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 |
|---|---|---|---|---|
| Thorcscpy w/biop pleura CPT 32609 | $155.32 | $706.00 | $35.85 – $7,525.52 | 15 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $81.91 – $173.17 | 11 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $187.66 | $853.00 | $42.22 – $13,429.04 | 15 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $230.78 | $1,049.00 | $51.91 – $13,429.04 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $822.90 | $1,055.00 | $39.03 – $518.31 | 15 |
| Throat x-ray & fluoroscopy CPT 70370 | $9.24 | $42.00 | $7.88 – $113.57 | 15 |
| Thrombectmy crnry perq mechanical CPT 92973 | $106.26 | $483.00 | $138.47 – $275.15 | 8 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $13,341.90 | $17,105.00 | $291.79 – $7,354.18 | 15 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $26,537.16 | $34,022.00 | $350.95 – $14,627.77 | 15 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $42,018.60 | $53,870.00 | $404.78 – $23,161.70 | 15 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $682.88 | $3,104.00 | $62.05 – $1,768.68 | 7 |
| Thrombin time CPT 85670 | $30.42 | $39.00 | $3.13 – $12.78 | 15 |
| Thrombin time titer CPT 85675 | $4.40 | $20.00 | $3.91 – $15.15 | 15 |
| Thromboendarterectomy common femoral CPT 35371 | $492.58 | $2,239.00 | $44.78 – $1,275.69 | 7 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $549.56 | $2,498.00 | $49.49 – $6,972.61 | 14 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $778.80 | $3,540.00 | $70.60 – $2,013.46 | 7 |
| Thromboendarterectomy sfa CPT 35302 | $674.96 | $3,068.00 | $61.41 – $1,750.62 | 7 |
| Thrombomodulin CPT 85337 | $11.44 | $52.00 | $6.63 – $18.82 | 12 |
| Thromboplastin inhibition CPT 85705 | $6.16 | $28.00 | $4.44 – $12.00 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $4.40 | $20.00 | $4.12 – $11.63 | 15 |
| Thromboxane urine CPT 84431 | $23.32 | $106.00 | $14.83 – $38.27 | 15 |
| Thumb fusion with graft CPT 26820 | $509.30 | $2,315.00 | $18.22 – $9,214.43 | 15 |
| Thumb fusion with graft CPT 26842 | $510.62 | $2,321.00 | $17.28 – $9,214.43 | 15 |
| Thumb tendon transfer CPT 26510 | $391.82 | $1,781.00 | $52.53 – $4,185.10 | 15 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $430.11 – $909.42 | 11 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $680.00 – $1,593.62 | 11 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $279.36 – $590.67 | 11 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $423.49 – $895.42 | 11 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | $835.12 | $3,796.00 | $97.65 – $2,152.48 | 4 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | $649.22 | $2,951.00 | $76.12 – $7,630.39 | 14 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | $690.36 | $3,138.00 | $80.73 – $1,777.62 | 7 |
| Thyroglobulin antibody CPT 86800 | $83.46 | $107.00 | $7.92 – $29.52 | 15 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $840.40 | $3,820.00 | $99.22 – $2,172.85 | 7 |
| Thyroid imaging CPT 78013 | $822.90 | $1,055.00 | $14.11 – $518.31 | 15 |
| Thyroid met imaging CPT 78015 | $19.58 | $89.00 | $26.02 – $518.31 | 15 |
| Thyroid met imaging/studies CPT 78016 | $20.24 | $92.00 | $26.90 – $518.31 | 15 |
| Thyroid mets imag whole body CPT 78018 | $23.98 | $109.00 | $31.67 – $694.29 | 15 |
| Thyroid met uptake CPT 78020 | $16.28 | $74.00 | $12.65 – $41.59 | 8 |
| Thyroid (TSH) Test CPT 84443 | $88.14 | $113.00 | $10.68 – $37.14 | 15 |
| Thyroid Ultrasound CPT 76536 | $467.22 | $599.00 | $21.84 – $137.16 | 15 |
| Thyroid uptake measurement CPT 78012 | $5.50 | $25.00 | $7.19 – $518.31 | 15 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,535.48 – $2,990.23 | 15 |
| Thyrotropin releasing hormone CPT 80438 | $33.44 | $152.00 | $32.03 – $112.66 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | $9.68 | $44.00 | $9.40 – $16.11 | 15 |
| Tibial arthroscopy/surgery CPT 29855 | $486.64 | $2,212.00 | $63.76 – $9,214.43 | 15 |
| Tibial arthroscopy/surgery CPT 29856 | $617.98 | $2,809.00 | $80.84 – $16,596.43 | 14 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $32.25 – $68.20 | 11 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $1,226.21 – $2,592.65 | 11 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $42,018.60 | $53,870.00 | $107.06 – $23,161.70 | 15 |
