Insurance Plans And Rates Accepted

At Four Winds Westchester

Four Winds Hospital  - Insurance Plans Accepted and Contracted Rates (2025)
INSURANCE COMPANY MANAGED CARE COMPANY RATE PER DAY SERVICE
AETNA AETNA $1,074.00 INPATIENT RATE
    $385.00 PHP RATE
    $190.85 IOP/AIOP RATE
       
AFFINITY HEALTH PLAN AFFINITY HEALTH $940.56 INPATIENT RATE
    $198.89 PHP RATE
      I
BEACON HEALTH OPTIONS BEACON HEALTH $937.00 INPATIENT RATE
COMMERCIAL & EMPIRE NYS   $359.00 PHP RATE
    $196.00 IOP/AIOP RATE
       
BEACON HEALTH OPTIONS BEACON HEALTH $910.00 INPATIENT RATE
GHI BMP PLANS    $339.00 PHP RATE
& GHI MEDICARE PLANS   $196.00 IOP/AIOP RATE
       
BEACON HEALTH OPTIONS BEACON HEALTH $940.56 (100% of Medicaid Rate) INPATIENT RATE
CHCS/HMO/MEDICAID &   $328.00 PHP RATE
MEDICARE   $196.00 IOP/AIOP RATE
       
BLUE CROSS BLUE SHIELD ANTHEM $1,073.00 INPATIENT RATE
    $396.00 PHP RATE
    $197.00  IOP RATE
       
BLUE SHIELD HEALTH INTEGRATED $1,073.00 INPATIENT RATE
    $384.00 PHP RATE
    $180.00 IOP/AIOP RATE
       
CDPHP COMMERCIAL CDPHP $1,246.00 INPATIENT RATE
    $426.00 PHP RATE
    n/a IOP/AIOP RATE
       
CDPHP CHILD HEALTH PLUS CDPHP $1,246.00 INPATIENT RATE
    n/a PHP RATE
    n/a IOP/AIOP RATE
       
CDPHP MANAGED MEDICAID CDPHP $1,246.00 INPATIENT RATE
    $426.00 PHP RATE
    n/a IOP-ADULT ONLY W/INPT STEPDOWN
       
CDPHP MANAGED MEDICARE CDPHP $1,246.00 INPATIENT RATE
    $426.00 PHP RATE
    n/a IOP -ADULT ONLY W/INPT STEPDOWN
       
       
CIGNA CIGNA $1,231.00 INPATIENT RATE
    $479.00 PHP RATE
    $240.00 IOP/AIOP RATE
       
EMPIRE PLAN EMBLEM $965.00 INPATIENT RATE
    $381.00 PHP RATE
    $208.00 IOP/AIOP RATE
FIDELIS CARE NEW YORK FIDELIS    
INCLUDES    $1,107.50 (100% of Medicaid Rate) INPATIENT RATE
CHILD HEALTH PLUS   $225.00 PHP RATE
ESSENTIAL PLANS 3&4   $145.00 IOP/AIOP RATE
MANAGED MEDICARE       
IMMIGRANTS      
       
FIDELIS CARE NEW YORK FIDELIS    
INCLUDES    $1,107.50 (100% of Medicaid Rate) INPATIENT RATE
HEALTH BENEFIT EXCHANGE   $225.00 PHP RATE
ESSENTIAL PLANS 1&2   $145.00 IOP/AIOP RATE
METAL PLANS      
       
FIDELIS CARE NEW YORK FIDELIS $1,107.50 (100% of Medicaid  Rate) INPATIENT MEDICAID RATE
MANAGED  MEDICAID    $225.00 PHP
      PHP
    $145.00 IOP
      IOP
GHI   $937.00 INPATIENT RATE
    $349.00 PHP RATE
    $180.25 IOP/AIOP RATE
MAGELLAN MAGELLAN $1,133.00 INPATIENT RATE
    $412.00 PHP RATE
    $225.00 IOP/AIOP RATE
       
MEDICAID INPATIENT   $1,222.96 (100% of Medicaid Rate) INPATIENT RATE 
       
MEDICAID PARTIAL HOSPITAL 4 HOURS $198.29 (100% of Medicaid Rate) PARTIAL RATE
  5 HOURS $247.86 (100% of Medicaid Rate) PARTIAL RATE
  6 HOURS $297.44 (100% of Medicaid Rate) PARTIAL RATE
       
MEDICARE 2025     PENDING NOTIFICATION OF 2025 MEDICARE & MEDICAID RATES
MEDICARE INPT DEDUCTIBLE $1,408.00 $1,484.00  
MEDICARE COINSURANCE $352.00 $371.00  
MEDICARE LTR DAYS $704.00 $742.00  
       
MEDICARE 2025 PARTIAL      
MEDICARE PAYS  $175.14    
MEDICARE COPAY  $43.80    
TOTAL ALLOWED $218.94    
       
       
METRO PLUS METRO PLUS $1,074.04 INPATIENT RATE
       
  4 HOUR $132.60 PHP RATE
       
  5 HOUR 165.74  
  6 HOUR $198.89  
       
       
MVP MVP $1024.00 INPATIENT RATE
ALL LINES OF BUSINESS   $392.29 PHP RATE
INCLUDING MANAGED MEDICAID   $214.17 IOP RATE
& MANAGED MEDICARE      
       
       
OPTUM OPTUM HEALTH $1052.00 INPATIENT RATE
COMMERCIAL PLANS   $377.00 PHP RATE
      IOP RATE
       
OPTUM OPTUM HEALTH $1052.00 INPATIENT RATE
MANAGED MEDICARE   $377.00 PHP RATE
      IOP/AIOP RATE
       
OPTUM  OPTUM HEATLH $940.56 INPATIENT RATE
       
OPTUM  OPTUM HEALTH $1,107.50 INPATIENT RATE
OPTUM MANAGED MEDICAID   100%of Medicaid Rate PHP RATE
      IOP/AIOP RATE
       
TRICARE HUMANA $885.00 INPATIENT RATE
      PHP RATE
      IOP/AIOP RATE
       
WELLCARE WELLCARE $908.00 INPATIENT RATE
    $315.00 PHP RATE
    $160.00 IOP/AIOP RATE
       
       
       
EDS/CT MEDICAID CTBHP $1,050.00 INPATIENT RATE
      PHP RATE
       
HEALTH FIRST MANAGED MEDICAID HEALTH FIRST $1,107.50 INPATIENT RATE
    $250.00 PHP RATE
       
UMR (formerly POMCO) UMR $926.00 INPATIENT RATE
    $302.00 PHP RATE
       
HEALTHPLUS MANAGED MEDICAID   $1,070.24 (100%of Medicaid Rate) INPATIENT RATE
    $198.88 PHP RATE
       
UBA   $764.75 INPATIENT RATE
    $283.25 PHP RATE
       
TEAMSTERCENTERSERVICES FUND   $900.00 INPATIENT RATE
    $400.00 PHP RATE
       
FULL BILLED CHARGES   $1,440.00 INPATIENT RATE
    $565.00 PHP RATE
    $325.00 IOP/AIOP RATE
       


For referrals to Four Winds Westchester,
Please call us at 914-763-8151 or 
toll free at 1-800-528-6624

Four Winds Westchester

800 Cross River Road
Katonah, NY  10536

Phone: 914-763-8151
Toll-Free: 1-800-528-6644