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 |
|---|---|---|---|---|
| Testosterone response panel CPT 80414 | $33.88 | $154.00 | $32.83 – $114.14 | 15 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.45 – $2.82 | 15 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $11.55 – $76.62 | 10 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $160.89 – $340.18 | 11 |
| Test socket above knee HCPCS L5624 | not published | not published | $250.65 – $529.98 | 11 |
| Test socket below knee HCPCS L5620 | not published | not published | $172.02 – $363.71 | 11 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $333.70 – $705.57 | 11 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $344.04 – $744.96 | 11 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $262.71 – $555.46 | 11 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $215.68 – $456.02 | 11 |
| Test socket symes HCPCS L5618 | not published | not published | $195.78 – $413.96 | 11 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $143.55 – $303.52 | 11 |
| Test stress cardiovascular tracing only CPT 93017 | $729.30 | $935.00 | $30.22 – $401.66 | 15 |
| Test urine for lactose CPT 83633 | $7.48 | $34.00 | $2.78 – $12.26 | 12 |
| Test urine for porphyrins CPT 84119 | $8.80 | $40.00 | $3.54 – $14.56 | 15 |
| Test urine urobilinogen CPT 84578 | $3.08 | $14.00 | $2.06 – $4.87 | 15 |
| Tetanus ig im CPT 90389 | not published | not published | $10.50 – $942.59 | 8 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $419.28 – $816.52 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $13.30 – $25.90 | 15 |
| Tgfbi gene common variants CPT 81333 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $501.16 | $2,278.00 | $501.29 – $827.89 | 12 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,832.02 | $8,759.00 | $1,926.94 – $3,737.09 | 15 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $394.68 | $1,794.00 | $394.63 – $765.33 | 15 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $9.45 – $221.03 | 11 |
| Thawing cryopresrved embryo CPT 89352 | $121.00 | $550.00 | $103.44 – $221.03 | 10 |
| Thawing cryopresrved oocyte CPT 89356 | $165.00 | $750.00 | $103.44 – $221.03 | 10 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $32.25 – $68.92 | 10 |
| Thaw preserved stem cells CPT 38208 | $18.26 | $83.00 | $22.99 – $563.90 | 12 |
| Theophylline therapeutic drug level CPT 80198 | $9.24 | $42.00 | $9.00 – $17.60 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $6.82 | $31.00 | $9.07 – $31.59 | 11 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $67.25 – $2,144.56 | 14 |
| Therapy activation ipnss CPT 93150 | $25.74 | $117.00 | $34.69 – $118.40 | 12 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | not published | $11.00 – $16.00 | 2 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $125.58 | $161.00 | $10.00 – $57.74 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $95.94 | $123.00 | $8.80 – $46.59 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $71.76 | $92.00 | $26.21 – $87.00 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $60.06 | $77.00 | $22.34 – $76.00 | 8 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $110.30 – $256.30 | 12 |
| Ther fx nasal inf turbinate CPT 30930 | $72.82 | $331.00 | $9.71 – $4,183.11 | 15 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $62.04 | $282.00 | $15.75 – $229.62 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $492.96 | $632.00 | $11.34 – $271.76 | 15 |
| Ther radiology tx plng cplx CPT 77263 | $104.94 | $477.00 | $137.58 – $267.52 | 8 |
| Ther radiology tx plng intrm CPT 77262 | $67.54 | $307.00 | $88.82 – $172.38 | 8 |
| Ther radiology tx plng smpl CPT 77261 | $43.56 | $198.00 | $58.04 – $112.58 | 8 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.66 | $34.83 | $1.69 – $2.53 | 8 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $3.88 – $6.21 | 4 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $354.12 | $454.00 | $7.18 – $113.57 | 15 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $166.80 – $352.69 | 11 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $245.54 – $519.17 | 11 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $136.46 – $288.52 | 11 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $188.75 – $399.09 | 11 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $37.88 – $37.88 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $221.75 – $289.38 | 3 |
