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 |
|---|---|---|---|---|
| Tmvr w/prosthetic ring 33426 CPT 33426 | $1,448.04 | $6,582.00 | $131.62 – $3,738.69 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $1,480.60 | $6,730.00 | $134.72 – $3,825.30 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $295.68 | $1,344.00 | $39.17 – $4,185.10 | 15 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $20.88 – $120.40 | 3 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $1.52 | $6.93 | $1.86 – $3.48 | 8 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $13.64 – $20.88 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | $10.56 | $48.00 | $10.24 – $28.00 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $4.20 – $8.19 | 15 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.77 – $10.71 | 8 |
| Toe joint transfer CPT 26556 | $2,092.20 | $9,510.00 | $210.00 – $5,396.17 | 7 |
| Toe X-ray (both feet) CPT 73660 | $283.14 | $363.00 | $5.23 – $113.57 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $17.60 | $80.00 | $15.57 – $63.00 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $119.34 | $153.00 | $19.33 – $65.10 | 9 |
| Tone decay hearing test CPT 92563 | not published | not published | $14.92 – $52.92 | 15 |
| Tongue and neck surgery CPT 41135 | $1,317.14 | $5,987.00 | $157.63 – $3,408.83 | 7 |
| Tongue base vol reduction CPT 41530 | $229.46 | $1,043.00 | $306.60 – $4,183.11 | 12 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $68.20 | $310.00 | $9.04 – $4,183.11 | 15 |
| Tongue jaw & neck surgery CPT 41155 | $1,814.56 | $8,248.00 | $210.00 – $4,699.95 | 7 |
| Tongue mouth jaw surgery CPT 41150 | $1,334.96 | $6,068.00 | $137.55 – $3,456.05 | 7 |
| Tongue mouth neck surgery CPT 41153 | $1,455.52 | $6,616.00 | $174.00 – $3,764.07 | 7 |
| Tongue removal neck surgery CPT 41145 | $1,668.04 | $7,582.00 | $199.88 – $4,321.34 | 7 |
| Tongue suspension CPT 41512 | $405.02 | $1,841.00 | $54.12 – $7,630.39 | 12 |
| Tongue to lip surgery CPT 41510 | $275.22 | $1,251.00 | $33.21 – $4,183.11 | 15 |
| Tonsillectomy (age 12+) CPT 42826 | $159.28 | $724.00 | $18.97 – $4,183.11 | 15 |
| Tonsillectomy (child under 12) CPT 42825 | $167.42 | $761.00 | $19.92 – $7,630.39 | 15 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.27 – $2.32 | 8 |
| Topotecan oral HCPCS J8705 | not published | not published | $117.83 – $176.73 | 8 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $28.70 – $55.89 | 15 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $76.53 – $173.90 | 11 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $64.00 – $151.18 | 11 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $836.00 | $3,800.00 | $130.73 – $2,158.29 | 7 |
| Total hip arthroplasty CPT 27132 | $1,033.56 | $4,698.00 | $135.15 – $2,655.03 | 7 |
| Total Hip Replacement CPT 27130 | $795.74 | $3,617.00 | $104.08 – $16,596.43 | 15 |
| Total hysterectomy CPT 58150 | $630.08 | $2,864.00 | $99.52 – $2,504.00 | 8 |
| Total Knee Replacement CPT 27447 | $794.86 | $3,613.00 | $103.93 – $16,596.43 | 15 |
| Total lung lavage CPT 32997 | $205.26 | $933.00 | $272.34 – $532.03 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | $1,671.56 | $7,598.00 | $1,575.00 – $5,774.00 | 8 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $302.06 – $638.67 | 11 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $1,008.04 | $4,582.00 | $130.75 – $23,720.63 | 12 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $1,080.86 | $4,913.00 | $141.23 – $2,775.77 | 4 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | $253.88 | $1,154.00 | $280.80 – $1,000.53 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $312.18 | $1,419.00 | $402.25 – $802.34 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $1,815.22 | $8,251.00 | $210.00 – $4,694.17 | 7 |
| Tot estradiol response panel CPT 80415 | $36.96 | $168.00 | $35.53 – $123.58 | 15 |
| Toxoplasma antibody igg CPT 86777 | $9.68 | $44.00 | $6.01 – $31.73 | 15 |
| Toxoplasma antibody igm CPT 86778 | $9.68 | $44.00 | $5.92 – $31.84 | 15 |
| Tp53 gene full gene sequence CPT 81351 | $423.72 | $1,926.00 | $423.62 – $699.62 | 12 |
| Tp53 gene known famil vrnt CPT 81353 | $203.28 | $924.00 | $203.28 – $335.72 | 12 |
| Tp53 gene trgt sequence alys CPT 81352 | $771.42 | $989.00 | $217.48 – $359.17 | 12 |
| Tpmt gene com vrnts CPT 81335 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| Tprnl balo cntnc dev adjmt CPT 53454 | $22.44 | $102.00 | $29.67 – $313.71 | 12 |
