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 |
|---|---|---|---|---|
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $1.76 – $3.68 | 11 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $1.98 | $9.00 | $2.71 – $59.51 | 12 |
| Supply of digital device HCPCS G0552 | not published | not published | $77.79 – $166.22 | 10 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $13.66 – $27.46 | 11 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $38.62 – $81.65 | 11 |
| Supprelin la implant HCPCS J9226 | not published | not published | $33,104.18 – $64,467.95 | 15 |
| Suprv interfacilty transport CPT 99485 | $47.52 | $216.00 | $59.88 – $116.43 | 4 |
| Suprv interfac trnsport addl CPT 99486 | $40.92 | $186.00 | $51.87 – $100.87 | 4 |
| Surg dx exam anorectal CPT 45990 | $65.56 | $298.00 | $70.36 – $3,537.31 | 15 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $504.68 | $2,294.00 | $92.40 – $1,310.39 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $505.12 | $2,296.00 | $107.10 – $1,311.18 | 7 |
| Surgery for urethra pouch CPT 53240 | $263.78 | $1,199.00 | $27.84 – $4,448.70 | 15 |
| Surgery of pancreatic cyst CPT 48500 | $710.60 | $3,230.00 | $83.30 – $1,831.03 | 7 |
| Surgery to stop leg growth CPT 27475 | $415.14 | $1,887.00 | $54.46 – $9,214.43 | 15 |
| Surgery to stop leg growth CPT 27477 | $458.70 | $2,085.00 | $60.09 – $9,214.43 | 14 |
| Surgery to stop leg growth CPT 27479 | $572.00 | $2,600.00 | $8.00 – $9,214.43 | 15 |
| Surgery to stop leg growth CPT 27485 | $420.86 | $1,913.00 | $55.11 – $9,214.43 | 14 |
| Surgical exposure prostate 55860 CPT 55860 | $539.88 | $2,454.00 | $71.11 – $6,557.17 | 15 |
| Surgical opening esophagus CPT 43351 | $808.94 | $3,677.00 | $94.75 – $2,086.23 | 7 |
| Surgical opening esophagus CPT 43352 | $655.16 | $2,978.00 | $76.69 – $1,688.18 | 7 |
| Surgical opening of stomach CPT 43510 | $589.82 | $2,681.00 | $68.98 – $1,516.72 | 15 |
| Surgical opening of stomach 43500 CPT 43500 | $488.62 | $2,221.00 | $57.12 – $1,255.99 | 7 |
| Surgical opening of throat CPT 42955 | $460.68 | $2,094.00 | $55.54 – $1,910.65 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $57.72 | $74.00 | $1.50 – $31.59 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $92.04 | $118.00 | $5.00 – $50.63 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $125.58 | $161.00 | $6.50 – $68.92 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $125.58 | $161.00 | $13.50 – $68.92 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $841.62 | $1,079.00 | $11.50 – $463.99 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,911.78 | $2,451.00 | $17.50 – $1,053.69 | 15 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $832.48 | $3,784.00 | $97.86 – $2,155.07 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $943.58 | $4,289.00 | $110.29 – $2,431.47 | 7 |
| Surgical revision intestine CPT 44680 | $666.60 | $3,030.00 | $77.87 – $1,715.73 | 7 |
| Surgical trays HCPCS A4550 | not published | not published | $12.37 – $51.00 | 4 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $85.00 – $210.00 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $264.00 | $1,200.00 | $31.17 – $3,537.31 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $24.96 | $32.00 | $3.02 – $9.60 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $24.96 | $32.00 | $3.14 – $8.40 | 15 |
| Susceptibility mic per plate CPT 87186 | $46.02 | $59.00 | $5.33 – $12.80 | 15 |
| Suscept studies macrobroth dilution ea CPT 87188 | $4.40 | $20.00 | $4.22 – $9.60 | 15 |
| Suspend bowel w/prosthesis CPT 44700 | $614.90 | $2,795.00 | $72.86 – $1,592.35 | 4 |
| Suspension of testis CPT 54620 | $184.58 | $839.00 | $24.34 – $4,448.70 | 15 |
| Suspension of uterus CPT 58410 | $503.58 | $2,289.00 | $79.94 – $1,306.95 | 7 |
| Suspension of uterus 58400 CPT 58400 | $284.68 | $1,294.00 | $39.06 – $742.48 | 7 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $70.79 – $149.68 | 11 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $650.32 | $2,956.00 | $76.23 – $1,676.88 | 7 |
| Suture bile duct injury 47900 CPT 47900 | $852.28 | $3,874.00 | $99.77 – $2,196.15 | 7 |
| Svc venogram s&i CPT 75827 | $4,998.24 | $6,408.00 | $15.75 – $2,003.72 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $43.78 | $199.00 | $40.85 – $112.07 | 10 |
