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 |
|---|---|---|---|---|
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $44.22 | $201.00 | $48.83 – $178.00 | 8 |
| Atxn10 gene detc abnor allel CPT 81183 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Atxn1 gene detc abnor allele CPT 81178 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Atxn2 gene detc abnor allele CPT 81179 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Atxn3 gene detc abnor allele CPT 81180 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Atxn7 gene detc abnor allele CPT 81181 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Atxn8os gen detc abnor allel CPT 81182 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Aud brainstem implt programg CPT 92640 | $57.42 | $261.00 | $76.40 – $201.81 | 12 |
| Audiometry air + bone CPT 92553 | not published | not published | $14.70 – $201.81 | 15 |
| Audit/dast 15-30 min CPT 99408 | $20.46 | $93.00 | $25.93 – $88.00 | 5 |
| Audit/dast over 30 min CPT 99409 | $40.92 | $186.00 | $51.87 – $171.00 | 5 |
| Auditory function + 15 min CPT 92621 | $11.44 | $52.00 | $8.83 – $29.39 | 10 |
| Auditory function 60 min CPT 92620 | $48.84 | $222.00 | $34.79 – $201.81 | 14 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $84.15 – $135.46 | 6 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $84.15 – $135.46 | 6 |
| Augmentation cheek bone CPT 21270 | $463.54 | $2,107.00 | $60.72 – $7,630.39 | 12 |
| Augmentation lower jaw bone CPT 21125 | $417.12 | $1,896.00 | $54.64 – $7,630.39 | 15 |
| Augmentation lower jaw bone CPT 21127 | $481.80 | $2,190.00 | $63.26 – $7,630.39 | 15 |
| Augmentation of facial bones CPT 21208 | $459.36 | $2,088.00 | $60.27 – $7,630.39 | 15 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $12,536.94 | $16,073.00 | $174.05 – $344.18 | 10 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $16,716.18 | $21,431.00 | $41.09 – $9,214.43 | 15 |
| Autgrft implnt knee w/scope CPT 29866 | $655.38 | $2,979.00 | $85.84 – $9,214.43 | 12 |
| Autochondrocyte implant knee CPT 27412 | $1,021.02 | $4,641.00 | $133.53 – $9,214.43 | 12 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $554.84 | $2,522.00 | $554.83 – $916.31 | 12 |
| Autologous blood op salvage CPT 86891 | not published | not published | $108.48 – $1,053.69 | 12 |
| Autologous blood process CPT 86890 | not published | not published | $46.78 – $221.03 | 12 |
| Autolog prp diab wound ulcer HCPCS G0465 | $357.28 | $1,624.00 | $74.34 – $2,359.45 | 11 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $230.14 – $2,359.45 | 11 |
| Automated diff wbc count CPT 85004 | $4.40 | $20.00 | $4.27 – $11.57 | 15 |
| Autonomic nrv adrenrg inervj CPT 95922 | $27.72 | $126.00 | $37.45 – $166.26 | 12 |
| Autonomic nrv parasym inervj CPT 95921 | $26.84 | $122.00 | $35.65 – $201.81 | 12 |
| Autonomic nrv syst funj test CPT 95923 | $27.06 | $123.00 | $36.23 – $166.26 | 12 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $92.35 – $447.48 | 3 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $99.50 – $433.00 | 3 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $106.64 – $461.96 | 4 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $59.19 – $259.71 | 3 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $59.19 – $259.71 | 3 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $64.29 – $259.71 | 4 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $71.43 – $303.15 | 3 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $78.58 – $317.63 | 3 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $59.19 – $259.71 | 3 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $59.19 – $237.99 | 3 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $71.94 – $332.10 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $72.88 – $141.92 | 15 |
| Av fistula revision CPT 36833 | $488.62 | $2,221.00 | $44.48 – $6,972.61 | 15 |
| Av fuse uppr arm basilic CPT 36819 | $441.32 | $2,006.00 | $40.24 – $6,972.61 | 15 |
| Av fuse uppr arm cephalic CPT 36818 | $417.12 | $1,896.00 | $38.02 – $6,972.61 | 15 |
| Av fusion direct any site CPT 36821 | $399.52 | $1,816.00 | $36.39 – $4,059.84 | 15 |
| Av fusion/forearm vein 36820 CPT 36820 | $441.76 | $2,008.00 | $40.04 – $6,972.61 | 15 |