| Thorabd diaphr hern repair CPT 43336 | $883.30 | $4,015.00 | $103.36 – $2,282.87 | 7 |
| Thorabd diaphr hern repair CPT 43337 | $941.38 | $4,279.00 | $110.09 – $2,432.18 | 7 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $97.23 – $205.58 | 11 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $104.97 – $221.95 | 11 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,446.90 | $1,855.00 | $87.85 – $797.47 | 15 |
| Thoracic aortic graft 33875 CPT 33875 | $1,661.44 | $7,552.00 | $151.24 – $4,300.61 | 7 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $108.25 – $228.87 | 11 |
| Thoracic duct procedure CPT 38380 | $359.26 | $1,633.00 | $51.90 – $921.78 | 7 |
| Thoracic duct procedure CPT 38381 | $497.20 | $2,260.00 | $70.74 – $1,273.61 | 7 |
| Thoracic duct procedure CPT 38382 | $419.76 | $1,908.00 | $60.29 – $1,082.59 | 7 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $2,423.59 – $5,124.37 | 11 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $130.02 | $591.00 | $49.76 – $336.50 | 7 |
| Thoracic pad HCPCS L1060 | not published | not published | $64.79 – $147.81 | 11 |
| Thoracoabdominal graft 33877 CPT 33877 | $2,184.38 | $9,929.00 | $198.29 – $5,650.33 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | $751.08 | $3,414.00 | $87.83 – $1,938.10 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | $974.60 | $4,430.00 | $126.63 – $2,516.06 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $187.88 | $854.00 | $48.42 – $7,525.52 | 15 |
| Thoracoscopy for lvrs CPT 32672 | $924.00 | $4,200.00 | $120.11 – $2,387.35 | 4 |
| Thoracoscopy lymph node exc CPT 32674 | $130.24 | $592.00 | $29.59 – $337.52 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | $1,078.44 | $4,902.00 | $140.06 – $2,786.07 | 7 |
| Thoracoscopy remove cortex CPT 32651 | $669.02 | $3,041.00 | $86.98 – $1,725.13 | 7 |
| Thoracoscopy remove segment CPT 32669 | $817.96 | $3,718.00 | $74.41 – $2,111.46 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | $647.90 | $2,945.00 | $84.17 – $1,667.25 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | $584.76 | $2,658.00 | $76.09 – $1,508.12 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | $409.42 | $1,861.00 | $53.39 – $1,055.32 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | $731.72 | $3,326.00 | $94.06 – $1,863.38 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | $518.54 | $2,357.00 | $47.23 – $1,337.75 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | $1,013.32 | $4,606.00 | $131.74 – $2,616.19 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | $281.38 | $1,279.00 | $89.01 – $7,525.52 | 15 |
| Thoracoscopy wbx sac CPT 32604 | $291.28 | $1,324.00 | $91.70 – $13,429.04 | 15 |
| Thoracoscopy w/lobectomy CPT 32663 | $851.84 | $3,872.00 | $77.50 – $2,199.34 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | $546.70 | $2,485.00 | $49.79 – $1,409.79 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | $488.40 | $2,220.00 | $44.51 – $1,260.17 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $492.36 | $2,238.00 | $64.00 – $1,267.03 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | $449.68 | $2,044.00 | $41.01 – $1,158.97 | 7 |
| Thoracoscopy w/sac fb remove CPT 32658 | $437.80 | $1,990.00 | $39.89 – $1,128.03 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | $740.96 | $3,368.00 | $86.73 – $1,913.10 | 7 |
| Thoracoscopy w/wedge resect CPT 32666 | $532.18 | $2,419.00 | $69.24 – $1,371.70 | 7 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | $94.60 | $430.00 | $21.59 – $245.53 | 7 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | $94.82 | $431.00 | $21.74 – $245.53 | 7 |
| Thoracostomy w/flap drng 32036 CPT 32036 | $481.36 | $2,188.00 | $63.35 – $1,250.49 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | $450.34 | $2,047.00 | $58.78 – $1,160.45 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | $565.62 | $2,571.00 | $73.55 – $1,455.40 | 7 |
| Thoracotomy w/expl CPT 32100 | $497.86 | $2,263.00 | $64.61 – $1,279.67 | 7 |
| Thoracotomy with cardiac massage CPT 32160 | $2,984.28 | $3,826.00 | $63.74 – $1,259.79 | 7 |
| Thorax spine fusion CPT 22610 | $800.80 | $3,640.00 | $103.68 – $2,053.34 | 7 |
| Thorax stereo rad targetw/tx CPT 32701 | $127.16 | $578.00 | $166.59 – $330.15 | 8 |
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.