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 |
|---|---|---|---|---|
| Sept9 promoter methylation analysis CPT 81327 | $126.72 | $576.00 | $126.72 – $209.28 | 12 |
| Sequestrectomy olecrn proces CPT 24138 | $431.20 | $1,960.00 | $7.15 – $9,214.43 | 15 |
| Sequestrectomy radial h/n CPT 24136 | $396.88 | $1,804.00 | $52.01 – $4,185.10 | 15 |
| Sequestrectomy shft/dstl hum CPT 24134 | $467.72 | $2,126.00 | $4.10 – $9,214.43 | 15 |
| Serial casting application 97139app CPT 97139 | $6.82 | $31.00 | $12.99 – $29.73 | 3 |
| Serial tonometry CPT 92100 | $19.58 | $89.00 | $26.27 – $50.79 | 7 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.03 – $2.35 | 4 |
| Serpina1 gene CPT 81332 | $28.60 | $130.00 | $28.81 – $76.11 | 15 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $13.88 – $23.41 | 4 |
| Set radiation therapy field CPT 77280 | $23.32 | $106.00 | $25.20 – $171.26 | 15 |
| Set radiation therapy field CPT 77285 | $34.98 | $159.00 | $35.70 – $472.18 | 15 |
| Set radiation therapy field CPT 77290 | $51.04 | $232.00 | $51.45 – $472.18 | 15 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $27.62 – $386.84 | 12 |
| Set up port xray equipment HCPCS Q0092 | $15.84 | $72.00 | $20.88 – $27.06 | 3 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.13 | 4 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.07 | 4 |
| Sever cranial nerve CPT 64771 | $377.30 | $1,715.00 | $51.97 – $2,518.80 | 14 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $926.97 – $1,959.96 | 11 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,094.44 – $2,314.07 | 11 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,038.89 – $2,196.60 | 11 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $926.97 – $1,959.96 | 11 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,094.44 – $2,314.07 | 11 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,094.44 – $2,314.07 | 11 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $926.97 – $1,959.96 | 11 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,038.89 – $2,196.60 | 11 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $407.77 – $862.17 | 11 |
| Sex chromatin identification CPT 88130 | $11.88 | $54.00 | $0.96 – $19.60 | 12 |
| Sex chromatin identification CPT 88140 | $5.28 | $24.00 | $5.08 – $8.71 | 12 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,081.91 – $6,615.67 | 12 |
| Sex transformation m to f CPT 55970 | not published | not published | $2,979.80 – $6,367.34 | 12 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $127.55 – $210.64 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $61.60 | $280.00 | $55.81 – $1,520.85 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $27.72 | $126.00 | $21.69 – $256.30 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $38.72 | $176.00 | $17.00 – $256.30 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $45.76 | $208.00 | $21.69 – $515.34 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $58.74 | $267.00 | $19.50 – $515.34 | 15 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $23.10 | $105.00 | $14.47 – $256.30 | 15 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $29.92 | $136.00 | $16.01 – $256.30 | 15 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $38.06 | $173.00 | $13.00 – $256.30 | 15 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $42.68 | $194.00 | $13.00 – $515.34 | 15 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $20.68 | $94.00 | $14.47 – $515.34 | 15 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $31.68 | $144.00 | $8.00 – $256.30 | 15 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $36.74 | $167.00 | $8.00 – $256.30 | 15 |
| Sheath above knee HCPCS L8410 | not published | not published | $8.80 – $30.35 | 11 |
| Sheath below knee HCPCS L8400 | not published | not published | $8.80 – $22.73 | 11 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.11 – $29.84 | 11 |
| Shigella antibody CPT 86771 | $16.28 | $74.00 | $5.92 – $26.68 | 12 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $2,305.22 – $4,874.10 | 11 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $2,359.43 – $4,988.73 | 11 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $9,220.18 – $19,494.92 | 11 |
| Sho arthrs dx +- synovial bx CPT 29805 | $294.58 | $1,339.00 | $29.25 – $4,185.10 | 15 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $569.14 | $2,587.00 | $74.71 – $9,214.43 | 15 |
| Sho arthrs srg capsulorraphy CPT 29806 | $657.14 | $2,987.00 | $86.31 – $9,214.43 | 15 |
| Sho arthrs srg compl synvct CPT 29821 | $371.14 | $1,687.00 | $5.75 – $4,185.10 | 15 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $338.80 | $1,540.00 | $4.47 – $4,185.10 | 15 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $366.52 | $1,666.00 | $4.77 – $4,185.10 | 15 |
| Sho arthrs srg prtl synvct CPT 29820 | $334.40 | $1,520.00 | $31.03 – $9,214.43 | 15 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $366.30 | $1,665.00 | $48.16 – $4,185.10 | 15 |
| Sho arthrs srg rpr slap les CPT 29807 | $641.74 | $2,917.00 | $84.28 – $9,214.43 | 15 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $369.82 | $1,681.00 | $5.75 – $4,185.10 | 15 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $30.05 – $63.54 | 11 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $26.21 – $55.42 | 11 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $24.68 – $52.18 | 11 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $20.80 – $43.98 | 11 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $37.78 – $79.86 | 11 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $64.00 – $135.33 | 11 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $37.78 – $79.86 | 11 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $35.46 – $74.97 | 11 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $49.35 – $104.33 | 11 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $56.28 – $119.00 | 11 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $24.68 – $52.18 | 11 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $30.05 – $63.54 | 11 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $7.76 – $44.00 | 3 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $30.05 – $63.54 | 11 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $21.59 – $45.65 | 11 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $51.68 – $109.27 | 11 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $97.15 – $205.41 | 11 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $344.86 – $729.16 | 11 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $31.61 – $66.84 | 11 |
| Shortening of hand tendon CPT 26479 | $412.94 | $1,877.00 | $55.38 – $4,185.10 | 15 |
| Shortening of thigh bone CPT 27465 | $774.18 | $3,519.00 | $101.26 – $1,987.08 | 7 |
| Shorten/lengthen thighs CPT 27468 | $831.60 | $3,780.00 | $108.78 – $2,134.52 | 7 |
| Shorten radius or ulna CPT 25390 | $480.70 | $2,185.00 | $28.22 – $9,214.43 | 15 |
| Shorten radius & ulna CPT 25392 | $630.96 | $2,868.00 | $82.59 – $9,214.43 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $166.92 | $214.00 | $11.73 – $91.80 | 17 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $174.97 – $369.95 | 11 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $283.14 | $363.00 | $7.45 – $113.57 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $662.86 | $3,013.00 | $86.99 – $9,214.43 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $342.42 | $439.00 | $7.17 – $137.16 | 15 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $201.07 – $425.12 | 11 |
| Shoulder harness HCPCS L5699 | not published | not published | $115.37 – $243.93 | 11 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $315.39 – $666.86 | 11 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,134.04 | $4,018.00 | $83.79 – $722.82 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $5,546.58 | $7,111.00 | $63.34 – $1,019.07 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $1,697.28 | $2,176.00 | $52.80 – $411.57 | 15 |
| Shoulder prosthesis removal CPT 23334 | $660.44 | $3,002.00 | $86.25 – $3,691.65 | 15 |
| Shoulder prosthesis removal CPT 23335 | $784.96 | $3,568.00 | $102.92 – $2,018.21 | 7 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $209.44 – $442.82 | 11 |
| Shoulder X-ray CPT 73030 | $354.12 | $454.00 | $7.45 – $113.57 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $283.14 | $363.00 | $6.06 – $113.57 | 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.