WESTFIELD MEMORIAL HOSPITAL INC
189 EAST MAIN STREET, WESTFIELD, NY · Ahn · · NPI 1942236427
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $19.36 | $88.00 | $17.50 – $31.92 | 15 |
| 17-hydroxypregnenolone CPT 84143 | $120.12 | $154.00 | $14.20 – $50.46 | 15 |
| 17-ketosteroids CPT 83586 | $8.36 | $38.00 | $8.14 – $28.30 | 15 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $4.15 – $8.77 | 11 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.37 – $7.12 | 11 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.92 – $14.62 | 11 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $56.76 | $258.00 | $37.41 – $166.22 | 14 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $545.82 | $2,481.00 | $576.26 – $2,351.00 | 8 |
| 1st psyc collab care mgmt CPT 99492 | $58.08 | $264.00 | $55.84 – $149.50 | 15 |
| 1st/sbsq psyc collab care CPT 99494 | $24.86 | $113.00 | $33.63 – $65.37 | 11 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $23.71 – $44.91 | 14 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $18.20 – $166.26 | 12 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $476.91 – $1,019.07 | 10 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $476.91 – $1,019.07 | 10 |
| 2nd order venous cath CPT 36012 | $3,915.60 | $5,020.00 | $120.23 – $272.02 | 11 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $128.00 – $184.87 | 4 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $94.44 – $201.81 | 10 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $94.44 – $201.81 | 10 |
| 3d ech img cgen car anomal CPT 93319 | $14.30 | $65.00 | $19.00 – $37.11 | 11 |
| 3-d radiotherapy plan CPT 77295 | $140.36 | $638.00 | $184.99 – $1,764.87 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $936.00 | $1,200.00 | $7.75 – $31.50 | 5 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,025.00 – $2,167.24 | 11 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $3.06 – $8.87 | 3 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.62 – $5.34 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $58.50 | $75.00 | $7.09 – $24.66 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $22.44 | $102.00 | $9.78 – $18.26 | 8 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $47.52 | $216.00 | $32.00 – $254.10 | 5 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $50.60 | $230.00 | $32.00 – $266.70 | 5 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $53.68 | $244.00 | $32.00 – $278.25 | 5 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $43.12 | $196.00 | $32.00 – $229.95 | 5 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $47.52 | $216.00 | $32.00 – $227.85 | 5 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $47.52 | $216.00 | $32.00 – $225.75 | 5 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $53.68 | $244.00 | $32.00 – $364.65 | 9 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $63.14 | $287.00 | $32.00 – $315.00 | 5 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $1,905.86 | $8,663.00 | $173.15 – $4,925.12 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $32.33 – $62.96 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $63.18 | $81.00 | $6.21 – $26.56 | 15 |
| Abciximab injection HCPCS J0130 | not published | not published | $580.32 – $1,812.16 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $10,126.74 | $12,983.00 | $51.97 – $4,059.84 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $749.10 | $3,405.00 | $67.97 – $1,924.83 | 7 |
| Abd/low ext cath 1st CPT 36245 | $3,921.84 | $5,028.00 | $141.23 – $368.67 | 11 |
| Abd/low ext cath 2nd CPT 36246 | $3,191.76 | $4,092.00 | $199.02 – $395.57 | 11 |
| Abd/low ext cath 3rd CPT 36247 | $3,663.66 | $4,697.00 | $235.73 – $466.33 | 11 |
| Abd/low ext cath addl CPT 36248 | $899.34 | $1,153.00 | $38.31 – $75.28 | 11 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $707.46 | $907.00 | $44.62 – $311.79 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $311.22 | $399.00 | $30.92 – $137.16 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,887.60 | $2,420.00 | $54.22 – $229.62 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,510.08 | $1,936.00 | $49.47 – $229.62 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $902.46 | $1,157.00 | $46.19 – $137.16 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,134.04 | $4,018.00 | $85.20 – $722.56 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $2,507.70 | $3,215.00 | $66.92 – $477.67 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $1,697.28 | $2,176.00 | $56.66 – $411.57 | 15 |