| Avul nail plate addl CPT 11732 | $348.66 | $447.00 | $2.71 – $90.00 | 12 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $464.88 | $596.00 | $27.04 – $256.30 | 15 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $39.29 – $58.94 | 11 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $387,333.37 – $754,303.21 | 14 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $122.58 – $259.17 | 11 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $436.04 | $1,982.00 | $35.17 – $7,525.52 | 15 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.20 – $0.38 | 8 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.19 – $3.03 | 8 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $163.46 – $255.00 | 12 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $5.72 | $26.01 | $2.13 – $3.70 | 8 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $12.00 – $27.71 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.07 – $3.77 | 8 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $127.75 – $248.78 | 15 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $40.73 – $95.09 | 8 |
| Baclofen eval charges CPT 97750 | not published | not published | $23.21 – $53.71 | 12 |
| Bacterial meningitis antigen CPT 86403 | $60.84 | $78.00 | $6.48 – $22.53 | 15 |
| Bacterial vaginosis pcr CPT 87801 | $369.72 | $474.00 | $38.80 – $76.52 | 15 |
| Bactericidal level serum CPT 87197 | $10.12 | $46.00 | $9.55 – $24.34 | 15 |
| #bac vag cand-c. albicans naa CPT 87481 | $184.86 | $237.00 | $20.67 – $63.63 | 15 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $4.77 – $10.10 | 11 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $109.20 | $140.00 | $22.43 – $53.40 | 12 |
| Balloon dilate urtrl strix CPT 50706 | $109.56 | $498.00 | $144.00 – $282.36 | 11 |
| Banding pulmonary artery CPT 33690 | $735.02 | $3,341.00 | $66.92 – $1,895.79 | 7 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $145.86 | $663.00 | $4.04 – $4.04 | 1 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $572.52 | $734.00 | $27.30 – $229.62 | 15 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $572.52 | $734.00 | $15.75 – $229.62 | 15 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $572.52 | $734.00 | $15.75 – $229.62 | 15 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.17 – $0.34 | 11 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.75 – $3.70 | 11 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $7.11 – $15.03 | 11 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $4.48 – $9.45 | 11 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $3.55 – $7.49 | 11 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $6.31 – $13.34 | 11 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $112.64 | $512.00 | $14.86 – $4,101.16 | 15 |
| Bartonella dna pcr-sendout CPT 87471 | $23.32 | $106.00 | $20.67 – $63.63 | 15 |
| Bartonella dna quant CPT 87472 | $28.16 | $128.00 | $20.80 – $77.66 | 15 |
| Basic vestibular evaluation CPT 92540 | $46.86 | $213.00 | $19.23 – $201.81 | 15 |
| Basiliximab HCPCS J0480 | not published | not published | $3,395.01 – $6,611.54 | 15 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $414.77 – $876.99 | 11 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $166.56 – $352.17 | 11 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $910.66 – $1,925.47 | 11 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $789.88 – $1,670.10 | 11 |
| Bausch health Ultrasound surg HCPCS V2788 | not published | not published | $756.35 – $1,995.40 | 2 |
| B cells total count CPT 86355 | $198.90 | $255.00 | $24.90 – $67.46 | 15 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.95 – $4.42 | 8 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $147.32 – $220.97 | 8 |
| Bcg vaccine percut CPT 90585 | not published | not published | $15.00 – $307.00 | 9 |
| Bckdhb gene CPT 81205 | not published | not published | $62.69 – $103.54 | 12 |
| Bebtelovimab injection HCPCS M0222 | $231.22 | $1,051.00 | $282.75 – $448.64 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $45.32 – $59.14 | 4 |
| Bedside drainage bag HCPCS A4357 | $2.73 | $12.42 | $6.62 – $14.01 | 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.