| Swallowing Therapy Session CPT 92526 | not published | not published | $38.55 – $134.63 | 12 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.36 – $68.92 | 15 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,294.34 – $2,736.72 | 11 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $1,708.99 – $3,613.44 | 11 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $157.65 – $333.34 | 11 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $188.21 – $397.96 | 11 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $122.21 – $290.49 | 11 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $277.69 – $587.14 | 11 |
| Sympathectomy cervical CPT 64802 | $531.08 | $2,414.00 | $75.50 – $2,518.80 | 15 |
| Sympathectomy digital artery CPT 64820 | $476.52 | $2,166.00 | $68.97 – $2,518.80 | 15 |
| Sympathectomy lumbar CPT 64818 | $484.00 | $2,200.00 | $69.70 – $1,242.13 | 7 |
| Sympathectomy supfc palmar CPT 64823 | $493.90 | $2,245.00 | $71.16 – $4,185.10 | 15 |
| Sympathectomy thoracolumbar CPT 64809 | $682.66 | $3,103.00 | $96.74 – $1,755.98 | 7 |
| Synch audio-only est high 40 CPT 98015 | $78.76 | $358.00 | $104.27 – $271.74 | 4 |
| Synch audio-only est low 20 CPT 98013 | $36.08 | $164.00 | $47.82 – $127.81 | 4 |
| Synch audio-only est mod 30 CPT 98014 | $53.46 | $243.00 | $70.53 – $186.98 | 4 |
| Synch audio-only est sf 10 CPT 98012 | $19.80 | $90.00 | $26.20 – $73.32 | 4 |
| Synch audio-only new high 60 CPT 98011 | $96.80 | $440.00 | $128.10 – $329.58 | 4 |
| Synch audio-only new low 30 CPT 98009 | $46.64 | $212.00 | $61.89 – $162.78 | 4 |
| Synch audio-only new mod 45 CPT 98010 | $73.70 | $335.00 | $97.30 – $253.59 | 4 |
| Synch audio-only new sf 15 CPT 98008 | $26.84 | $122.00 | $35.69 – $98.21 | 4 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.30 – $11.61 | 8 |
| Synthetic sentence id test CPT 92576 | not published | not published | $6.83 – $65.14 | 15 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.60 – $12.86 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $23.40 | $30.00 | $2.90 – $9.74 | 15 |
| System pacing micra av HCPCS C1786 | not published | not published | $7,760.80 – $7,760.80 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | not published | $3,876.00 – $3,876.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $88.92 | $114.00 | $10.77 – $37.46 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $74.88 | $96.00 | $8.00 – $15.46 | 15 |
| T4 (thyroxine) free CPT 84439 | $47.58 | $61.00 | $5.73 – $12.80 | 15 |
| T4 (thyroxine) total CPT 84436 | $36.66 | $47.00 | $4.37 – $15.20 | 15 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.55 – $0.83 | 8 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.73 – $2.59 | 8 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.15 – $0.23 | 8 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $190.54 – $371.06 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $72.54 | $93.00 | $9.06 – $24.90 | 15 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $10.23 – $19.92 | 15 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | $1,340.02 | $6,091.00 | $210.00 – $3,467.67 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | $1,237.94 | $5,627.00 | $195.88 – $3,203.80 | 7 |
| Tah w/mmk 58152 CPT 58152 | $764.28 | $3,474.00 | $121.05 – $1,982.35 | 7 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $283.14 | $363.00 | $6.90 – $113.57 | 15 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $53.44 – $104.07 | 15 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $52.60 – $102.44 | 15 |
| Talymed HCPCS Q4127 | not published | not published | $64.61 – $96.91 | 8 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.20 – $0.29 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | $574.08 | $736.00 | $62.90 – $123.23 | 10 |
| Tap block uni by cont infusion 64487 CPT 64487 | $144.30 | $185.00 | $51.61 – $101.08 | 10 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.28 – $0.53 | 11 |
| Target gsa panel hmtlmph neop CPT 81450 | $501.16 | $2,278.00 | $501.29 – $972.19 | 15 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,832.02 | $8,759.00 | $1,926.94 – $3,737.09 | 15 |
| Target gsa panel organ neop CPT 81445 | $394.68 | $1,794.00 | $394.63 – $765.33 | 15 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,138.94 – $2,218.00 | 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.