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 |
|---|---|---|---|---|
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $307.87 – $650.95 | 11 |
| Tx atrial fib pulm vein isol CPT 93656 | $570.46 | $2,593.00 | $744.28 – $31,643.29 | 15 |
| Tx closed distal humerus fx CPT 24999 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Tx closed hip disl traumatic without anes CPT 27250 | $561.60 | $720.00 | $44.07 – $313.11 | 15 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $7,592.52 | $9,734.00 | $15.21 – $4,185.10 | 15 |
| Tx closed tib shaft fx without manip CPT 27750 | $561.60 | $936.00 | $6.09 – $527.42 | 15 |
| Tx contour defects >10.0 cc CPT 11954 | $69.08 | $314.00 | $90.00 – $789.56 | 12 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $44.66 | $203.00 | $58.63 – $789.56 | 12 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $586.30 | $2,665.00 | $130.03 – $1,522.00 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $556.38 | $2,529.00 | $99.44 – $1,443.89 | 7 |
| Tx l/r atrial fib addl CPT 93657 | $185.02 | $841.00 | $240.85 – $477.88 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $464.42 | $2,111.00 | $11.60 – $4,185.10 | 15 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $316.80 | $1,440.00 | $23.72 – $4,185.10 | 15 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $345.40 | $1,570.00 | $18.22 – $4,185.10 | 15 |
| Tx open nsl fx uncomp CPT 21325 | $271.04 | $1,232.00 | $2.00 – $4,183.11 | 15 |
| Tx open nsl sptl fx CPT 21336 | $389.18 | $1,769.00 | $52.00 – $4,185.10 | 15 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $373.78 | $1,699.00 | $14.38 – $4,185.10 | 15 |
| Tx septic abortion surgical 59830 CPT 59830 | $286.22 | $1,301.00 | $63.92 – $744.25 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $561.60 | $720.00 | $16.08 – $310.39 | 15 |
| Tympanic membrane repair CPT 69610 | $177.32 | $806.00 | $23.52 – $1,910.65 | 15 |
| Tympanolysis transcanal 69450 CPT 69450 | $331.98 | $1,509.00 | $31.39 – $4,183.11 | 15 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $17.90 – $201.81 | 15 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $81.84 | $372.00 | $10.88 – $656.86 | 15 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $853.16 | $3,878.00 | $79.93 – $7,630.39 | 15 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $778.58 | $3,539.00 | $72.81 – $7,630.39 | 15 |
| Tyms gene com variants CPT 81346 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $28.00 – $154.88 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $127.55 – $210.64 | 12 |
| Ua w/micro/comp poc CPT 81000 | $2.64 | $12.00 | $2.01 – $6.91 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $52.25 – $101.74 | 15 |
| Ue triple control harness HCPCS L6677 | not published | not published | $148.00 – $380.99 | 11 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $154.44 – $255.06 | 12 |
| Ultrasound bone density measure CPT 76977 | $1.76 | $8.00 | $2.16 – $137.16 | 15 |
| Ultrasound breast complete CPT 76641 | $467.22 | $599.00 | $28.46 – $137.16 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $386.10 | $495.00 | $26.51 – $113.57 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $14.52 | $66.00 | $17.12 – $137.16 | 15 |
| Ultrasound dx ophth b-scan CPT 76512 | $467.22 | $599.00 | $14.44 – $137.16 | 15 |
| Ultrasound elastography ea l target les CPT 76983 | $14.30 | $65.00 | $20.41 – $39.66 | 4 |
| Ultrasound elastography parenchyma CPT 76981 | $17.60 | $80.00 | $23.22 – $137.16 | 12 |
| Ultrasound encephalogram CPT 76506 | $467.22 | $599.00 | $25.24 – $137.16 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $467.22 | $599.00 | $29.02 – $137.16 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $467.22 | $599.00 | $29.99 – $137.16 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $949.26 | $1,217.00 | $22.76 – $409.50 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $188.76 | $242.00 | $11.26 – $22.06 | 8 |
| Ultrasound guide intraoperative CPT 76998 | $434.46 | $557.00 | $37.39 – $75.14 | 7 |
| Ultrasound guide tissue ablation CPT 76940 | $62.04 | $282.00 | $57.16 – $117.23 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $386.10 | $495.00 | $28.75 – $129.04 | 15 |
| Ultrasound infant hips ltd without stress CPT 76886 | $18.26 | $83.00 | $24.07 – $113.57 | 12 |
| Ultrasound joint complete left CPT 76881 | $467.22 | $599.00 | $8.80 – $137.16 | 15 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $35.64 | $162.00 | $11.48 – $137.16 | 15 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $350.22 | $449.00 | $33.08 – $65.19 | 8 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $350.22 | $449.00 | $16.92 – $35.17 | 8 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,060.80 | $1,360.00 | $70.97 – $311.79 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $467.22 | $599.00 | $33.33 – $137.16 | 15 |
| Ultrasound prostate/transrectal CPT 76872 | $19.80 | $90.00 | $26.65 – $137.16 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $467.22 | $599.00 | $49.87 – $137.16 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $795.60 | $1,020.00 | $66.43 – $134.86 | 8 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $47.30 | $215.00 | $63.07 – $229.62 | 12 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $24.86 | $113.00 | $32.93 – $78.05 | 4 |
| Ultraviolet therapy CPT 97028 | not published | not published | $5.58 – $13.04 | 12 |
| Umbilical artery cath newborn 36660 CPT 36660 | $41.58 | $189.00 | $51.98 – $107.89 | 7 |
| Umbilical cord occlud w/us CPT 59072 | $320.76 | $1,458.00 | $183.62 – $830.12 | 15 |
| Umbilicoplasty 15847 CPT 15847 | $291.72 | $1,326.00 | $43.68 – $778.19 | 7 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $7,293.95 – $15,422.16 | 11 |
| Unlistd noninvas vasc dx std CPT 93998 | $22.00 | $100.00 | $14.78 – $31.59 | 10 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $14.78 – $31.59 | 10 |
| Unlisted chemotherapy px CPT 96549 | $19.58 | $89.00 | $0.51 – $59.51 | 11 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted CT procedure CPT 76497 | not published | not published | $22.18 – $113.57 | 12 |
| Unlisted cv px dx nuc med CPT 78499 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $32.25 – $68.92 | 10 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $32.25 – $68.92 | 10 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $185.81 – $185.81 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $94.44 – $201.81 | 10 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlisted fetal invas px w/us CPT 59897 | not published | $0.01 | $121.43 – $259.48 | 10 |
| Unlisted fluoroscopic px CPT 76496 | $24.20 | $110.00 | $23.82 – $113.57 | 12 |
| Unlisted gi px dx nuc med CPT 78299 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlisted gu px dx nuc med CPT 78799 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlisted hematology&coagj px CPT 85999 | $76.44 | $98.00 | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | not published | $0.01 | $121.43 – $259.48 | 10 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $262.68 | $1,194.00 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px appendix CPT 44979 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px bladder CPT 51999 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px endoc sys CPT 60659 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px esoph CPT 43289 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px renal CPT 50549 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px spleen CPT 38129 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px testis CPT 54699 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted laps px ureter CPT 50949 | not published | $0.01 | $141.22 – $7,525.52 | 11 |
| Unlisted laps px uterus CPT 58578 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted misc path test CPT 89240 | not published | $0.01 | $32.25 – $68.92 | 10 |
| Unlisted mr procedure CPT 76498 | $34.54 | $157.00 | $19.39 – $234.88 | 12 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | $0.01 | $242.56 – $518.31 | 10 |
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.