| Abdominal pad HCPCS L1270 | not published | not published | $52.18 – $110.32 | 11 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,194.14 | $2,813.00 | $85.43 – $1,209.32 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $467.22 | $599.00 | $31.27 – $137.16 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $467.22 | $599.00 | $22.69 – $137.16 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $342.42 | $439.00 | $8.86 – $137.16 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $342.42 | $439.00 | $12.42 – $137.16 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $283.14 | $363.00 | $7.18 – $113.57 | 15 |
| Abdominoplasty 15830 CPT 15830 | $726.44 | $3,302.00 | $94.88 – $8,411.79 | 15 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,194.14 | $2,813.00 | $57.26 – $1,209.32 | 15 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $98.41 – $208.08 | 11 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $165.78 – $350.52 | 11 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $83.01 – $175.52 | 11 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $46.40 – $114.13 | 11 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $46.40 – $104.33 | 11 |
| Abl1 gene CPT 81170 | $198.00 | $900.00 | $198.00 – $421.78 | 15 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $135.52 | $616.00 | $178.06 – $419.55 | 7 |
| Ablate arrhythmia add on CPT 93655 | $184.80 | $840.00 | $240.58 – $477.37 | 7 |
| Ablate atria lmtd endo 33265 CPT 33265 | $829.62 | $3,771.00 | $75.47 – $2,139.16 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $1,169.30 | $5,315.00 | $106.27 – $3,014.78 | 7 |
| Ablate atria without bypass ext CPT 33255 | $987.36 | $4,488.00 | $89.76 – $2,544.63 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $395.56 | $1,798.00 | $82.87 – $1,018.86 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | $1,120.02 | $5,091.00 | $101.79 – $2,889.78 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $210.54 | $957.00 | $275.26 – $9,214.43 | 12 |
| Ablate bone tumor(s) perq CPT 20982 | $30,108.00 | $38,600.00 | $294.03 – $16,596.43 | 15 |
| Ablate heart dysrhythm focus CPT 93650 | $350.68 | $1,594.00 | $375.77 – $9,787.60 | 15 |
| Ablate heart dysrhythm focus CPT 33250 | $884.62 | $4,021.00 | $80.45 – $2,280.22 | 7 |
| Ablate heart dysrhythm focus CPT 33251 | $991.10 | $4,505.00 | $90.20 – $2,561.40 | 7 |
| Ablate heart dysrhythm focus CPT 33261 | $978.56 | $4,448.00 | $88.94 – $2,521.76 | 7 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $122.32 | $556.00 | $16.55 – $1,910.65 | 15 |
| Ablate inf turbinate superf 30801 CPT 30801 | $90.64 | $412.00 | $12.41 – $1,910.65 | 15 |
| Ablate pulm tumor perq crybl CPT 32994 | $266.86 | $1,213.00 | $349.97 – $13,429.04 | 12 |
| Ablate pulm tumor perq rf CPT 32998 | $13,652.34 | $17,503.00 | $35.63 – $7,525.52 | 15 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $366.60 | $470.00 | $94.44 – $201.81 | 10 |
| Ablation cryo abd perit om CPT 49999 | not published | $0.01 | $565.94 – $1,209.32 | 10 |
| Ablation cryo adrenal tumor CPT 60699 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $24,362.52 | $31,234.00 | $35.91 – $13,429.04 | 15 |
| Ablation cryo retro lymph node CPT 38999 | not published | $0.01 | $263.90 – $563.90 | 10 |
| Ablation cryo thigh/knee CPT 27599 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,620.84 | $2,078.00 | $178.19 – $380.75 | 10 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $195.36 | $888.00 | $256.85 – $2,089.89 | 12 |
| Abltj mal prst8 tiss hifu CPT 55880 | $605.00 | $2,750.00 | $63.73 – $11,927.55 | 15 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $300.96 | $1,368.00 | $397.91 – $930.68 | 7 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $369.38 | $1,679.00 | $488.11 – $16,758.43 | 12 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $6.66 – $12.98 | 15 |
| Abortion CPT 59850 | $243.10 | $1,105.00 | $53.89 – $629.04 | 7 |
| Abortion (mpr) CPT 59866 | $146.96 | $668.00 | $183.62 – $392.36 | 12 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $1,909.21 – $4,036.78 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.