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 |
|---|---|---|---|---|
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,012.73 – $4,519.51 | 12 |
| Srs cranial lesion complex CPT 61798 | $862.40 | $3,920.00 | $122.06 – $2,221.14 | 8 |
| Srs cranial lesion simple CPT 61796 | $638.44 | $2,902.00 | $90.34 – $1,640.42 | 8 |
| Srs cran les complex addl CPT 61799 | $186.56 | $848.00 | $163.11 – $483.18 | 8 |
| Srs cran les simple addl CPT 61797 | $135.30 | $615.00 | $118.11 – $349.66 | 8 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $115.76 – $191.19 | 12 |
| Srs linear based CPT 77372 | not published | not published | $766.45 – $9,860.34 | 15 |
| Srs multisource CPT 77371 | not published | not published | $896.69 – $9,860.34 | 15 |
| Srs spinal lesion CPT 63620 | $705.10 | $3,205.00 | $99.76 – $1,813.45 | 8 |
| Srs spinal lesion addl CPT 63621 | $155.54 | $707.00 | $135.84 – $401.60 | 8 |
| Staggered spondaic word test CPT 92572 | not published | not published | $3.55 – $201.81 | 15 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $133.35 – $281.96 | 11 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $75.19 – $175.12 | 14 |
| Stance phase only HCPCS L5858 | not published | not published | $11,289.08 – $23,869.37 | 11 |
| Standard control cable extra HCPCS L6655 | not published | not published | $46.48 – $98.27 | 11 |
| Staph a dna amp probe CPT 87640 | $23.32 | $106.00 | $23.16 – $62.77 | 15 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $101.72 – $215.07 | 11 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $33.27 – $65.72 | 11 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $33.27 – $65.72 | 11 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $70.02 – $163.04 | 12 |
| Stem cells total count CPT 86367 | $51.48 | $234.00 | $33.81 – $84.78 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $12.09 – $76.62 | 15 |
| Stenger test speech CPT 92577 | not published | not published | $15.00 – $684.40 | 15 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $42,018.60 | $53,870.00 | $105.43 – $23,161.70 | 15 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,571.42 | $16,233.75 | $158.40 – $158.40 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | not published | not published | $17.95 – $17.95 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | not published | not published | $1,306.57 – $1,306.57 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | not published | not published | $983.52 – $983.52 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $26,537.16 | $34,022.00 | $71.48 – $14,627.77 | 15 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $19,903.26 | $25,517.00 | $30.32 – $330.41 | 11 |
| Stent placemt retro carotid CPT 37217 | $655.60 | $2,980.00 | $59.28 – $1,688.24 | 7 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $42,018.60 | $53,870.00 | $98.49 – $23,161.70 | 15 |
| Stereoscopic x-ray guidance HCPCS G6002 | $12.76 | $58.00 | $16.77 – $62.23 | 7 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | $881.10 | $4,005.00 | $124.51 – $2,264.81 | 7 |
| Stereotactic radiation trmt CPT 77432 | $265.10 | $1,205.00 | $347.77 – $676.45 | 7 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.08 – $0.16 | 10 |
| Sterile needle HCPCS A4215 | not published | not published | $0.29 – $0.35 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.32 – $0.68 | 11 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $2.26 – $4.77 | 11 |
| Sternal debridement CPT 21627 | $339.24 | $1,542.00 | $44.43 – $870.79 | 7 |
| Sternal pad HCPCS L1050 | not published | not published | $56.39 – $123.24 | 11 |
| St evaluate speech sound production CPT 92522 | not published | not published | $75.46 – $177.66 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | not published | not published | $44.44 – $145.82 | 8 |
| Stimulants synthetic CPT 80371 | not published | not published | $13.88 – $23.41 | 4 |
