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 |
|---|---|---|---|---|
| Revise eyelid defect CPT 67909 | $265.76 | $1,208.00 | $35.45 – $3,009.20 | 15 |
| Revise eyelid defect CPT 67911 | $339.02 | $1,541.00 | $45.33 – $3,009.20 | 15 |
| Revise eyelid lining CPT 68330 | $279.18 | $1,269.00 | $37.32 – $2,941.83 | 15 |
| Revise eyelid lining CPT 68360 | $248.82 | $1,131.00 | $33.29 – $4,864.07 | 15 |
| Revise eyelid lining CPT 68362 | $396.00 | $1,800.00 | $53.05 – $3,009.20 | 15 |
| Revise eye muscle CPT 67311 | $276.54 | $1,257.00 | $36.96 – $3,009.20 | 15 |
| Revise eye muscle CPT 67314 | $308.22 | $1,401.00 | $36.96 – $3,009.20 | 15 |
| Revise eye muscle add-on CPT 67340 | $177.10 | $805.00 | $45.30 – $457.65 | 7 |
| Revise eye muscle(s) CPT 67318 | $416.24 | $1,892.00 | $55.83 – $3,009.20 | 15 |
| Revise eye muscle(s) add-on CPT 67320 | $147.62 | $671.00 | $141.14 – $344.29 | 7 |
| Revise eye muscle w/suture CPT 67334 | $138.16 | $628.00 | $123.90 – $333.68 | 8 |
| Revise eye socket implant CPT 67560 | $662.64 | $3,012.00 | $89.97 – $4,864.07 | 15 |
| Revise eye sockets CPT 21260 | $839.74 | $3,817.00 | $110.61 – $7,630.39 | 14 |
| Revise eye sockets CPT 21261 | $1,490.28 | $6,774.00 | $195.83 – $7,630.39 | 14 |
| Revise eye sockets CPT 21263 | $1,377.64 | $6,262.00 | $181.18 – $7,630.39 | 14 |
| Revise eye sockets CPT 21267 | $981.64 | $4,462.00 | $129.34 – $7,630.39 | 15 |
| Revise eye sockets CPT 21268 | $1,233.54 | $5,607.00 | $162.32 – $3,168.47 | 7 |
| Revise eye with implant CPT 65093 | $438.68 | $1,994.00 | $59.88 – $4,864.07 | 15 |
| Revise finger joint each CPT 26135 | $348.70 | $1,585.00 | $45.69 – $4,185.10 | 15 |
| Revise finger joint each CPT 26140 | $319.44 | $1,452.00 | $42.05 – $2,064.31 | 15 |
| Revise gastric port open 43886 CPT 43886 | $228.58 | $1,039.00 | $30.00 – $4,722.15 | 12 |
| Revise/graft eyelid lining CPT 68320 | $326.92 | $1,486.00 | $43.78 – $3,009.20 | 15 |
| Revise/graft eyelid lining CPT 68325 | $396.88 | $1,804.00 | $53.13 – $4,864.07 | 15 |
| Revise/graft eyelid lining CPT 68326 | $389.84 | $1,772.00 | $52.19 – $4,864.07 | 15 |
| Revise/graft eyelid lining CPT 68328 | $426.14 | $1,937.00 | $57.00 – $3,009.20 | 15 |
| Revise/graft eyelid lining CPT 68335 | $391.16 | $1,778.00 | $52.33 – $4,864.07 | 15 |
| Revise graft w/vein CPT 35879 | $558.36 | $2,538.00 | $50.62 – $6,972.61 | 12 |
| Revise graft w/vein 35881 CPT 35881 | $619.52 | $2,816.00 | $56.60 – $6,972.61 | 12 |
| Revise hand/finger tendon CPT 26390 | $537.90 | $2,445.00 | $5.00 – $9,214.43 | 15 |
| Revise head/neck of femur CPT 27179 | $608.74 | $2,767.00 | $16.64 – $9,214.43 | 15 |
| Revise hernia & sperm veins CPT 55540 | $345.62 | $1,571.00 | $44.97 – $4,552.00 | 15 |
| Revise hip joint replacement CPT 27134 | $1,176.34 | $5,347.00 | $153.70 – $3,023.44 | 7 |
| Revise hip joint replacement CPT 27138 | $942.04 | $4,282.00 | $123.09 – $2,419.11 | 7 |
