X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$15.18

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.

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

$69.00

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.

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

$15.75 with Amerihealth vs $811.42 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.

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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
Amerihealth Amerihealth Caritas Medicare (NY) $15.75 ↑ +4%
Amerihealth Amerihealth Caritas D-SNP Medicare $15.75 ↑ +4%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $19.80 ↑ +30%
Univera Univera Essential Plan $19.96 ↑ +31%
Univera Univera Healthy New York $19.96 ↑ +31%
Geisinger Geisinger Medicaid HC $21.75 ↑ +43%
Amerihealth Amerihealth Caritas CHC Medicaid $21.75 ↑ +43%
Amerihealth Amerihealth Caritas HC Medicaid $21.75 ↑ +43%
United Healthcare United Healthcare Medicaid $21.75 ↑ +43%
Geisinger Geisinger CHIP $21.75 ↑ +43%
Univera Univera Medicare $23.48 ↑ +55%
Highmark Highmark Together Blue $27.49 ↑ +81%
Univera Univera Commercial $28.41 ↑ +87%
Highmark Highmark Blue High Performance $29.08 ↑ +92%
Highmark Highmark Community Blue $29.08 ↑ +92%
Highmark Highmark Social Mission Indemnity $29.08 ↑ +92%
Highmark Highmark Performance Blue $29.08 ↑ +92%
Highmark Highmark Connect Blue $29.08 ↑ +92%
Highmark Highmark My Direct Blue $29.08 ↑ +92%
Highmark Highmark Indemnity $29.08 ↑ +92%
Highmark Highmark My Blue Access $29.08 ↑ +92%
Highmark Highmark Managed Care $29.08 ↑ +92%
Highmark Highmark Social Mission Managed Care $29.08 ↑ +92%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $33.75 ↑ +122%
Jefferson Health Plans Jefferson Health Plans $34.42 ↑ +127%
United Healthcare United Healthcare CHIP $36.00 ↑ +137%
Amerihealth Amerihealth Medicaid HC $37.13 ↑ +145%
Amerihealth Amerihealth Medicaid CHC $37.13 ↑ +145%
Cigna Cigna Commercial $38.72 ↑ +155%
United Healthcare United Healthcare Navigate Nexus Commercial $46.12 ↑ +204%
United Healthcare United Healthcare Of OH Medicaid $48.62 ↑ +220%
United Healthcare United Healthcare Commercial $48.62 ↑ +220%
Highmark Highmark Community Blue Medicare PPO $388.80 ↑ +2461%
Highmark Highmark Complete Blue Medicare $388.80 ↑ +2461%
Highmark Highmark Freedom Blue $393.03 ↑ +2489%
American Health Plans American Health Plans Medicare $422.61 ↑ +2684%
Life Pittsburgh Life Pittsburgh Medicare $422.61 ↑ +2684%
Martin's Point Martin's Point $422.61 ↑ +2684%
Devoted Medicare Devoted Health Medicare Advantage $435.29 ↑ +2768%
Highmark Highmark Security Blue $439.52 ↑ +2795%
Highmark Highmark Community Blue Medicare HMO $439.52 ↑ +2795%
Highmark Highmark Together Blue Medicare $439.52 ↑ +2795%
Aetna Aetna Medicare $439.52 ↑ +2795%
Amerihealth Amerihealth Medicare New York $443.74 ↑ +2823%
Humana Humana Commercial $447.97 ↑ +2851%
United Healthcare United Healthcare Medicare I-SNP $452.20 ↑ +2879%
United Healthcare United Healthcare Medicare D-SNP $456.42 ↑ +2907%
Molina Molina Ohio $460.65 ↑ +2935%
Highmark Highmark Performance Blue Enhanced $615.58 ↑ +3955%
Aetna Aetna Commercial $811.42 ↑ +5245%

Visitor-reported prices

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $422.61 $1.00 – $653.24
Kings County Hospital Center Brooklyn $422.61 $1.00 – $653.24
Lincoln Medical Center Bronx $422.61 $1.00 – $653.24
Metropolitan Hospital Center New York $422.61 $1.00 – $653.24
UPMC Chautauqua Jamestown $439.20 $46.88 – $1,094.32
Queens Hospital Center Jamaica $422.61 $1.00 – $653.24
Woodhull Medical Center Brooklyn $422.61 $1.00 – $653.24
South Brooklyn Health Brooklyn $422.61 $1.00 – $653.24

All New-york hospitals for this procedure →