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 |
|---|---|---|---|---|
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.11 – $2.33 | 11 |
| Transperi needle place pros CPT 55875 | $484.22 | $2,201.00 | $63.65 – $6,557.17 | 15 |
| Transpetrosal approach/skull CPT 61598 | $1,758.02 | $7,991.00 | $210.00 – $4,550.29 | 7 |
| Transpl allograft pancreas CPT 48554 | $1,629.76 | $7,408.00 | $190.78 – $4,176.35 | 4 |
| Transplantation heart/lung CPT 33935 | $2,982.10 | $13,555.00 | $210.00 – $7,698.25 | 7 |
| Transplantation of heart CPT 33945 | $2,949.76 | $13,408.00 | $210.00 – $7,619.87 | 7 |
| Transplantation of liver CPT 47135 | $3,334.32 | $15,156.00 | $210.00 – $8,577.95 | 7 |
| Transplant femur ridge CPT 27140 | $558.80 | $2,540.00 | $70.35 – $1,433.10 | 8 |
| Transplant forearm tendon CPT 25310 | $445.94 | $2,027.00 | $7.52 – $4,185.10 | 15 |
| Transplant forearm tendon CPT 25312 | $449.68 | $2,044.00 | $3.00 – $4,185.10 | 15 |
| Transplant/graft hand tendon CPT 26483 | $531.96 | $2,418.00 | $42.16 – $4,185.10 | 15 |
| Transplant/graft palm tendon CPT 26489 | $588.94 | $2,677.00 | $9.64 – $4,185.10 | 15 |
| Transplant hand tendon CPT 26480 | $446.38 | $2,029.00 | $64.30 – $4,185.10 | 15 |
| Transplant of thigh tendon CPT 27396 | $387.64 | $1,762.00 | $5.22 – $9,214.43 | 15 |
| Transplant palm tendon CPT 26485 | $510.84 | $2,322.00 | $29.93 – $4,185.10 | 15 |
| Transplants of thigh tendons CPT 27397 | $571.12 | $2,596.00 | $74.81 – $9,214.43 | 15 |
| Transplant ureter to skin CPT 50860 | $583.66 | $2,653.00 | $61.48 – $1,502.31 | 7 |
| Transplj hematopoietic boost CPT 38243 | $75.90 | $345.00 | $95.26 – $2,114.45 | 15 |
| Transplt allo hct/donor CPT 38240 | $147.84 | $672.00 | $118.73 – $76,285.47 | 14 |
| Transplt allo lymphocytes CPT 38242 | $77.22 | $351.00 | $73.55 – $2,114.45 | 15 |
| Transplt autol hct/donor CPT 38241 | $109.12 | $496.00 | $119.09 – $2,114.45 | 15 |
| Transposition of vein valve CPT 34510 | $620.84 | $2,822.00 | $56.22 – $6,972.61 | 14 |
| Transposition ovary(s) CPT 58825 | $438.02 | $1,991.00 | $69.58 – $1,137.06 | 7 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $49.60 – $128.78 | 11 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $30.40 – $97.83 | 11 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $30.40 – $97.83 | 11 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $49.60 – $128.78 | 11 |
| Transtemporal approach/skull CPT 61595 | $1,470.26 | $6,683.00 | $210.00 – $3,806.50 | 7 |
| Transthor cath for stent CPT 33621 | $566.94 | $2,577.00 | $51.57 – $1,462.87 | 7 |
| Transthor diaphrag hern repair 43334 CPT 43334 | $757.46 | $3,443.00 | $88.63 – $1,956.74 | 7 |
| Transthor diaphrag hern rpr CPT 43335 | $813.12 | $3,696.00 | $95.14 – $2,102.52 | 7 |
| Transurethral rf treatment CPT 53860 | $138.60 | $630.00 | $14.53 – $2,642.30 | 12 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $467.22 | $599.00 | $26.86 – $137.16 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $467.22 | $599.00 | $29.36 – $137.16 | 15 |
| Transvrs a-arch grf hypthrm CPT 33871 | $1,971.42 | $8,961.00 | $179.22 – $5,098.32 | 7 |
| Trapezius sling HCPCS L1070 | not published | not published | $60.94 – $144.33 | 11 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $55.35 – $107.80 | 15 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $31.44 – $61.23 | 15 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $18.97 – $40.49 | 15 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $623.92 | $2,836.00 | $798.71 – $1,706.71 | 10 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $2.29 – $4.85 | 11 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $32.73 – $54.05 | 12 |
| Treat ankle dislocation CPT 27842 | $309.76 | $1,408.00 | $38.21 – $2,064.31 | 15 |
| Treat ankle dislocation CPT 27846 | $451.22 | $2,051.00 | $59.55 – $9,214.43 | 15 |
| Treat ankle dislocation CPT 27848 | $495.44 | $2,252.00 | $64.58 – $9,214.43 | 15 |
| Treat ankle fracture CPT 28445 | $649.88 | $2,954.00 | $5.72 – $9,214.43 | 15 |
| Treat big toe fracture CPT 28505 | $309.32 | $1,406.00 | $40.92 – $4,185.10 | 15 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | $325.38 | $1,479.00 | $14.00 – $7,630.39 | 15 |
| Treat chest lining CPT 32215 | $491.92 | $2,236.00 | $64.05 – $1,267.71 | 7 |
| Treat clavicle dislocation 23545 CPT 23545 | $207.02 | $941.00 | $13.00 – $529.18 | 15 |
