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 |
|---|---|---|---|---|
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $18.70 | $85.00 | $18.46 – $119.31 | 11 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $2.83 – $5.50 | 15 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $40.69 – $79.25 | 15 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $5,339.19 – $11,289.03 | 11 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $1,438.77 – $3,042.09 | 11 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $254.83 – $538.81 | 11 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $47.08 – $99.54 | 11 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $339.02 – $716.81 | 11 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $363.69 – $768.98 | 11 |
| Below knee leather socket HCPCS L5638 | not published | not published | $301.12 – $636.68 | 11 |
| Below knee suction socket HCPCS L5647 | not published | not published | $447.49 – $1,040.68 | 11 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $77.80 – $164.50 | 11 |
| Below knee total contact HCPCS L5637 | not published | not published | $210.60 – $445.28 | 11 |
| Below knee wood socket HCPCS L5639 | not published | not published | $706.41 – $1,493.62 | 11 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $5.30 – $11.21 | 11 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.34 – $2.62 | 15 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $8.71 – $17.13 | 15 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $9.53 – $18.56 | 15 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $20.39 – $39.70 | 15 |
| Benign lesion paring 2-4 CPT 11056 | $464.88 | $596.00 | $14.46 – $256.30 | 15 |
| Benign lesion paring 4+ CPT 11057 | $464.88 | $596.00 | $18.72 – $256.30 | 15 |
| #_benzodiazconfur CPT 80346 | not published | not published | $17.12 – $27.39 | 8 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $16.29 – $24.43 | 8 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $134.16 | $172.00 | $16.80 – $45.01 | 15 |
| Beta-2 microglobulin CPT 82232 | $10.56 | $48.00 | $10.29 – $30.40 | 15 |
| Beta-amyloid 1-40 CPT 82233 | $184.08 | $236.00 | $315.20 – $315.20 | 1 |
| Beta-amyloid 1-42 CPT 82234 | $184.08 | $236.00 | $315.20 – $315.20 | 1 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $42.37 | $192.61 | $6.50 – $15.00 | 9 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.49 – $7.33 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $53.08 – $103.36 | 15 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $20.96 – $40.82 | 15 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $17.39 – $33.86 | 15 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.33 – $2.03 | 11 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $26.18 | $119.00 | $34.82 – $67.72 | 7 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $14.74 | $67.00 | $19.60 – $38.13 | 7 |
| B-hexosaminidase ea assay CPT 83080 | $11.00 | $50.00 | $8.11 – $18.39 | 12 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $26.96 – $119.31 | 11 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $20.37 – $119.31 | 11 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $278.30 | $1,265.00 | $214.58 – $913.68 | 4 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $33.88 | $154.00 | $36.75 – $1,148.35 | 15 |
| Bilateral n block inj occipital 64405 CPT 64405 | $691.08 | $886.00 | $36.75 – $380.75 | 15 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $691.08 | $886.00 | $13.65 – $380.75 | 15 |
| Bile acids cholylglycine CPT 82240 | $17.60 | $80.00 | $15.00 – $28.97 | 15 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $99.88 | $454.00 | $130.17 – $258.84 | 7 |
| Bile duct revision CPT 47701 | $1,070.52 | $4,866.00 | $125.39 – $2,762.65 | 7 |
| Biliary endo perq dx w/speci CPT 47552 | $14,600.82 | $18,719.00 | $222.73 – $8,048.42 | 14 |
| Biliary endoscopy thru skin CPT 47553 | $14,600.82 | $18,719.00 | $223.20 – $8,048.42 | 14 |
| Biliary endoscopy thru skin CPT 47554 | $24,362.52 | $31,234.00 | $236.25 – $13,429.04 | 15 |
| Biliary endoscopy thru skin CPT 47555 | $8,257.86 | $10,587.00 | $236.25 – $4,552.00 | 14 |
| Biliary endoscopy thru skin CPT 47556 | $24,362.52 | $31,234.00 | $236.25 – $13,429.04 | 15 |