| Tib/per revasc stnt & ather CPT 37235 | $31,514.34 | $40,403.00 | $55.66 – $575.15 | 11 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $31,514.34 | $40,403.00 | $47.07 – $502.24 | 11 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $15.00 – $441.27 | 8 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $15.00 – $441.27 | 8 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.36 – $0.82 | 8 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $3,182.27 – $6,728.53 | 11 |
| Tilt table study CPT 93660 | $55.44 | $252.00 | $58.62 – $684.40 | 14 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.49 – $6.85 | 4 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.23 – $4.85 | 8 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $420,210.64 – $818,329.28 | 14 |
| Tis cgen car anomal 1st shnt CPT 33745 | $648.56 | $2,948.00 | $142.17 – $1,678.61 | 7 |
| Tis cgen car anomal ea addl CPT 33746 | $259.16 | $1,178.00 | $56.24 – $671.04 | 7 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | $92.62 | $421.00 | $119.63 – $238.42 | 10 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | $100.76 | $458.00 | $130.37 – $259.77 | 10 |
| Tis cltr skn agrft t/a/l add CPT 15151 | $67.10 | $305.00 | $83.58 – $172.84 | 10 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | $88.88 | $404.00 | $110.31 – $220.14 | 10 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $137.07 – $266.94 | 15 |
| Tiss ex molecul study add-on CPT 88388 | $14.30 | $65.00 | $4.94 – $4.94 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $18.38 – $33.60 | 8 |
| Tissue culture placenta CPT 88235 | $99.00 | $450.00 | $93.61 – $302.40 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $92.84 | $422.00 | $89.47 – $302.40 | 15 |
| Tissue culture tumor CPT 88239 | $97.24 | $442.00 | $93.78 – $302.40 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $22.62 | $29.00 | $2.71 – $6.24 | 15 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $102.85 – $147.86 | 4 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $11.05 – $22.23 | 2 |
| Tissue transglutaminase iga CPT 86364 | $60.84 | $78.00 | $7.61 – $12.57 | 12 |
| Tixagev and cilgav inj HCPCS M0220 | $99.22 | $451.00 | $121.37 – $192.64 | 2 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $29.32 – $69.10 | 4 |
| Tlh uterus 250 g or less CPT 58570 | $499.62 | $2,271.00 | $79.16 – $13,429.04 | 15 |
| Tlh uterus over 250 g CPT 58572 | $643.72 | $2,926.00 | $99.34 – $13,429.04 | 15 |
| Tlh w/t/o 250 g or less CPT 58571 | $561.22 | $2,551.00 | $89.11 – $13,429.04 | 15 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $752.84 | $3,422.00 | $119.32 – $13,429.04 | 15 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $540.66 – $1,143.16 | 11 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $465.60 – $984.44 | 11 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $608.55 – $1,286.71 | 11 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $756.95 – $1,600.47 | 11 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $306.21 – $647.44 | 11 |
| Tlso corset front HCPCS L0970 | not published | not published | $78.10 – $165.12 | 11 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $167.21 – $257.93 | 11 |
| Tlso full corset HCPCS L0974 | not published | not published | $99.20 – $220.25 | 11 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $219.02 – $463.10 | 11 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $187.53 – $281.32 | 11 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $290.17 – $613.53 | 11 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $238.95 – $358.46 | 11 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $370.28 – $782.90 | 11 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $960.58 – $2,031.03 | 11 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $608.55 – $1,286.71 | 11 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,032.12 – $2,182.29 | 11 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $826.99 – $1,748.57 | 11 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $171.50 – $362.62 | 11 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $210.25 – $444.56 | 11 |
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.