| Treat each add spine fx CPT 22328 | $174.02 | $791.00 | $43.31 – $446.76 | 7 |
| Treat ectopic pregnancy CPT 59150 | $489.72 | $2,226.00 | $68.80 – $7,525.52 | 15 |
| Treat ectopic pregnancy CPT 59151 | $478.94 | $2,177.00 | $85.85 – $7,525.52 | 15 |
| Treat ectopic pregnancy CPT 59140 | $257.84 | $1,172.00 | $44.52 – $669.40 | 7 |
| Treat elbow dislocation CPT 24605 | $300.30 | $1,365.00 | $7.20 – $2,064.31 | 15 |
| Treat elbow dislocation CPT 24615 | $446.16 | $2,028.00 | $7.19 – $9,214.43 | 15 |
| Treat elbow fracture CPT 24586 | $673.20 | $3,060.00 | $10.00 – $16,596.43 | 15 |
| Treat elbow fracture CPT 24620 | $3,745.56 | $4,802.00 | $7.19 – $2,064.31 | 15 |
| Treat elbow fracture CPT 24635 | $424.82 | $1,931.00 | $8.00 – $9,214.43 | 15 |
| Treat eyelid by injection CPT 68200 | $20.90 | $95.00 | $27.58 – $514.71 | 15 |
| Treat eyelid lesion 67850 CPT 67850 | $80.30 | $365.00 | $10.65 – $1,249.28 | 15 |
| Treat finger fracture each CPT 26727 | $298.98 | $1,359.00 | $11.25 – $4,185.10 | 15 |
| Treat finger fracture each CPT 26742 | $3,745.56 | $4,802.00 | $21.45 – $2,064.31 | 15 |
| Treat foot bone lesion CPT 28005 | $355.74 | $1,617.00 | $23.19 – $4,185.10 | 15 |
| Treat foot dislocation CPT 28540 | $111.32 | $506.00 | $14.79 – $309.41 | 15 |
| Treat foot dislocation CPT 28545 | $172.48 | $784.00 | $22.71 – $4,185.10 | 15 |
| Treat foot dislocation CPT 28546 | $222.20 | $1,010.00 | $29.27 – $2,064.31 | 15 |
| Treat foot dislocation CPT 28570 | $126.28 | $574.00 | $1.50 – $321.01 | 15 |
| Treat foot dislocation CPT 28576 | $246.40 | $1,120.00 | $32.19 – $9,214.43 | 15 |
| Treat foot dislocation CPT 28600 | $118.14 | $537.00 | $5.00 – $309.41 | 15 |
| Treat foot dislocation CPT 28605 | $194.48 | $884.00 | $5.00 – $494.97 | 15 |
| Treat foot dislocation CPT 28606 | $249.92 | $1,136.00 | $16.53 – $4,185.10 | 15 |
| Treat fracture of radius CPT 25505 | $3,745.56 | $4,802.00 | $10.66 – $2,064.31 | 15 |
| Treat fracture of radius CPT 25520 | $345.18 | $1,569.00 | $45.33 – $2,064.31 | 15 |
| Treat fracture of ulna CPT 25535 | $701.22 | $1,317.00 | $3.00 – $744.00 | 15 |
| Treat/graft heel fracture CPT 28420 | $802.78 | $3,649.00 | $5.72 – $16,596.43 | 15 |
| Treat hand bone lesion CPT 26034 | $346.50 | $1,575.00 | $15.00 – $2,064.31 | 15 |
| Treat hand dislocation CPT 26675 | $268.84 | $1,222.00 | $19.83 – $2,064.31 | 15 |
| Treat hand dislocation CPT 26685 | $363.00 | $1,650.00 | $47.66 – $4,185.10 | 15 |
| Treat hand dislocation CPT 26686 | $390.06 | $1,773.00 | $18.22 – $4,185.10 | 15 |
| Treat heel fracture CPT 28415 | $694.76 | $3,158.00 | $5.72 – $9,214.43 | 15 |
| Treat hip dislocation CPT 27252 | $465.08 | $2,114.00 | $44.07 – $2,064.31 | 15 |
| Treat hip dislocation CPT 27257 | $224.62 | $1,021.00 | $29.40 – $2,064.31 | 15 |
| Treat hip dislocation CPT 27258 | $690.14 | $3,137.00 | $90.42 – $1,772.86 | 7 |
| Treat hip dislocation CPT 27253 | $584.10 | $2,655.00 | $76.50 – $1,499.40 | 7 |
| Treat hip dislocation CPT 27254 | $788.26 | $3,583.00 | $103.20 – $2,025.08 | 7 |
| Treat hip dislocation CPT 27259 | $956.34 | $4,347.00 | $107.02 – $2,454.50 | 7 |
| Treat hip fracture(s) CPT 27227 | $1,022.12 | $4,646.00 | $133.59 – $2,624.39 | 8 |
| Treat hip fracture(s) CPT 27228 | $1,160.72 | $5,276.00 | $151.71 – $2,982.50 | 8 |
| Treat hip socket fracture CPT 27222 | $610.28 | $2,774.00 | $79.86 – $1,564.62 | 7 |
| Treat hip wall fracture CPT 27226 | $653.84 | $2,972.00 | $86.04 – $1,687.48 | 8 |
| Treat humerus fracture CPT 24515 | $548.90 | $2,495.00 | $4.80 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24516 | $534.82 | $2,431.00 | $70.14 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24535 | $3,745.56 | $4,802.00 | $17.74 – $2,064.31 | 15 |
| Treat humerus fracture CPT 24545 | $579.04 | $2,632.00 | $6.00 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24546 | $646.14 | $2,937.00 | $84.55 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24565 | $313.94 | $1,427.00 | $23.21 – $2,064.31 | 15 |
| Treat humerus fracture CPT 24575 | $459.36 | $2,088.00 | $23.21 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24579 | $522.06 | $2,373.00 | $20.00 – $16,596.43 | 15 |
| Treat humerus fracture CPT 24582 | $511.28 | $2,324.00 | $67.12 – $9,214.43 | 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.