| Revise hip joint replacement CPT 27137 | $906.84 | $4,122.00 | $118.53 – $2,329.12 | 7 |
| Revise/implant finger joint CPT 26536 | $457.82 | $2,081.00 | $61.39 – $9,214.43 | 15 |
| Revise kneecap CPT 27437 | $413.60 | $1,880.00 | $54.30 – $9,214.43 | 15 |
| Revise kneecap with implant CPT 27438 | $524.48 | $2,384.00 | $3.00 – $16,596.43 | 15 |
| Revise knuckle joint CPT 26530 | $341.44 | $1,552.00 | $5.50 – $9,214.43 | 15 |
| Revise knuckle with implant CPT 26531 | $397.32 | $1,806.00 | $4.00 – $9,214.43 | 15 |
| Revise low back nerve(s) CPT 64714 | $477.40 | $2,170.00 | $68.59 – $2,518.80 | 15 |
| Revise lower leg tendon CPT 27690 | $399.08 | $1,814.00 | $52.44 – $9,214.43 | 15 |
| Revise lower leg tendon CPT 27691 | $463.32 | $2,106.00 | $60.91 – $9,214.43 | 15 |
| Revise lower leg tendons CPT 27686 | $331.32 | $1,506.00 | $43.77 – $4,185.10 | 15 |
| Revise middle ear bone CPT 69660 | $564.08 | $2,564.00 | $52.86 – $7,630.39 | 15 |
| Revise middle ear bone CPT 69661 | $735.02 | $3,341.00 | $68.86 – $7,630.39 | 15 |
| Revise middle ear bone CPT 69662 | $703.12 | $3,196.00 | $66.12 – $7,630.39 | 15 |
| Revise middle ear & mastoid CPT 69641 | $634.26 | $2,883.00 | $59.57 – $7,630.39 | 15 |
| Revise middle ear & mastoid CPT 69642 | $814.22 | $3,701.00 | $76.48 – $7,630.39 | 15 |
| Revise middle ear & mastoid CPT 69643 | $744.92 | $3,386.00 | $69.89 – $7,630.39 | 15 |
| Revise middle ear & mastoid CPT 69644 | $918.72 | $4,176.00 | $85.81 – $7,630.39 | 15 |
| Revise middle ear & mastoid CPT 69646 | $954.58 | $4,339.00 | $89.56 – $7,630.39 | 15 |
| Revise middle ear & mastoid 69645 CPT 69645 | $901.56 | $4,098.00 | $84.19 – $7,630.39 | 15 |
| Revise ocular implant CPT 65125 | $178.42 | $811.00 | $23.92 – $3,009.20 | 15 |
| Revise ocular implant CPT 65150 | $417.12 | $1,896.00 | $56.98 – $4,864.07 | 15 |
| Revise ovarian tube(s) CPT 58752 | $560.34 | $2,547.00 | $88.88 – $1,454.23 | 4 |
| Revise palsy hand tendon(s) CPT 25315 | $480.70 | $2,185.00 | $4.00 – $9,214.43 | 15 |
| Revise palsy hand tendon(s) CPT 25316 | $571.12 | $2,596.00 | $60.23 – $9,214.43 | 15 |
| Revise penis/urethra CPT 54328 | $577.94 | $2,627.00 | $76.14 – $4,448.70 | 15 |
| Revise penis/urethra CPT 54332 | $623.48 | $2,834.00 | $82.08 – $4,448.70 | 15 |
| Revise penis/urethra CPT 54336 | $732.38 | $3,329.00 | $96.47 – $4,448.70 | 15 |
| Revise prosth vag graft lap CPT 57426 | $538.78 | $2,449.00 | $85.66 – $9,538.29 | 15 |
| Revise radius or ulna CPT 25370 | $630.52 | $2,866.00 | $75.26 – $4,185.10 | 15 |
| Revise radius & ulna CPT 25365 | $571.34 | $2,597.00 | $4.00 – $16,596.43 | 15 |
| Revise radius & ulna CPT 25375 | $594.22 | $2,701.00 | $5.00 – $4,185.10 | 15 |
| Revise reconst elbow joint CPT 24370 | $952.60 | $4,330.00 | $124.61 – $16,596.43 | 15 |
| Revise reconst elbow joint CPT 24371 | $1,092.74 | $4,967.00 | $143.13 – $23,720.63 | 15 |
| Revise/remove neuroelectrode CPT 61880 | $368.50 | $1,675.00 | $52.46 – $4,435.85 | 15 |
