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 |
|---|---|---|---|---|
| Warde vitamin b6 (pyridoxine) CPT 84207 | $148.20 | $190.00 | $17.86 – $62.11 | 15 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $52.26 | $67.00 | $6.28 – $11.20 | 15 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $202.80 | $260.00 | $24.47 – $86.05 | 15 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $74.88 | $96.00 | $9.02 – $16.00 | 15 |
| Warde zinc CPT 84630 | $60.06 | $77.00 | $6.27 – $21.20 | 15 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $79.67 – $131.58 | 11 |
| Wash harvest stem cells CPT 38209 | $7.70 | $35.00 | $9.62 – $563.90 | 12 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $0.22 – $0.44 | 11 |
| Wbc automated CPT 85048 | $13.26 | $17.00 | $1.62 – $5.63 | 15 |
| Wcd device interrogate CPT 93292 | $12.54 | $57.00 | $10.14 – $48.10 | 15 |
| Wedge biopsy of liver 47100 CPT 47100 | $525.14 | $2,387.00 | $50.93 – $1,353.67 | 7 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | $440.88 | $2,004.00 | $70.05 – $9,538.29 | 15 |
| Wedge resect of lung add-on 32506 CPT 32506 | $94.38 | $429.00 | $21.59 – $245.02 | 7 |
| Wedge resect of lung diag 32507 CPT 32507 | $94.38 | $429.00 | $21.59 – $244.51 | 7 |
| Wedge resect of lung initial 32505 CPT 32505 | $569.58 | $2,589.00 | $74.06 – $1,467.78 | 7 |
| Wedging of cast CPT 29740 | $42.46 | $193.00 | $17.59 – $342.56 | 15 |
| Wedging of clubfoot cast CPT 29750 | $47.52 | $216.00 | $36.75 – $342.56 | 15 |
| Western blot test CPT 84181 | $89.70 | $115.00 | $7.58 – $23.24 | 15 |
| Wet mounts/ w preparations HCPCS Q0111 | $11.88 | $54.00 | $5.96 – $19.83 | 14 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $1,664.29 – $3,518.95 | 11 |
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $103.63 – $219.11 | 11 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $250.63 – $529.93 | 11 |
| Whole blood for transfusion HCPCS P9010 | not published | not published | $34.37 – $290.37 | 14 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $45.00 – $312.71 | 13 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | not published | not published | $45.00 – $222.11 | 14 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $822.90 | $1,055.00 | $32.68 – $518.31 | 15 |
| Whole body photography CPT 96904 | not published | not published | $55.25 – $104.83 | 4 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $849.42 – $1,402.83 | 12 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $617.76 – $1,020.24 | 12 |
| Whole Skeleton X-ray Survey CPT 77075 | $427.44 | $548.00 | $21.28 – $137.16 | 15 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $293.28 – $620.10 | 11 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $293.28 – $620.10 | 11 |
| Wilate injection HCPCS J7183 | not published | not published | $0.92 – $1.80 | 15 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.17 – $0.37 | 11 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $55.22 | $251.00 | $67.52 – $141.74 | 10 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $31.20 – $81.68 | 11 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $464.88 | $596.00 | $28.94 – $256.30 | 15 |
| Wound closure by adhesive HCPCS G0168 | $27.06 | $123.00 | $11.89 – $259.00 | 7 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $300.00 – $483.97 | 8 |
| Wound pouch each HCPCS A6154 | not published | not published | $10.36 – $21.90 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $935.22 | $1,199.00 | $17.14 – $515.34 | 12 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $935.22 | $1,199.00 | $19.98 – $515.34 | 12 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $464.88 | $596.00 | $20.07 – $256.30 | 12 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $935.22 | $1,199.00 | $22.02 – $515.34 | 12 |
| Wrist arthroscopy CPT 29840 | $286.00 | $1,300.00 | $14.94 – $4,185.10 | 15 |
| Wrist arthroscopy/surgery CPT 29843 | $305.58 | $1,389.00 | $19.00 – $4,185.10 | 15 |
| Wrist arthroscopy/surgery CPT 29844 | $314.38 | $1,429.00 | $19.00 – $4,185.10 | 15 |
| Wrist arthroscopy/surgery CPT 29845 | $366.96 | $1,668.00 | $38.21 – $4,185.10 | 15 |
| Wrist arthroscopy/surgery CPT 29846 | $327.80 | $1,490.00 | $43.00 – $4,185.10 | 15 |
