaid | $19.92 | ↑ +126% |
| Geisinger | Geisinger CHIP | $19.92 | ↑ +126% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $19.92 | ↑ +126% |
| Geisinger | Geisinger Medicaid HC | $19.92 | ↑ +126% |
| Cigna | Cigna Commercial | $23.08 | ↑ +162% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $26.88 | ↑ +205% |
| United Healthcare | United Healthcare Commercial | $28.34 | ↑ +222% |
| United Healthcare | United Healthcare Of OH Medicaid | $28.34 | ↑ +222% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $39.75 | ↑ +352% |
| Jefferson Health Plans | Jefferson Health Plans | $40.55 | ↑ +361% |
| United Healthcare | United Healthcare CHIP | $42.40 | ↑ +382% |
| Amerihealth | Amerihealth Medicaid HC | $43.72 | ↑ +397% |
| Amerihealth | Amerihealth Medicaid CHC | $43.72 | ↑ +397% |
| Highmark | Highmark Complete Blue Medicare | $263.16 | ↑ +2890% |
| Highmark | Highmark Community Blue Medicare PPO | $263.16 | ↑ +2890% |
| Highmark | Highmark Freedom Blue | $266.02 | ↑ +2923% |
| Life Pittsburgh | Life Pittsburgh Medicare | $286.04 | ↑ +3150% |
| Martin's Point | Martin's Point | $286.04 | ↑ +3150% |
| American Health Plans | American Health Plans Medicare | $286.04 | ↑ +3150% |
| Devoted Medicare | Devoted Health Medicare Advantage | $294.62 | ↑ +3248% |
| Highmark | Highmark Together Blue Medicare | $297.48 | ↑ +3280% |
| Highmark | Highmark Community Blue Medicare HMO | $297.48 | ↑ +3280% |
| Highmark | Highmark Security Blue | $297.48 | ↑ +3280% |
| Aetna | Aetna Medicare | $297.48 | ↑ +3280% |
| Amerihealth | Amerihealth Medicare New York | $300.34 | ↑ +3313% |
| Humana | Humana Commercial | $303.20 | ↑ +3345% |
| United Healthcare | United Healthcare Medicare I-SNP | $306.06 | ↑ +3378% |
| United Healthcare | United Healthcare Medicare D-SNP | $308.93 | ↑ +3411% |
| Molina | Molina Ohio | $311.79 | ↑ +3443% |
| Highmark | Highmark Performance Blue Enhanced | $416.65 | ↑ +4635% |
| Aetna | Aetna Commercial | $549.20 | ↑ +6141% |
Visitor-reported prices
Comments
X-ray exam of tear duct 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 |