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 |
|---|---|---|---|---|
| Revision of urethra CPT 57220 | $213.62 | $971.00 | $34.07 – $6,367.34 | 15 |
| Revision of urinary tract CPT 51820 | $669.24 | $3,042.00 | $70.50 – $1,722.51 | 7 |
| Revision open av fistula without thromb CPT 36832 | $457.82 | $2,081.00 | $41.71 – $6,972.61 | 15 |
| Revision orbitofacial bones CPT 21275 | $520.96 | $2,368.00 | $68.49 – $7,630.39 | 15 |
| Revision/removal of kneecap CPT 27424 | $468.38 | $2,129.00 | $8.00 – $9,214.43 | 15 |
| Revision tips CPT 37183 | $226.16 | $1,028.00 | $297.59 – $7,354.18 | 15 |
| Revis reconst shoulder joint CPT 23473 | $994.62 | $4,521.00 | $130.25 – $16,596.43 | 14 |
| Revis reconst shoulder joint CPT 23474 | $1,073.60 | $4,880.00 | $140.57 – $2,760.85 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $163.51 – $264.78 | 4 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1,028.37 – $2,242.04 | 8 |
| Revj fem anast autog vn grf CPT 35884 | $751.52 | $3,416.00 | $68.06 – $6,972.61 | 14 |
| Revj fem anast nonautog grf CPT 35883 | $722.26 | $3,283.00 | $65.66 – $6,972.61 | 14 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $621.50 | $2,825.00 | $58.22 – $7,630.39 | 15 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $677.60 | $3,080.00 | $63.61 – $7,630.39 | 15 |
| Revj open gstr rstcv px CPT 43848 | $1,195.48 | $5,434.00 | $139.97 – $3,085.52 | 7 |
| Revj prior hypspad repair CPT 54352 | $869.88 | $3,954.00 | $114.61 – $6,557.17 | 15 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | $89.32 | $406.00 | $19.12 – $4,435.85 | 11 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $662.86 | $3,013.00 | $62.27 – $7,630.39 | 15 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $185.68 | $844.00 | $24.42 – $4,435.85 | 15 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $699.53 – $1,270.63 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $88.88 | $404.00 | $11.75 – $4,435.85 | 15 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $142.34 | $647.00 | $18.70 – $4,435.85 | 15 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | $1,444.30 | $6,565.00 | $185.55 – $3,719.42 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | $1,444.08 | $6,564.00 | $185.77 – $3,719.07 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $54.00 – $27,660.31 | 15 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $156.84 – $3,651.97 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $534.38 | $2,429.00 | $77.49 – $16,084.98 | 12 |
| Revsc opn/prq tib/pero stent CPT 37234 | $31,514.34 | $40,403.00 | $39.22 – $438.19 | 11 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $7.71 – $15.02 | 15 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $121.22 | $551.00 | $15.97 – $2,518.80 | 12 |
| Rheumatoid factor qualitative CPT 86430 | $3.96 | $18.00 | $3.61 – $11.20 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $29.64 | $38.00 | $3.61 – $12.37 | 15 |
| Rh ig IV CPT 90386 | not published | not published | $10.50 – $36.21 | 8 |
| Rh ig minidose im CPT 90385 | not published | not published | $10.50 – $43.33 | 8 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $742.72 | $3,376.00 | $99.79 – $7,630.39 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $4.69 – $12.00 | 9 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $24.56 – $39.42 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $22.36 – $43.54 | 15 |
| Rho d immune globulin inj HCPCS J2790 | $173.16 | $222.00 | $77.76 – $150.15 | 9 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $10.50 – $120.27 | 9 |
| R hrt cath chd abnl nt cnj CPT 93594 | $176.44 | $802.00 | $0.02 – $4,148.73 | 15 |
| R hrt cath chd nml nt cnj CPT 93593 | $114.84 | $522.00 | $0.01 – $4,148.73 | 15 |
| Rhythm ecg with report CPT 93040 | $8.14 | $37.00 | $6.11 – $32.00 | 9 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $342.42 | $439.00 | $10.50 – $137.16 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $684.84 | $878.00 | $11.55 – $137.16 | 15 |
| Rib cartilage graft CPT 21230 | $461.34 | $2,097.00 | $60.89 – $7,630.39 | 15 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $60.02 – $126.90 | 11 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,325.60 – $2,789.11 | 4 |
| Rib X-ray (3 views, both sides) CPT 71110 | $684.84 | $878.00 | $11.37 – $137.16 | 15 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.22 | $1.00 | $0.15 – $0.22 | 6 |
