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 |
|---|---|---|---|---|
| Unlisted muscskel px head CPT 21499 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $94.44 – $201.81 | 10 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $14.78 – $31.59 | 10 |
| Unlisted orl service/px CPT 92700 | not published | $0.01 | $14.78 – $31.59 | 10 |
| Unlisted procedure colon CPT 45399 | not published | $0.01 | $550.34 – $1,175.98 | 10 |
| Unlisted procedure esophagus CPT 43499 | not published | $0.01 | $565.94 – $1,209.32 | 10 |
| Unlisted procedure eyelids CPT 67999 | $389.40 | $1,770.00 | $180.44 – $385.58 | 10 |
| Unlisted procedure larynx CPT 31599 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted procedure liver CPT 47399 | $1,646.58 | $2,111.00 | $424.71 – $907.53 | 10 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $180.44 – $385.58 | 10 |
| Unlisted procedure pancreas CPT 48999 | not published | $0.01 | $424.71 – $907.53 | 10 |
| Unlisted procedure rectum CPT 45999 | not published | $0.01 | $550.34 – $1,175.98 | 10 |
| Unlisted procedure spine CPT 22899 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted procedure urinary 58750 CPT 58750 | $561.88 | $2,554.00 | $89.11 – $1,457.80 | 4 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | $0.01 | $17.98 – $96.50 | 12 |
| Unlisted px abdomen muscskel CPT 22999 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px accessory sinus CPT 31299 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px ant segment eye CPT 66999 | $311.74 | $1,417.00 | $1,376.72 – $2,941.83 | 10 |
| Unlisted px arthroscopy CPT 29999 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px biliary tract CPT 47999 | not published | $0.01 | $565.94 – $1,209.32 | 10 |
| Unlisted px casting/strpg CPT 29799 | not published | $0.01 | $95.25 – $203.53 | 10 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $180.44 – $385.58 | 10 |
| Unlisted px diaphragm CPT 39599 | not published | $0.01 | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | not published | $0.01 | $424.71 – $907.53 | 10 |
| Unlisted px external ear CPT 69399 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $180.44 – $385.58 | 10 |
| Unlisted px foot/toes CPT 28899 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px forearm/wrist CPT 25999 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px hands/fingers CPT 26989 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px inner ear CPT 69949 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $180.44 – $385.58 | 10 |
| Unlisted px leg/ankle CPT 27899 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px male genital sys CPT 55899 | not published | $0.01 | $146.81 – $313.71 | 10 |
| Unlisted px mediastinum CPT 39499 | not published | $0.01 | not published | 0 |
| Unlisted px med radj physics CPT 77399 | not published | $0.01 | $80.14 – $171.26 | 10 |
| Unlisted px middle ear CPT 69799 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px neck/thorax CPT 21899 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px palate uvula CPT 42299 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | $0.01 | $144.80 – $309.41 | 10 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,376.72 – $2,941.83 | 10 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px small intestine CPT 44799 | not published | $0.01 | $565.94 – $1,209.32 | 10 |
| Unlisted px temporal bone CPT 69979 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px ther rad tx plng CPT 77299 | not published | $0.01 | $80.14 – $171.26 | 10 |
| Unlisted px tongue flr mouth CPT 41599 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted px vestibule mouth CPT 40899 | not published | $0.01 | $140.18 – $299.53 | 10 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $32.25 – $68.92 | 10 |
| Unlisted resp px dx nuc med CPT 78599 | $822.90 | $1,055.00 | $242.56 – $518.31 | 10 |
| Unlisted spec derm svc/px CPT 96999 | not published | $0.01 | $119.94 – $256.30 | 10 |
| Unlisted special svc px/rprt CPT 99199 | not published | $0.01 | not published | 0 |