| Stimulation of spinal cord CPT 63610 | $359.92 | $1,636.00 | $460.79 – $2,518.80 | 12 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $9.46 – $20.00 | 11 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.47 – $0.98 | 11 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $822.90 | $1,055.00 | $30.16 – $518.31 | 15 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $103.44 – $221.03 | 10 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $103.44 – $221.03 | 10 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $11.64 – $221.03 | 11 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $33.07 – $221.03 | 11 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $296.12 | $1,346.00 | $64.58 – $768.75 | 7 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $77.79 – $164.48 | 11 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $7.61 – $14.71 | 11 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $2.37 – $5.02 | 11 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $10.78 | $49.00 | $14.07 – $203.53 | 15 |
| Strapping of chest CPT 29200 | $11.00 | $50.00 | $14.94 – $203.53 | 15 |
| Strapping of elbow or wrist 29260 CPT 29260 | $11.66 | $53.00 | $15.42 – $76.62 | 15 |
| Strapping of hand or finger CPT 29280 | $12.10 | $55.00 | $16.37 – $76.62 | 12 |
| Strapping of hip CPT 29520 | $11.44 | $52.00 | $13.56 – $166.26 | 15 |
| Strapping of knee CPT 29530 | $11.22 | $51.00 | $14.67 – $166.26 | 15 |
| Strapping of toes 29550 CPT 29550 | $139.62 | $179.00 | $9.10 – $76.62 | 15 |
| Strep a ag ia CPT 87430 | $88.14 | $113.00 | $5.69 – $18.32 | 15 |
| Strep a dna dir probe CPT 87650 | $13.20 | $60.00 | $10.34 – $21.85 | 12 |
| Strep a dna quant CPT 87652 | $27.72 | $126.00 | $20.80 – $45.52 | 12 |
| Strep b assay w/optic CPT 87802 | $8.36 | $38.00 | $8.40 – $16.40 | 15 |
| Strep b dna amp probe CPT 87653 | $23.32 | $106.00 | $23.16 – $62.77 | 15 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $75.00 – $118.35 | 4 |
| Streptokinase antibody CPT 86590 | $8.36 | $38.00 | $4.96 – $17.60 | 15 |
| Streptomycin injection HCPCS J3000 | not published | not published | $28.26 – $44.36 | 8 |
| Streptozocin injection HCPCS J9320 | not published | not published | $356.22 – $469.42 | 4 |
| Stress test pulmonary CPT 94618 | $13.42 | $61.00 | $9.87 – $166.26 | 15 |
| Stress tte complete CPT 93351 | $1,283.10 | $1,645.00 | $67.14 – $707.23 | 15 |
| Str markers spec anal addl CPT 81266 | not published | not published | $201.18 – $332.24 | 12 |
| Str markers specimen anal CPT 81265 | not published | not published | $153.82 – $254.05 | 12 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $70.62 | $321.00 | $90.86 – $893.26 | 14 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $236.28 | $1,074.00 | $251.57 – $614.65 | 7 |
| Subq njx filling matrl 1cc/< CPT 11950 | $32.12 | $146.00 | $41.85 – $256.30 | 12 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $62.70 | $285.00 | $82.43 – $789.56 | 12 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $73.70 | $335.00 | $79.98 – $192.70 | 7 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $71.06 | $323.00 | $76.69 – $185.17 | 7 |
| Subsequent repair of nerve CPT 64872 | $70.84 | $322.00 | $18.38 – $181.98 | 7 |
| Subtalar arthro w/deb CPT 29906 | $415.14 | $1,887.00 | $53.61 – $4,185.10 | 15 |
| Subtalar arthro w/exc CPT 29905 | $321.20 | $1,460.00 | $42.55 – $9,214.43 | 15 |
| Subtalar arthro w/fb rmvl CPT 29904 | $401.06 | $1,823.00 | $52.44 – $4,185.10 | 15 |
| Subtalar arthro w/fusion CPT 29907 | $546.70 | $2,485.00 | $71.67 – $16,596.43 | 15 |
| Subtemporal cranial dcmprn CPT 61340 | $900.68 | $4,094.00 | $125.69 – $2,317.32 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $14.92 | $67.80 | $0.81 – $1.04 | 4 |
| Suction lipectomy head&neck CPT 15876 | $836.00 | $3,800.00 | $2,209.88 – $4,722.15 | 10 |
| Suction lipectomy lwr extrem CPT 15879 | $880.00 | $4,000.00 | $206.80 – $4,722.15 | 11 |
| Suction lipectomy trunk CPT 15877 | $1,449.80 | $6,590.00 | $666.90 – $4,722.15 | 11 |
| Suction lipectomy upr extrem CPT 15878 | $1,139.16 | $5,178.00 | $310.68 – $2,359.45 | 11 |
| Suction socket HCPCS L6686 | not published | not published | $401.08 – $848.02 | 11 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $269.76 – $570.38 | 11 |
| Sugars multiple quant CPT 84379 | $7.48 | $34.00 | $7.61 – $20.38 | 15 |
| Sugars single quant CPT 84378 | $60.84 | $78.00 | $7.61 – $20.38 | 15 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.22 | $1.00 | $0.05 – $0.07 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $13.88 – $23.41 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $37.73 | $171.50 | $41.51 – $136.50 | 5 |
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.