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 |
|---|---|---|---|---|
| Biopsy of tear gland CPT 68510 | $174.46 | $793.00 | $84.00 – $3,009.20 | 15 |
| Biopsy of tear sac CPT 68525 | $156.64 | $712.00 | $207.99 – $3,009.20 | 15 |
| Biopsy of testis CPT 54500 | $45.98 | $209.00 | $36.75 – $3,691.65 | 15 |
| Biopsy of testis CPT 54505 | $130.02 | $591.00 | $17.11 – $4,448.70 | 15 |
| Biopsy of toe joint lining CPT 28054 | $146.52 | $666.00 | $19.39 – $4,185.10 | 15 |
| Biopsy of upper nose/throat CPT 42804 | $75.46 | $343.00 | $10.11 – $4,183.11 | 15 |
| Biopsy of urethra CPT 53200 | $87.56 | $398.00 | $67.20 – $2,642.30 | 15 |
| Biopsy of wrist joint CPT 25100 | $220.88 | $1,004.00 | $10.26 – $4,185.10 | 15 |
| Biopsy oocyte polar body CPT 89291 | $440.00 | $2,000.00 | $103.44 – $221.03 | 10 |
| Biopsy oocyte polar body <=5 CPT 89290 | $330.00 | $1,500.00 | $103.44 – $221.03 | 10 |
| Biopsy/removal lymph nodes CPT 38525 | $274.12 | $1,246.00 | $39.33 – $4,939.24 | 15 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $291.06 | $1,323.00 | $41.79 – $4,939.24 | 15 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,791.58 | $4,861.00 | $101.85 – $2,089.89 | 15 |
| Biopsy roof of mouth CPT 42100 | $67.98 | $309.00 | $9.03 – $1,910.65 | 15 |
| Biopsy skin incisional single lesion CPT 11106 | $1,432.86 | $1,837.00 | $14.47 – $789.56 | 15 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,791.58 | $4,861.00 | $12.73 – $2,089.89 | 15 |
| Biopsy thigh soft tissues CPT 27324 | $257.18 | $1,169.00 | $33.71 – $3,691.65 | 15 |
| Biopsy tongue anterior two-thirds CPT 41100 | $66.44 | $302.00 | $8.79 – $656.86 | 15 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $89.76 | $408.00 | $12.02 – $4,101.16 | 15 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $55.44 | $252.00 | $7.29 – $656.86 | 15 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $267.52 | $1,216.00 | $6.00 – $9,214.43 | 15 |
| Biopsy vrt bdy open thoracic CPT 20250 | $243.10 | $1,105.00 | $6.00 – $4,185.10 | 15 |
| Biospy of bladder CPT 53899 | $569.40 | $730.00 | $146.81 – $313.71 | 10 |
| Biotinidase - quest CPT 82261 | $11.00 | $50.00 | $3.11 – $18.39 | 12 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $134.77 – $202.14 | 8 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $431.43 – $861.80 | 8 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $94.44 – $201.81 | 12 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.16 – $0.23 | 8 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $307.77 – $650.75 | 11 |
| Bk back check HCPCS L5686 | not published | not published | $40.16 – $84.93 | 11 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $493.69 – $1,043.85 | 11 |
| Bk fork strap HCPCS L5684 | not published | not published | $29.78 – $62.97 | 11 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $24.56 – $51.95 | 11 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $305.08 – $645.04 | 11 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $224.22 – $474.08 | 11 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $62.86 – $132.90 | 11 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $191.35 – $404.60 | 11 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $1,420.66 – $3,003.81 | 11 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $215.17 – $494.35 | 11 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $386.95 – $818.18 | 11 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $214.30 – $453.10 | 11 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $73.18 – $154.74 | 11 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $37.80 – $79.92 | 11 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $101.19 – $132.69 | 3 |
| Bladder Catheter Insertion (simple) CPT 51702 | $301.86 | $387.00 | $20.49 – $166.26 | 15 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $569.40 | $730.00 | $24.27 – $313.71 | 15 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $6.42 – $13.58 | 11 |
| Bld exchange truj oth thn nb CPT 36455 | $76.56 | $348.00 | $98.97 – $563.90 | 15 |
| Bld prd mix CPT 86965 | not published | not published | $25.24 – $221.03 | 12 |
| Bld push tfuj 2 yr/< CPT 36440 | $30.14 | $137.00 | $36.75 – $563.90 | 15 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $19.72 – $29.57 | 8 |