| Unlisted surgical path px CPT 88399 | not published | not published | $32.25 – $68.92 | 10 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $14.78 – $31.59 | 10 |
| Unlisted ultrasound procedure CPT 76999 | not published | $0.01 | $53.15 – $113.57 | 10 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $18.00 – $18.00 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | $0.01 | $373.20 – $797.47 | 10 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | $0.01 | $242.56 – $518.31 | 10 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | $0.01 | $3,521.81 – $7,525.52 | 10 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $67.93 – $902.54 | 10 |
| Upgrade pm system CPT 33214 | $290.62 | $1,321.00 | $26.59 – $13,498.84 | 15 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $283.14 | $363.00 | $6.35 – $113.57 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,510.08 | $1,936.00 | $47.52 – $229.62 | 15 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $902.46 | $1,157.00 | $38.73 – $138.62 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,134.04 | $4,018.00 | $73.50 – $460.65 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,507.70 | $3,215.00 | $69.14 – $460.65 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,697.28 | $2,176.00 | $57.50 – $311.79 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $342.42 | $439.00 | $8.01 – $137.16 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $427.44 | $548.00 | $8.86 – $137.16 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $75.02 | $341.00 | $98.89 – $1,209.32 | 15 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $84.26 | $383.00 | $111.70 – $1,209.32 | 15 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $212.16 – $448.59 | 11 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | $112.42 | $511.00 | $145.97 – $291.14 | 4 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $572.52 | $734.00 | $27.83 – $229.62 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $572.52 | $734.00 | $27.30 – $229.62 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | $84.26 | $383.00 | $111.70 – $1,209.32 | 15 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $395.12 | $1,796.00 | $41.62 – $7,525.52 | 15 |
| Urea nitrogen CPT 84520 | $21.06 | $27.00 | $2.51 – $8.70 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $29.64 | $38.00 | $2.61 – $6.06 | 12 |
| Urea nitrogen clearance CPT 84545 | $4.84 | $22.00 | $2.61 – $8.00 | 15 |
| Urea nitrogen semi-quant CPT 84525 | $3.52 | $16.00 | $2.39 – $5.59 | 12 |
| Ureteral embolization/occl CPT 50705 | $109.12 | $496.00 | $141.63 – $279.20 | 11 |
| Ureteral reflux study CPT 78740 | $16.50 | $75.00 | $21.64 – $518.31 | 15 |
| Ureter endoscopy CPT 50970 | $226.60 | $1,030.00 | $297.90 – $4,448.70 | 15 |
| Ureter endoscopy & biopsy CPT 50955 | $215.60 | $980.00 | $283.41 – $6,557.17 | 15 |
| Ureter endoscopy & biopsy CPT 50974 | $288.86 | $1,313.00 | $341.25 – $6,557.17 | 15 |
| Ureter endoscopy & catheter CPT 50972 | $218.90 | $995.00 | $287.58 – $4,448.70 | 15 |
| Ureter endoscopy & treatment CPT 50957 | $216.70 | $985.00 | $284.81 – $6,557.17 | 15 |
| Ureter endoscopy & treatment CPT 50961 | $192.94 | $877.00 | $255.23 – $6,557.17 | 15 |
| Ureter endoscopy & treatment CPT 50976 | $285.12 | $1,296.00 | $341.25 – $6,557.17 | 15 |
| Ureter endoscopy & treatment CPT 50980 | $217.36 | $988.00 | $286.18 – $6,557.17 | 15 |
| Ureteroneocystostomy 50780 CPT 50780 | $686.62 | $3,121.00 | $72.13 – $1,768.16 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | $695.64 | $3,162.00 | $73.18 – $1,796.10 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $9.46 | $43.00 | $12.77 – $311.79 | 15 |
| Urethrlys transvag with scope CPT 53500 | $462.22 | $2,101.00 | $73.10 – $4,448.70 | 15 |
| Urethrocystography void s&i CPT 74455 | $777.66 | $997.00 | $12.77 – $311.79 | 15 |
| Uric acid blood CPT 84550 | $24.18 | $31.00 | $2.85 – $9.98 | 15 |
| Uric acid urine CPT 84560 | $27.30 | $35.00 | $3.02 – $7.20 | 15 |
| Urinalysis glass test CPT 81020 | $3.08 | $14.00 | $2.13 – $6.88 | 15 |
| Urinalysis microscopic only CPT 81015 | $2.20 | $10.00 | $1.83 – $4.34 | 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.