| Bilicheck CPT 88720 | $3.52 | $16.00 | $3.31 – $9.20 | 15 |
| Bilirubin direct CPT 82248 | $26.52 | $34.00 | $2.89 – $11.09 | 15 |
| Bilirubin total CPT 82247 | $26.52 | $34.00 | $2.89 – $11.09 | 15 |
| Bilobectomy 32482 CPT 32482 | $965.80 | $4,390.00 | $125.38 – $2,488.35 | 7 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $26.56 – $39.85 | 11 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $1,560.20 – $3,360.38 | 8 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $93.57 – $142.07 | 8 |
| Biofeedback, pt CPT 90901 | $11.88 | $54.00 | $15.77 – $30.65 | 7 |
| Biopsy abdominal mass CPT 49180 | $3,791.58 | $4,861.00 | $66.43 – $2,089.89 | 15 |
| Biopsy arm/elbow soft tissue CPT 24066 | $266.20 | $1,210.00 | $28.58 – $3,691.65 | 15 |
| Biopsy, bone open deep CPT 20245 | $211.20 | $960.00 | $6.01 – $3,691.65 | 15 |
| Biopsy bone trocar/needle superficial CPT 20220 | $53.46 | $243.00 | $6.01 – $2,089.89 | 15 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $46.42 | $211.00 | $61.19 – $1,123.13 | 15 |
| Biopsy conjunctiva CPT 68100 | $58.30 | $265.00 | $77.18 – $3,009.20 | 15 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $353.32 | $1,606.00 | $46.20 – $4,939.24 | 15 |
| Biopsy external ear 69100 CPT 69100 | $28.38 | $129.00 | $37.67 – $299.53 | 15 |
| Biopsy eyelid & lid margin CPT 67810 | $41.80 | $190.00 | $38.85 – $385.58 | 15 |
| Biopsy eye muscle CPT 67346 | $117.26 | $533.00 | $138.58 – $4,864.07 | 15 |
| Biopsy finger joint lining CPT 26105 | $216.04 | $982.00 | $28.40 – $4,185.10 | 15 |
| Biopsy finger joint lining CPT 26110 | $205.48 | $934.00 | $3.00 – $2,064.31 | 15 |
| Biopsy forearm soft tissues CPT 25066 | $233.42 | $1,061.00 | $3.00 – $3,691.65 | 15 |
| Biopsy hand joint lining CPT 26100 | $214.72 | $976.00 | $28.23 – $4,185.10 | 15 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $6,697.08 | $8,586.00 | $60.95 – $3,691.65 | 15 |
| Biopsy knee joint lining CPT 27330 | $265.98 | $1,209.00 | $34.99 – $4,185.10 | 15 |
| Biopsy lower leg soft tissue CPT 27613 | $100.32 | $456.00 | $13.25 – $2,089.89 | 15 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $402.38 | $1,829.00 | $36.02 – $4,185.10 | 15 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,791.58 | $4,861.00 | $8.30 – $2,089.89 | 15 |
| Biopsy needle liver percutaneous CPT 47000 | $3,791.58 | $4,861.00 | $70.61 – $2,089.89 | 15 |
| Biopsy needle lymph node superficial CPT 38505 | $3,791.58 | $4,861.00 | $69.25 – $2,089.89 | 15 |
| Biopsy of cornea CPT 65410 | $62.48 | $284.00 | $83.01 – $3,009.20 | 15 |
| Biopsy of epididymis CPT 54800 | $77.22 | $351.00 | $36.75 – $2,089.89 | 15 |
| Biopsy of foot joint lining CPT 28050 | $174.24 | $792.00 | $23.11 – $4,185.10 | 15 |
| Biopsy of foot joint lining CPT 28052 | $159.50 | $725.00 | $21.20 – $4,185.10 | 15 |
| Biopsy of heart lining CPT 93505 | $136.84 | $622.00 | $179.24 – $4,059.84 | 15 |
| Biopsy of hip joint CPT 27052 | $363.66 | $1,653.00 | $15.83 – $2,064.31 | 15 |
| Biopsy of inestine 44100 CPT 44100 | $64.68 | $294.00 | $86.01 – $1,209.32 | 15 |
| Biopsy of lip 40490 CPT 40490 | $42.68 | $194.00 | $38.33 – $299.53 | 15 |
| Biopsy of nail unit 11755 CPT 11755 | $37.40 | $170.00 | $49.52 – $907.53 | 15 |
| Biopsy of nerve CPT 64795 | $122.32 | $556.00 | $156.35 – $2,518.80 | 15 |
| Biopsy of ovary(s) 58900 CPT 58900 | $269.28 | $1,224.00 | $43.00 – $4,101.16 | 15 |
| Biopsy of pancreas open CPT 48100 | $549.78 | $2,499.00 | $64.74 – $1,422.94 | 7 |
| Biopsy of penis CPT 54105 | $131.78 | $599.00 | $17.40 – $3,691.65 | 15 |
| Biopsy of penis 54100 CPT 54100 | $75.02 | $341.00 | $36.75 – $2,089.89 | 15 |
| Biopsy of prostate CPT 55700 | $79.64 | $362.00 | $93.98 – $2,642.30 | 15 |
| Biopsy of prostate CPT 55705 | $163.90 | $745.00 | $21.59 – $4,448.70 | 15 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $188.10 | $855.00 | $22.29 – $3,537.31 | 15 |
| Biopsy of sacroiliac joint CPT 27050 | $255.86 | $1,163.00 | $15.20 – $2,064.31 | 15 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,646.58 | $2,111.00 | $36.75 – $907.53 | 15 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $140.58 | $639.00 | $18.61 – $1,910.65 | 15 |
| Biopsy of stomach CPT 43605 | $524.04 | $2,382.00 | $60.69 – $1,334.00 | 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.