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 |
|---|---|---|---|---|
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $119.63 – $2,844.95 | 7 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $191.39 – $4,098.14 | 7 |
| Rmvl sq defib electrode CPT 33272 | $211.64 | $962.00 | $19.30 – $4,694.20 | 12 |
| Rmvl subq card rhythm mntr CPT 33286 | $51.92 | $236.00 | $67.74 – $1,187.28 | 15 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $342.76 | $1,558.00 | $45.03 – $3,691.65 | 15 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $61.38 | $279.00 | $8.02 – $514.71 | 12 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | $1,289.64 | $5,862.00 | $165.83 – $3,321.54 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | $1,409.98 | $6,409.00 | $181.34 – $3,629.58 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | $755.92 | $3,436.00 | $78.69 – $1,940.80 | 7 |
| Rmvl tv pm lead dual CPT 33235 | $385.66 | $1,753.00 | $35.31 – $4,694.20 | 15 |
| Rmvl tv pm lead sgl CPT 33234 | $293.70 | $1,335.00 | $26.87 – $4,694.20 | 15 |
| Rmv ntr oi implt skl prq esp CPT 69726 | $292.38 | $1,329.00 | $27.29 – $4,185.10 | 15 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | $364.54 | $1,657.00 | $34.38 – $4,185.10 | 12 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | $326.70 | $1,485.00 | $30.44 – $4,185.10 | 15 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $166.98 | $759.00 | $216.62 – $431.10 | 7 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $28.36 – $16,084.98 | 12 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $21.52 – $39,306.74 | 12 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | $512.16 | $2,328.00 | $74.65 – $4,185.10 | 15 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | $1,508.32 | $6,856.00 | $156.80 – $3,879.32 | 7 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | $1,798.06 | $8,173.00 | $187.29 – $4,625.83 | 7 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | $1,266.98 | $5,759.00 | $131.84 – $3,251.09 | 7 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $2,800.85 – $4,502.43 | 3 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $2,216.95 – $3,386.50 | 3 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $60.34 – $127.57 | 11 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.13 – $2.21 | 15 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $22.58 – $43.97 | 15 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $7.99 – $15.56 | 15 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $8.72 – $16.99 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $6.54 | $29.72 | $0.06 – $0.09 | 8 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $320.00 – $702.10 | 11 |
| Rotavirus antibody CPT 86759 | $11.88 | $54.00 | $5.92 – $29.15 | 15 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $55.16 – $116.63 | 11 |
| Routine footcare pt w lops HCPCS G0247 | $18.70 | $85.00 | $17.78 – $256.30 | 11 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $16.83 – $32.77 | 15 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | $396.22 | $1,801.00 | $36.83 – $16,596.43 | 15 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | $2,058.10 | $9,355.00 | $186.95 – $5,313.85 | 4 |
| Rplcmt oi implt skl prq esp CPT 69717 | $509.30 | $2,315.00 | $32.08 – $9,214.43 | 15 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | $422.40 | $1,920.00 | $39.80 – $16,596.43 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,635.58 | $4,661.00 | $52.13 – $2,003.72 | 15 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $20.68 | $94.00 | $27.66 – $518.31 | 15 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,673.06 | $3,427.00 | $54.95 – $1,683.89 | 15 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,986.62 | $3,829.00 | $78.76 – $1,881.38 | 15 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,635.58 | $4,661.00 | $46.91 – $2,003.72 | 15 |
| Rpl tun-cvad w subq port CPT 36582 | $7,365.54 | $9,443.00 | $22.96 – $4,059.84 | 15 |
| Rpl tun-cvad w subq pump CPT 36583 | $12,649.26 | $16,217.00 | $26.36 – $6,972.61 | 15 |