| Blepharoplasty lower 15820 CPT 15820 | $313.72 | $1,426.00 | $42.17 – $2,359.45 | 15 |
| Blepharoplasty upper 15822 CPT 15822 | $242.44 | $1,102.00 | $32.54 – $2,359.45 | 15 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $335.06 | $1,523.00 | $44.98 – $2,359.45 | 15 |
| Blepharp lwr eyelid fat pad CPT 15821 | $335.06 | $1,523.00 | $44.93 – $2,359.45 | 15 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $118.59 – $230.94 | 15 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $6,845.53 – $14,627.77 | 10 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $320.29 – $684.40 | 10 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $10,563.86 – $22,573.24 | 10 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $10,563.86 – $22,573.24 | 10 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $5,885.71 – $12,576.80 | 10 |
| Blink reflex test CPT 95933 | $18.92 | $86.00 | $9.45 – $76.62 | 15 |
| Blm gene CPT 81209 | $25.96 | $118.00 | $25.95 – $42.85 | 12 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | not published | not published | $216.40 – $216.40 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | not published | not published | $278.93 – $278.93 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | not published | not published | $449.82 – $449.82 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | not published | not published | $1,041.22 – $1,041.22 | 1 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $29.43 | $133.77 | $7.60 – $16.07 | 11 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,083.38 | $2,671.00 | $62.90 – $1,148.35 | 15 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $2,083.38 | $2,671.00 | $58.76 – $1,148.35 | 15 |
| Block paracervical nrv CPT 64435 | $26.84 | $122.00 | $33.60 – $893.26 | 15 |
| Block plantar digital nerve CPT 64455 | $20.46 | $93.00 | $24.31 – $380.75 | 15 |
| Block tap inj(s) w/wo img bi CPT 64488 | $861.12 | $1,104.00 | $52.76 – $109.70 | 10 |
| Block tap inj(s) w/wo img uni CPT 64486 | $431.34 | $553.00 | $44.93 – $88.03 | 10 |
| Blood clot lysis time CPT 85175 | $13.64 | $62.00 | $2.78 – $22.20 | 15 |
| Blood clot retraction CPT 85170 | $10.56 | $48.00 | $2.00 – $17.77 | 15 |
| Blood Clotting (PT/INR) Test CPT 85610 | $22.62 | $29.00 | $2.50 – $6.40 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $31.98 | $41.00 | $3.82 – $12.00 | 15 |
| Blood component/product noc HCPCS P9099 | not published | not published | $29.54 – $63.11 | 10 |
| Blood Count (CBC) Test CPT 85025 | $41.34 | $53.00 | $4.91 – $9.60 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $34.32 | $44.00 | $4.12 – $12.03 | 15 |
| Blood count spun microhematocrit CPT 85013 | $4.84 | $22.00 | $1.50 – $7.63 | 15 |
| Blood Culture Test CPT 87040 | $54.60 | $70.00 | $6.56 – $22.40 | 15 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $2.80 – $10.50 | 5 |
| Blood Draw (Venipuncture) CPT 36415 | $48.36 | $62.00 | $3.10 – $9.91 | 12 |
| Blood gases o2 saturation direct measurement CPT 82805 | $414.96 | $532.00 | $18.04 – $85.86 | 15 |
| Blood gases ph venous CPT 82800 | $57.72 | $74.00 | $5.39 – $18.72 | 15 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $45.00 – $108.57 | 14 |
| Blood mucoprotein HCPCS P2038 | $3.08 | $14.00 | $3.27 – $5.40 | 11 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $95.16 | $122.00 | $2.80 – $17.35 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.62 | $29.00 | $2.79 – $5.81 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $3.08 | $14.00 | $1.61 – $5.55 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $28.08 | $36.00 | $2.94 – $5.81 | 15 |
| Blood smear interpretation CPT 85060 | $14.52 | $66.00 | $12.76 – $26.18 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $2.64 | $12.00 | $2.19 – $7.20 | 15 |
| Blood split unit HCPCS P9011 | not published | not published | $49.14 – $182.90 | 11 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.27 – $5.40 | 11 |
| Blood Transfusion CPT 36430 | $1,023.36 | $1,312.00 | $29.23 – $563.90 | 15 |
| Blood typing abo CPT 86900 | $678.60 | $870.00 | $1.97 – $6.59 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $1,803.36 | $2,312.00 | $2.82 – $6.92 | 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.