| Wrist arthroscopy/surgery CPT 29847 | $340.78 | $1,549.00 | $44.72 – $9,214.43 | 15 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $999.30 – $2,112.90 | 11 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $851.59 – $1,800.58 | 11 |
| Wrist endoscopy/surgery CPT 29848 | $321.86 | $1,463.00 | $42.27 – $2,064.31 | 15 |
| Wrist X-ray CPT 73110 | $354.12 | $454.00 | $6.90 – $113.57 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,175.38 – $2,485.20 | 11 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $72.13 – $5,188.94 | 15 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $450.56 | $2,048.00 | $60.36 – $2,941.83 | 15 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $413.82 | $1,881.00 | $55.36 – $6,655.32 | 15 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $58.75 – $5,188.94 | 15 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.26 – $17.47 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | $517.44 | $2,352.00 | $69.29 – $6,655.32 | 15 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $228.98 – $361.43 | 4 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $385.22 | $1,751.00 | $50.85 – $2,359.45 | 15 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $350.02 | $1,591.00 | $46.21 – $2,359.45 | 15 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $603.24 – $996.26 | 12 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $603.24 – $996.26 | 12 |
| Xm archive tissue molec anal CPT 88363 | $11.66 | $53.00 | $13.56 – $31.59 | 15 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $225.50 | $1,025.00 | $52.21 – $581.80 | 7 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $124.30 | $565.00 | $67.42 – $322.29 | 7 |
| X-ray abdomen >=3 views CPT 74021 | $342.42 | $439.00 | $10.53 – $137.16 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,148.94 | $1,473.00 | $11.55 – $460.65 | 15 |
| X-ray assay calculus CPT 82370 | $8.36 | $38.00 | $7.97 – $22.40 | 15 |
| X-ray bone length studies CPT 77073 | $342.42 | $439.00 | $10.48 – $137.16 | 15 |
| X-ray bone survey infant CPT 77076 | $342.42 | $439.00 | $27.14 – $137.16 | 15 |
| X-ray consultation CPT 76140 | $19.14 | $87.00 | $4.20 – $39.05 | 6 |
| Xray endovasc thor ao repr CPT 75956 | $202.84 | $922.00 | $0.02 – $525.61 | 7 |
| Xray endovasc thor ao repr CPT 75957 | $173.80 | $790.00 | $0.02 – $451.39 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $427.44 | $548.00 | $14.14 – $137.16 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $427.44 | $548.00 | $16.31 – $137.16 | 15 |
| X-ray exam of arm infant CPT 73092 | $342.42 | $439.00 | $6.35 – $137.16 | 15 |
| X-ray exam of femur 1 CPT 73551 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| X-ray exam of jaw joint CPT 70328 | $283.14 | $363.00 | $7.18 – $113.57 | 15 |
| X-ray exam of jaw joint CPT 70332 | $15.84 | $72.00 | $19.95 – $311.79 | 15 |
| X-ray exam of mastoids CPT 70120 | $5.28 | $24.00 | $7.18 – $137.16 | 15 |
| X-ray exam of middle ear CPT 70134 | $10.56 | $48.00 | $14.12 – $707.23 | 15 |
| X-ray exam of penis CPT 74445 | $33.00 | $150.00 | $15.75 – $137.16 | 15 |
| X-ray exam of perineum CPT 74775 | $18.26 | $83.00 | $24.07 – $311.79 | 15 |
| X-ray exam of salivary gland CPT 70380 | $5.06 | $23.00 | $6.63 – $113.57 | 15 |
| X-ray exam of tear duct CPT 70170 | $8.80 | $40.00 | $11.86 – $311.79 | 15 |
| X-ray exam of teeth CPT 70300 | $3.08 | $14.00 | $1.05 – $113.57 | 15 |
| X-ray exam of teeth CPT 70310 | $5.06 | $23.00 | $1.05 – $311.79 | 15 |
| X-ray exam si joints CPT 72200 | $342.42 | $439.00 | $6.63 – $137.16 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $427.44 | $548.00 | $9.70 – $137.16 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $283.14 | $363.00 | $6.91 – $113.57 | 15 |
| X-ray fallopian tube CPT 74742 | $17.82 | $81.00 | $23.79 – $55.65 | 4 |
| X-ray head for orthodontia CPT 70350 | $5.28 | $24.00 | $6.65 – $113.57 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $342.42 | $439.00 | $10.80 – $137.16 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $427.44 | $548.00 | $12.41 – $137.16 | 15 |
| X-ray joint survey 1 view CPT 77077 | $10.12 | $46.00 | $13.51 – $137.16 | 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.