| Right heart cath congenital CPT 93530 | not published | not published | $283.79 – $283.79 | 1 |
| Right ventric recording CPT 93603 | $68.86 | $313.00 | $63.66 – $1,565.88 | 14 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.64 – $34.53 | 4 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $3.67 – $7.76 | 11 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $60.80 – $313.63 | 11 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $60.80 – $232.03 | 11 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $364.03 – $769.68 | 11 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $3.67 – $7.76 | 11 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $10.78 – $21.00 | 15 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $5.50 | $25.00 | $7.45 – $38.43 | 11 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $7.95 – $15.48 | 15 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $55.17 – $107.44 | 15 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $26.86 – $52.30 | 15 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $22.66 – $44.12 | 15 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $21.74 – $42.33 | 15 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $19.26 – $37.50 | 15 |
| R & l heart cath congenital CPT 93531 | not published | not published | $589.23 – $589.23 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $735.44 – $735.44 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $492.54 – $492.54 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $254.54 | $1,157.00 | $0.02 – $4,148.73 | 15 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $196.02 | $891.00 | $0.02 – $4,148.73 | 15 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $689.26 | $3,133.00 | $89.52 – $1,773.94 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $56.98 | $259.00 | $32.03 – $907.53 | 15 |
| Rmvl esophgl sphnctr dev CPT 43285 | $416.24 | $1,892.00 | $48.76 – $7,525.52 | 12 |
| Rmvl ext fixj sys under anes CPT 20694 | $214.28 | $974.00 | $28.12 – $2,064.31 | 15 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $251.46 | $1,143.00 | $11.89 – $3,691.65 | 15 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $142.12 | $646.00 | $18.59 – $1,520.85 | 15 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $89.32 | $406.00 | $11.60 – $2,089.89 | 15 |
| Rmvl hpglsl nstim ary pg CPT 64584 | $450.56 | $2,048.00 | $65.38 – $8,260.37 | 12 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $76.34 | $347.00 | $99.54 – $196.35 | 7 |
| Rmvl icd by tv extr CPT 33244 | $522.06 | $2,373.00 | $47.85 – $4,694.20 | 15 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $234.74 | $1,067.00 | $21.48 – $28,952.50 | 15 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $244.42 | $1,111.00 | $22.40 – $41,355.03 | 15 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $225.50 | $1,025.00 | $20.68 – $28,952.50 | 15 |
| Rmvl icd pulse gen only CPT 33241 | $130.68 | $594.00 | $11.98 – $4,694.20 | 15 |
| Rmvl imed rx delivery device CPT 20703 | $64.46 | $293.00 | $83.56 – $164.93 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $296.78 | $1,349.00 | $385.52 – $768.10 | 7 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | $1,422.74 | $6,467.00 | $184.77 – $3,679.05 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $95.70 | $435.00 | $12.65 – $1,187.28 | 15 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $125.18 | $569.00 | $26.03 – $314.18 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | $141.46 | $643.00 | $13.01 – $10,674.88 | 15 |
| Rmvl perq right heart vad CPT 33997 | $97.46 | $443.00 | $126.77 – $252.15 | 4 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $11.77 – $4,435.85 | 12 |
| Rmvl phrnc nrv stim sys CPT 33278 | $351.78 | $1,599.00 | $31.91 – $4,435.85 | 12 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $19.28 – $4,435.85 | 12 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $225.72 | $1,026.00 | $20.71 – $24,599.17 | 15 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $205.70 | $935.00 | $18.86 – $10,674.88 | 15 |
| Rmvl pq iabp CPT 33968 | $20.68 | $94.00 | $26.65 – $52.93 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $113.74 | $517.00 | $147.83 – $294.03 | 4 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | $779.90 | $3,545.00 | $23.24 – $4,185.10 | 15 |
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.