Xcapsl ctrc rmvl insj 1+ 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

$413.82

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.

Full explanation →

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

$1,881.00

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.

Full explanation →

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

$55.36 with Univera vs $11,723.13 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 →

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 $55.36 ↓ -87%
Univera Univera Healthy New York $55.36 ↓ -87%
Univera Univera Medicare $69.37 ↓ -83%
Univera Univera Commercial $92.55 ↓ -78%
Amerihealth Amerihealth Caritas D-SNP Medicare $554.45 ↑ +34%
Amerihealth Amerihealth Caritas Medicare (NY) $554.45 ↑ +34%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $697.03 ↑ +68%
Geisinger Geisinger CHIP $765.67 ↑ +85%
Amerihealth Amerihealth Caritas CHC Medicaid $765.67 ↑ +85%
Amerihealth Amerihealth Caritas HC Medicaid $765.67 ↑ +85%
Geisinger Geisinger Medicaid HC $765.67 ↑ +85%
United Healthcare United Healthcare Medicaid $765.67 ↑ +85%
Highmark Highmark Together Blue $853.46 ↑ +106%
Highmark Highmark Community Blue $902.80 ↑ +118%
Highmark Highmark My Blue Access $902.80 ↑ +118%
Highmark Highmark My Direct Blue $902.80 ↑ +118%
Highmark Highmark Social Mission Managed Care $902.80 ↑ +118%
Highmark Highmark Social Mission Indemnity $902.80 ↑ +118%
Highmark Highmark Blue High Performance $902.80 ↑ +118%
Highmark Highmark Connect Blue $902.80 ↑ +118%
Highmark Highmark Performance Blue $902.80 ↑ +118%
Highmark Highmark Indemnity $902.80 ↑ +118%
Highmark Highmark Managed Care $902.80 ↑ +118%
Cigna Cigna Commercial $1,068.97 ↑ +158%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $1,164.00 ↑ +181%
Jefferson Health Plans Jefferson Health Plans $1,187.28 ↑ +187%
United Healthcare United Healthcare CHIP $1,241.60 ↑ +200%
United Healthcare United Healthcare Navigate Nexus Commercial $1,244.40 ↑ +201%
Amerihealth Amerihealth Medicaid CHC $1,280.40 ↑ +209%
Amerihealth Amerihealth Medicaid HC $1,280.40 ↑ +209%
United Healthcare United Healthcare Of OH Medicaid $1,311.97 ↑ +217%
United Healthcare United Healthcare Commercial $1,311.97 ↑ +217%
Highmark Highmark Community Blue Medicare PPO $5,617.33 ↑ +1257%
Highmark Highmark Complete Blue Medicare $5,617.33 ↑ +1257%
Highmark Highmark Freedom Blue $5,678.39 ↑ +1272%
American Health Plans American Health Plans Medicare $6,105.79 ↑ +1375%
Life Pittsburgh Life Pittsburgh Medicare $6,105.79 ↑ +1375%
Martin's Point Martin's Point $6,105.79 ↑ +1375%
Devoted Medicare Devoted Health Medicare Advantage $6,288.97 ↑ +1420%
Highmark Highmark Together Blue Medicare $6,350.03 ↑ +1434%
Highmark Highmark Community Blue Medicare HMO $6,350.03 ↑ +1434%
Highmark Highmark Security Blue $6,350.03 ↑ +1434%
Aetna Aetna Medicare $6,350.03 ↑ +1434%
Amerihealth Amerihealth Medicare New York $6,411.08 ↑ +1449%
Humana Humana Commercial $6,472.14 ↑ +1464%
United Healthcare United Healthcare Medicare I-SNP $6,533.20 ↑ +1479%
United Healthcare United Healthcare Medicare D-SNP $6,594.26 ↑ +1494%
Molina Molina Ohio $6,655.32 ↑ +1508%
Highmark Highmark Performance Blue Enhanced $8,893.70 ↑ +2049%
Aetna Aetna Commercial $11,723.13 ↑ +2733%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Xcapsl ctrc rmvl insj 1+ at other New-york hospitals

Hospital City Cash price Negotiated range
Bellevue Hospital Center NY 10016 $6,105.79 $450.29 – $9,963.75
Harlem Hospital Center New York $6,105.79 $746.73 – $7,506.02
Kings County Hospital Center Brooklyn $6,105.79 $450.29 – $9,963.75
Lincoln Medical Center Bronx $6,105.79 $763.98 – $7,506.02
Metropolitan Hospital Center New York $6,105.79 $763.98 – $7,506.02
Queens Hospital Center Jamaica $6,105.79 $450.29 – $9,963.75
Woodhull Medical Center Brooklyn $6,105.79 $450.29 – $9,963.75
South Brooklyn Health Brooklyn $6,105.79 $763.98 – $7,506.02

All New-york hospitals for this procedure →