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 |
|---|---|---|---|---|
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $41.24 – $87.19 | 11 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $25.88 – $54.71 | 11 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $35.20 – $77.18 | 11 |
| Shunt as-aort to pulm art CPT 33755 | $805.64 | $3,662.00 | $73.32 – $2,078.24 | 7 |
| Shunt central w/prostc graft CPT 33764 | $805.64 | $3,662.00 | $73.32 – $2,078.24 | 7 |
| Shunt desc aorta to pulm art CPT 33762 | $781.44 | $3,552.00 | $71.10 – $2,018.19 | 7 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | not published | $539.58 – $539.58 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $342.42 | $439.00 | $18.48 – $137.16 | 15 |
| Shunt subclavian to pulm art CPT 33750 | $769.12 | $3,496.00 | $69.99 – $1,986.65 | 7 |
| Shunt supr v/c p-art 1 lung CPT 33766 | $811.36 | $3,688.00 | $73.84 – $2,096.35 | 7 |
| Shunt supr v/c p-art bth lng CPT 33767 | $865.70 | $3,935.00 | $78.79 – $2,237.58 | 7 |
| Sialidase enzyme assay CPT 87905 | $7.92 | $36.00 | $8.06 – $22.40 | 15 |
| Sialography s&i CPT 70390 | $777.66 | $997.00 | $14.66 – $311.79 | 15 |
| Sialolithotomy 42330 CPT 42330 | $102.30 | $465.00 | $13.58 – $4,183.11 | 15 |
| Sickling rbc CPT 85660 | $29.64 | $38.00 | $3.00 – $6.01 | 15 |
| Sigmoidoscopy and biopsy CPT 45331 | $44.44 | $202.00 | $58.45 – $1,175.98 | 15 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $69.74 | $317.00 | $92.13 – $1,175.98 | 15 |
| Sigmoidoscopy for bleeding CPT 45334 | $71.72 | $326.00 | $94.86 – $1,520.85 | 15 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $41.36 | $188.00 | $54.08 – $1,175.98 | 15 |
| Sigmoidoscopy w/ablation CPT 45346 | $97.68 | $444.00 | $129.18 – $1,520.85 | 15 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $64.24 | $292.00 | $52.50 – $1,520.85 | 15 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $93.72 | $426.00 | $124.07 – $7,678.31 | 15 |
| Sigmoidoscopy w/resection CPT 45349 | $120.56 | $548.00 | $55.81 – $3,537.31 | 15 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $73.48 | $334.00 | $96.95 – $1,520.85 | 15 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $75.68 | $344.00 | $100.07 – $1,175.98 | 15 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $103.62 | $471.00 | $137.18 – $1,520.85 | 15 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $57.64 | $262.00 | $75.95 – $1,175.98 | 15 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $7.70 | $35.00 | $10.23 – $76.62 | 15 |
| Sig w/tndsc balloon dilation CPT 45340 | $47.52 | $216.00 | $63.26 – $1,520.85 | 15 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.27 – $0.35 | 4 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $346.02 – $731.62 | 11 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $6,845.53 – $14,627.77 | 10 |
| Simple cystometrogram 51725 CPT 51725 | $46.20 | $210.00 | $44.63 – $313.71 | 15 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $100.46 | $456.63 | $114.39 – $192.40 | 8 |
| Single energy x-ray study HCPCS G0130 | $6.82 | $31.00 | $8.85 – $137.16 | 11 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $114.76 – $242.66 | 11 |
| Single transfer toe-hand CPT 26553 | $2,011.24 | $9,142.00 | $210.00 – $5,187.84 | 7 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,887.60 | $2,420.00 | $49.20 – $229.62 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $1,510.08 | $1,936.00 | $43.69 – $229.62 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $902.46 | $1,157.00 | $33.20 – $137.16 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | $33.22 | $151.00 | $10.50 – $4,059.84 | 15 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $209.44 | $952.00 | $27.91 – $4,183.11 | 15 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $363.88 | $1,654.00 | $48.63 – $7,630.39 | 15 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $314.82 | $1,431.00 | $42.29 – $7,630.39 | 15 |
| Sinus X-ray (complete) CPT 70220 | $354.12 | $454.00 | $8.58 – $113.57 | 15 |