| Rpl tun cvc wo subq port CPT 36581 | $7,365.54 | $9,443.00 | $14.65 – $4,059.84 | 15 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $18.48 | $84.00 | $24.53 – $128.00 | 8 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $18.48 | $84.00 | $24.53 – $47.73 | 7 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $635.14 | $2,887.00 | $134.76 – $1,631.56 | 7 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $478.28 | $2,174.00 | $101.45 – $8,048.42 | 15 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $461.56 | $2,098.00 | $98.25 – $7,525.52 | 15 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $354.64 | $1,612.00 | $75.44 – $8,048.42 | 15 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $211.64 | $962.00 | $44.98 – $4,552.00 | 15 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $294.80 | $1,340.00 | $62.62 – $7,525.52 | 15 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $770.00 | $3,500.00 | $163.31 – $1,977.25 | 7 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $549.56 | $2,498.00 | $116.52 – $1,410.88 | 7 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $531.08 | $2,414.00 | $113.11 – $1,369.26 | 7 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $395.34 | $1,797.00 | $84.19 – $8,048.42 | 15 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $353.54 | $1,607.00 | $75.27 – $7,525.52 | 15 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $260.48 | $1,184.00 | $55.46 – $4,552.00 | 15 |
| Rpr acq av fistula thrx&abd CPT 35189 | $915.42 | $4,161.00 | $82.95 – $2,370.20 | 7 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $614.24 | $2,792.00 | $55.33 – $6,972.61 | 15 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $561.66 | $2,553.00 | $51.03 – $6,972.61 | 15 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | $839.96 | $3,818.00 | $76.78 – $2,177.74 | 7 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | $885.94 | $4,027.00 | $80.61 – $2,284.52 | 7 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | $992.20 | $4,510.00 | $89.28 – $2,542.52 | 7 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | $1,051.60 | $4,780.00 | $96.18 – $2,735.14 | 7 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | $871.86 | $3,963.00 | $79.34 – $2,248.92 | 7 |
| Rpr cgen av fistula thrx&abd CPT 35182 | $1,091.64 | $4,962.00 | $99.28 – $2,818.82 | 7 |
| Rpr choanal atresia ntranasl CPT 30540 | $449.24 | $2,042.00 | $60.46 – $7,630.39 | 15 |
| Rpr choanal atresia trsnpltn CPT 30545 | $609.40 | $2,770.00 | $81.92 – $7,630.39 | 15 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $695.20 | $3,160.00 | $99.16 – $1,787.33 | 7 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $577.50 | $2,625.00 | $52.33 – $1,481.51 | 7 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $525.14 | $2,387.00 | $48.00 – $1,355.90 | 7 |
| Rpr fem hernia init blocked CPT 49553 | $393.58 | $1,789.00 | $46.08 – $4,552.00 | 15 |
| Rpr hern preemie reduc CPT 49491 | $495.88 | $2,254.00 | $58.09 – $7,525.52 | 15 |
| Rpr hypopl a-arch w/byp CPT 33853 | $1,116.94 | $5,077.00 | $101.63 – $2,885.62 | 7 |
| Rpr hypopl a-arch wo byp CPT 33852 | $854.48 | $3,884.00 | $77.74 – $2,205.54 | 7 |
| Rpr hypspad comp dsj & urtp CPT 54348 | $623.48 | $2,834.00 | $82.10 – $6,557.17 | 15 |
| Rpr hypspad comp simple CPT 54340 | $352.66 | $1,603.00 | $46.55 – $4,448.70 | 15 |
| Rpr ing hernia baby blocked CPT 49496 | $383.46 | $1,743.00 | $44.91 – $4,552.00 | 15 |
| Rpr ing hernia baby reduc CPT 49495 | $254.98 | $1,159.00 | $29.84 – $4,552.00 | 15 |
| Rpr ing hernia init blocked CPT 49501 | $377.96 | $1,718.00 | $44.23 – $4,552.00 | 15 |
| Rpr ing hernia init reduce CPT 49500 | $259.38 | $1,179.00 | $30.47 – $8,048.42 | 15 |
| Rpr ing hern premie blocked CPT 49492 | $595.54 | $2,707.00 | $69.72 – $4,552.00 | 15 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $1,655.39 – $3,537.31 | 10 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $104.28 | $474.00 | $137.45 – $7,630.39 | 15 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $92.40 | $420.00 | $122.41 – $7,630.39 | 15 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $465.74 | $2,117.00 | $97.78 – $1,183.82 | 7 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $579.26 | $2,633.00 | $120.69 – $1,460.32 | 7 |
| Rpr pul art unifocal without cpb CPT 33925 | $1,042.80 | $4,740.00 | $94.77 – $2,695.05 | 7 |
| Rpr&refitg spect xcp aphakia CPT 92370 | $10.12 | $46.00 | $12.69 – $24.69 | 4 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $9.61 – $76.62 | 12 |
| Rpr rem hernia init reduce CPT 49550 | $360.36 | $1,638.00 | $42.14 – $4,552.00 | 15 |
| Rpr tga aortic pulm art rcns CPT 33778 | $1,428.24 | $6,492.00 | $129.90 – $3,693.80 | 7 |
| Rpr tga atr bfl clsr vsd CPT 33776 | $1,194.60 | $5,430.00 | $108.66 – $3,085.37 | 7 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | $1,129.48 | $5,134.00 | $102.70 – $2,916.54 | 7 |
| Rpr tga atrial baffle px CPT 33774 | $1,097.58 | $4,989.00 | $99.83 – $2,833.66 | 7 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | $1,149.94 | $5,227.00 | $104.59 – $2,972.63 | 7 |
| Rpr tga rcnstj clsr vsd CPT 33780 | $1,436.16 | $6,528.00 | $130.49 – $3,714.15 | 7 |
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.