| Tprnl balo cntnc dev bi CPT 53451 | $482.24 | $2,192.00 | $63.54 – $16,758.43 | 12 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | $409.86 | $1,863.00 | $540.04 – $4,448.70 | 12 |
| Tprnl balo cntnc dev uni CPT 53452 | $241.12 | $1,096.00 | $31.77 – $11,927.55 | 12 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $101.20 | $460.00 | $133.17 – $6,557.17 | 15 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $278.34 – $542.04 | 15 |
| Trabeculoplasty laser surg CPT 65855 | $124.52 | $566.00 | $16.64 – $707.62 | 15 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $4.80 – $10.55 | 11 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $231.00 | $1,050.00 | $36.88 – $6,367.34 | 15 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $71.28 | $324.00 | $94.03 – $656.86 | 15 |
| Tracheo-esophagoplasty cong CPT 43314 | $1,918.18 | $8,719.00 | $210.00 – $4,944.89 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | $840.18 | $3,819.00 | $67.20 – $2,168.25 | 7 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.50 – $1.04 | 11 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $257.40 | $1,170.00 | $34.58 – $4,183.11 | 15 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $55.76 – $117.91 | 11 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $3.35 – $7.09 | 11 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $2.58 – $5.45 | 11 |
| Train for caregiver add 15 HCPCS G0540 | $15.40 | $70.00 | $20.59 – $47.40 | 6 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $117.00 | $150.00 | $22.48 – $132.00 | 8 |
| Transabdom amnioinfus w/us CPT 59070 | $190.30 | $865.00 | $183.62 – $1,187.28 | 15 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $707.30 | $3,215.00 | $82.92 – $1,827.19 | 7 |
| Transab esoph hiat hern rpr CPT 43333 | $777.48 | $3,534.00 | $90.82 – $2,001.43 | 7 |
| Transcath biopsy CPT 37200 | $12,649.26 | $16,217.00 | $119.70 – $6,972.61 | 15 |
| Transcath closure of asd CPT 93580 | $588.28 | $2,674.00 | $766.93 – $23,161.70 | 15 |
| Transcath closure of vsd CPT 93581 | $799.26 | $3,633.00 | $1,039.71 – $23,161.70 | 14 |
| Transcatheter bx s&i CPT 75970 | $1,586.52 | $2,034.00 | $7.88 – $59.81 | 8 |
| Transcath mv repair addl prosthesis CPT 33419 | $255.86 | $1,163.00 | $332.75 – $661.60 | 4 |
| Transcath mv repair init prosthesis CPT 33418 | $1,089.22 | $4,951.00 | $99.39 – $2,817.47 | 4 |
| Transcath occlusion cns CPT 61624 | $37,589.76 | $48,192.00 | $924.04 – $1,849.39 | 7 |
| Transcath occlusion non-cns CPT 61626 | $558.58 | $2,539.00 | $722.67 – $14,627.77 | 15 |
| Trans cath replace aortic valve 33366 CPT 33366 | $950.40 | $4,320.00 | $1,233.74 – $2,453.76 | 7 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $306.46 | $1,393.00 | $27.98 – $4,059.84 | 12 |
| Transcochlear approach/skull CPT 61596 | $1,494.90 | $6,795.00 | $210.00 – $3,877.46 | 7 |
| Transcondylar approach/skull CPT 61597 | $1,806.42 | $8,211.00 | $210.00 – $4,736.85 | 7 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $32.70 – $9,538.29 | 15 |
| Transcutaneous carboxyhb CPT 88740 | $6.16 | $28.00 | $5.75 – $10.21 | 15 |
| Transcutaneous hgb 88738 CPT 88738 | $3.52 | $16.00 | $3.31 – $7.15 | 15 |
| Transcutaneous methb CPT 88741 | $6.16 | $28.00 | $5.75 – $10.21 | 15 |
| Transect artery sinus CPT 61611 | $288.42 | $1,311.00 | $75.17 – $743.86 | 7 |
| Transect pulmonary artery CPT 33922 | $848.32 | $3,856.00 | $77.21 – $2,190.54 | 7 |
| Transfer of abdominal muscle CPT 27100 | $518.10 | $2,355.00 | $15.18 – $9,214.43 | 15 |
| Transfer of embryo CPT 58976 | $130.46 | $593.00 | $171.55 – $392.36 | 12 |
| Transfer of iliopsoas muscle CPT 27110 | $603.90 | $2,745.00 | $17.81 – $9,214.43 | 15 |
| Transfer of iliopsoas muscle CPT 27111 | $562.76 | $2,558.00 | $11.35 – $4,185.10 | 15 |
| Transfer of spinal muscle CPT 27105 | $542.52 | $2,466.00 | $15.18 – $4,185.10 | 15 |
| Transferrin CPT 84466 | $67.08 | $86.00 | $8.12 – $27.20 | 15 |
| Transfer skin pedicle flap CPT 15650 | $249.92 | $1,136.00 | $32.90 – $2,359.45 | 15 |
| Transfer tendon to pelvis CPT 27098 | $435.38 | $1,979.00 | $15.18 – $4,185.10 | 15 |
| Transorl lwr esophgl myotomy CPT 43497 | $483.78 | $2,199.00 | $57.44 – $7,678.31 | 12 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $3.10 – $6.56 | 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.