| Sinus X-ray (limited) CPT 70210 | $283.14 | $363.00 | $6.90 – $113.57 | 15 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $174.98 – $370.87 | 11 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $76.76 – $127.69 | 11 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $40,650.34 – $79,163.55 | 15 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.90 – $1.38 | 8 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $61.42 – $119.61 | 15 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $184.88 – $390.92 | 11 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $18.47 – $30.69 | 8 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $18.47 – $30.69 | 6 |
| Skin and muscle repair face CPT 15845 | $656.70 | $2,985.00 | $86.20 – $4,722.15 | 15 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $4.51 – $9.55 | 11 |
| Skin Biopsy CPT 11102 | $464.88 | $596.00 | $14.75 – $256.30 | 15 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $415.14 | $1,887.00 | $54.68 – $2,359.45 | 15 |
| Skin full graft add-on 15241 CPT 15241 | $65.56 | $298.00 | $86.17 – $169.25 | 10 |
| Skin pedicle flap arms/legs CPT 15572 | $455.18 | $2,069.00 | $59.84 – $4,722.15 | 15 |
| Skin pedicle flap trunk CPT 15570 | $449.68 | $2,044.00 | $59.06 – $2,359.45 | 15 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $67.76 | $308.00 | $88.76 – $174.79 | 10 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.47 – $31.59 | 12 |
| Skull base/brainstem surgery CPT 61575 | $1,559.80 | $7,090.00 | $168.00 – $4,018.61 | 7 |
| Skull base/brainstem surgery CPT 61576 | $2,590.28 | $11,774.00 | $210.00 – $6,657.76 | 7 |
| Skull X-ray (1 to 3 views) CPT 70250 | $342.42 | $439.00 | $7.18 – $137.16 | 15 |
| Skull X-ray (complete) CPT 70260 | $427.44 | $548.00 | $11.08 – $137.16 | 15 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,031.61 – $1,710.45 | 9 |
| Slco1b1 gene com variants CPT 81328 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| Sleep study attended CPT 95807 | $35.86 | $163.00 | $48.26 – $684.40 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $2,975.70 | $3,815.00 | $80.05 – $1,312.29 | 15 |
| Sleep study unattended CPT 95806 | $26.84 | $122.00 | $35.80 – $201.81 | 12 |
| Sleeve fing rolyan med HCPCS L3933 | not published | not published | $86.94 – $248.87 | 11 |
| Sleeve pneumonectomy CPT 32442 | $1,854.38 | $8,429.00 | $210.00 – $4,796.24 | 7 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $4.24 – $11.73 | 11 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $47.49 – $71.24 | 11 |
| Sling suprapubic suburetheral HCPCS C1771 | not published | not published | $1,379.04 – $1,379.04 | 1 |
| Slitting of prepuce CPT 54000 | $69.08 | $314.00 | $9.11 – $4,448.70 | 15 |
| Slitting of prepuce CPT 54001 | $87.34 | $397.00 | $11.52 – $2,642.30 | 15 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $20.46 | $93.00 | $25.93 – $50.44 | 4 |
| Slp eval non-spch gen comm dev CPT 92605 | $55.44 | $252.00 | $70.05 – $136.26 | 4 |
| Slp pure tone screening CPT 92551 | not published | not published | $8.40 – $32.80 | 9 |
| Slp stdy unatnd w/anal CPT 95801 | $24.86 | $113.00 | $33.26 – $76.62 | 12 |
| Slp ther svc non-spch gen CPT 92606 | $44.00 | $200.00 | $55.77 – $108.40 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,135.21 – $16,608.54 | 11 |
| Small animal inoculation CPT 87003 | $11.00 | $50.00 | $10.70 – $18.36 | 12 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $572.52 | $734.00 | $15.75 – $229.62 | 15 |
| Small bowel endoscopy CPT 44360 | $87.34 | $397.00 | $115.87 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44364 | $124.30 | $565.00 | $164.30 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44366 | $145.64 | $662.00 | $192.77 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44369 | $149.16 | $678.00 | $197.37 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44376 | $172.70 | $785.00 | $228.08 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44378 | $233.42 | $1,061.00 | $308.78 – $2,446.86 | 15 |
| Small bowel endoscopy CPT 44382 | $45.32 | $206.00 | $59.84 – $1,209.32 | 15 |
| Small bowel endoscopy CPT 44384 | $93.50 | $425.00 | $122.79 – $2,446.86 | 15 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $116.38 | $529.00 | $154.15 – $2,446.86 | 15 |
| Small bowel endoscopy 44365 CPT 44365 | $110.88 | $504.00 | $28.64 – $2,446.86 | 15 |
| Small bowel endoscopy/biopsy CPT 44361 | $96.58 | $439.00 | $127.64 – $2,446.86 | 15 |
| Small bowel endoscopy/biopsy CPT 44377 | $181.28 | $824.00 | $46.89 – $2,446.86 | 15 |
| Small bowel endoscopy br/wa CPT 44380 | $35.42 | $161.00 | $46.50 – $1,209.32 | 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.