| Revise/remove neuroreceiver CPT 61888 | $248.38 | $1,129.00 | $32.16 – $16,084.98 | 15 |
| Revise/remove sling repair CPT 57287 | $456.50 | $2,075.00 | $72.90 – $4,101.16 | 15 |
| Revise & repair chest wall CPT 32906 | $1,003.42 | $4,561.00 | $102.38 – $2,592.43 | 7 |
| Revise/repair chest wall 32905 CPT 32905 | $814.22 | $3,701.00 | $102.38 – $2,101.85 | 7 |
| Revise/replace knee joint CPT 27486 | $870.32 | $3,956.00 | $113.81 – $2,233.77 | 8 |
| Revise/replace knee joint CPT 27487 | $1,083.94 | $4,927.00 | $141.75 – $2,785.37 | 7 |
| Revise/repl vagus n eltrd CPT 64569 | $482.68 | $2,194.00 | $68.53 – $16,084.98 | 15 |
| Revise spermatic cord veins CPT 55530 | $218.90 | $995.00 | $28.87 – $4,448.70 | 15 |
| Revise spermatic cord veins CPT 55535 | $267.30 | $1,215.00 | $35.27 – $8,048.42 | 15 |
| Revise spinal cord vsls crvl CPT 63250 | $1,844.04 | $8,382.00 | $208.95 – $4,751.85 | 7 |
| Revise spinal cord vsls thrc CPT 63251 | $1,885.18 | $8,569.00 | $208.95 – $4,857.74 | 7 |
| Revise spine cord vsl thrlmb CPT 63252 | $1,884.96 | $8,568.00 | $208.95 – $4,857.19 | 7 |
| Revise spine eltrd perq aray CPT 63663 | $278.74 | $1,267.00 | $36.83 – $8,465.24 | 15 |
| Revise spine eltrd plate CPT 63664 | $553.96 | $2,518.00 | $78.94 – $16,084.98 | 15 |
| Revise stomach bowel fusion 43860 CPT 43860 | $1,011.78 | $4,599.00 | $118.27 – $2,605.15 | 7 |
| Revise thigh muscles/tendons CPT 27400 | $435.60 | $1,980.00 | $8.75 – $9,214.43 | 15 |
| Revise thumb tendon CPT 26490 | $514.80 | $2,340.00 | $68.60 – $4,185.10 | 15 |
| Revise thumb tendon CPT 26496 | $556.16 | $2,528.00 | $74.12 – $4,185.10 | 15 |
| Revise two eye muscles CPT 67312 | $402.82 | $1,831.00 | $53.84 – $4,864.07 | 15 |
| Revise two eye muscles CPT 67316 | $430.32 | $1,956.00 | $57.73 – $3,009.20 | 15 |
| Revise ulnar nerve at wrist CPT 64719 | $255.20 | $1,160.00 | $36.94 – $2,518.80 | 15 |
| Revise ureter CPT 50727 | $316.14 | $1,437.00 | $33.50 – $4,448.70 | 14 |
| Revise ureter CPT 50728 | $433.40 | $1,970.00 | $45.70 – $1,115.31 | 7 |
| Revise urethra stage 1 CPT 53400 | $495.44 | $2,252.00 | $52.12 – $6,557.17 | 15 |
| Revise urethra stage 2 CPT 53405 | $539.44 | $2,452.00 | $56.83 – $6,557.17 | 14 |
| Revise urine flow CPT 50830 | $1,107.04 | $5,032.00 | $116.58 – $2,852.42 | 7 |
| Revise vag graft open abd CPT 57296 | $591.80 | $2,690.00 | $93.80 – $1,534.75 | 7 |
| Revise vag graft via vagina CPT 57295 | $309.76 | $1,408.00 | $49.30 – $4,101.16 | 15 |
| Revise windpipe scar CPT 31830 | $226.16 | $1,028.00 | $30.19 – $4,183.11 | 15 |
| Revise wrist/forearm tendon CPT 25280 | $355.74 | $1,617.00 | $46.71 – $4,185.10 | 15 |
| Revise wrist joint CPT 25332 | $528.22 | $2,401.00 | $3.00 – $4,185.10 | 15 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | $1,056.22 | $4,801.00 | $123.46 – $2,723.21 | 7 |
| Revision of amputation CPT 24935 | $755.04 | $3,432.00 | $99.45 – $9,214.43 | 14 |
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.