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 |
|---|---|---|---|---|
| Blood typing antigen system CPT 86911 | not published | not published | $17.18 – $24.99 | 4 |
| Blood typing paternity test CPT 86910 | not published | not published | $7.06 – $25.85 | 4 |
| Blood typing patient serum CPT 86904 | $11.00 | $50.00 | $6.04 – $21.01 | 15 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $2.64 | $12.00 | $2.43 – $5.25 | 15 |
| Blood typing rh (d) CPT 86901 | $206.70 | $265.00 | $1.06 – $6.67 | 15 |
| Blood typing rh phenotype complete reference CPT 86906 | $5.28 | $24.00 | $4.93 – $16.80 | 15 |
| Blood volume CPT 78122 | $12.76 | $58.00 | $16.64 – $694.29 | 15 |
| Bls-emergency HCPCS A0429 | not published | not published | $230.66 – $457.95 | 9 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,069.76 – $2,261.87 | 11 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $342.42 | $439.00 | $7.11 – $137.16 | 15 |
| Bone biopsy open superficial CPT 20240 | $86.46 | $393.00 | $6.01 – $3,691.65 | 15 |
| Bone Density Scan (DEXA) CPT 77080 | $342.42 | $439.00 | $7.75 – $137.16 | 15 |
| Bone imaging multiple areas CPT 78305 | $822.90 | $1,055.00 | $31.56 – $518.31 | 15 |
| Bone/joint imaging ltd area CPT 78300 | $822.90 | $1,055.00 | $23.80 – $518.31 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | $41.36 | $188.00 | $54.55 – $2,089.89 | 15 |
| Bone marrow aspir bone grfg CPT 20939 | $43.12 | $196.00 | $55.44 – $110.46 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,791.58 | $4,861.00 | $57.08 – $2,089.89 | 15 |
| Bone marrow harvest allogen CPT 38230 | $124.52 | $566.00 | $162.75 – $2,114.45 | 15 |
| Bone marrow harvest autolog CPT 38232 | $114.84 | $522.00 | $152.56 – $6,043.22 | 15 |
| Bone marrow imaging body CPT 78104 | $22.44 | $102.00 | $29.97 – $518.31 | 15 |
| Bone marrow imaging ltd CPT 78102 | $822.90 | $1,055.00 | $20.27 – $518.31 | 15 |
| Bone marrow imaging mult CPT 78103 | $18.48 | $84.00 | $24.65 – $518.31 | 15 |
| Bone marrow interpretation CPT 85097 | $28.82 | $131.00 | $19.20 – $1,053.69 | 15 |
| Bone mineral dual photon CPT 78351 | $9.68 | $44.00 | $3.83 – $16.14 | 4 |
| Bone mineral single photon CPT 78350 | $14.30 | $65.00 | $8.85 – $56.00 | 5 |
| Bone/skin graft great toe CPT 20973 | $1,849.76 | $8,408.00 | $210.00 – $9,214.43 | 14 |
| Bone/skin graft iliac crest CPT 20970 | $1,757.36 | $7,988.00 | $70.88 – $4,516.03 | 7 |
| Bone/skin graft metatarsal CPT 20972 | $1,752.08 | $7,964.00 | $210.00 – $9,214.43 | 15 |
| Bone/skin graft microvasc CPT 20969 | $1,668.48 | $7,584.00 | $210.00 – $4,309.52 | 7 |
| Bone survey-lead poisoning CPT 77074 | $342.42 | $439.00 | $17.16 – $137.16 | 15 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $28.20 – $123.26 | 3 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $8.39 – $60.50 | 3 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $0.74 – $6.86 | 11 |
| Boot j walker l HCPCS L4386 | not published | not published | $96.11 – $203.21 | 11 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $101.72 – $215.07 | 11 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $96.11 – $203.21 | 11 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $178.71 – $377.86 | 11 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $178.71 – $377.86 | 11 |
| Borrelia antibody CPT 86619 | $8.80 | $40.00 | $6.21 – $14.58 | 12 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $89.70 | $115.00 | $6.21 – $37.66 | 15 |
| Borrelia miyamotoi amp prb CPT 87478 | $184.86 | $237.00 | $23.16 – $44.91 | 15 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.50 – $2.90 | 8 |
| (both sides) donor search management CPT 38204 | $64.90 | $295.00 | $81.88 – $160.15 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | $2.20 | $10.00 | $1.66 – $5.76 | 15 |
| Botulism ig IV CPT 90288 | not published | not published | $10.50 – $69,333.00 | 8 |
| Bowel imaging CPT 78290 | $19.58 | $89.00 | $25.77 – $518.31 | 15 |
| Bpg axillary-pop/-tibial CPT 35623 | $797.94 | $3,627.00 | $72.23 – $2,062.95 | 7 |
| Bpg carotid-vertebral CPT 35642 | $601.26 | $2,733.00 | $54.44 – $1,552.22 | 7 |
| Bpg ilio-celiac CPT 35632 | $1,095.16 | $4,978.00 | $99.17 – $2,834.88 | 7 |
| Bpg ilio-mesenteric CPT 35633 | $1,196.58 | $5,439.00 | $108.78 – $3,107.30 | 7 |
| Bpg iliorenal CPT 35634 | $1,071.84 | $4,872.00 | $97.05 – $2,774.19 | 7 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $680.68 | $3,094.00 | $62.29 – $1,772.23 | 7 |
| Bpg splenorenal CPT 35636 | $967.34 | $4,397.00 | $87.58 – $2,502.94 | 7 |
| Bpg subclavian-axillary CPT 35616 | $669.02 | $3,041.00 | $60.54 – $1,729.58 | 7 |
| Bpg subclavian-vertebral CPT 35645 | $575.30 | $2,615.00 | $52.15 – $1,488.10 | 7 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $109.45 – $231.42 | 11 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $258.88 – $547.38 | 11 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $137.39 – $290.50 | 11 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $343.41 – $726.09 | 11 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $509.14 – $1,076.51 | 11 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $69.84 – $147.68 | 11 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $58.13 – $122.91 | 11 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $39.97 – $84.52 | 11 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $54.14 – $114.47 | 11 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $198.22 – $305.70 | 11 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $572.80 – $859.28 | 11 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $479.51 – $739.66 | 11 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $249.21 – $526.92 | 11 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $901.13 – $1,905.33 | 11 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,095.03 – $2,315.29 | 11 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $495.05 – $763.46 | 11 |
| Brace cust back lso HCPCS L0631 | not published | not published | $622.35 – $1,315.89 | 11 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $555.36 – $1,174.24 | 11 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $136.00 – $384.78 | 11 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $54.56 – $115.37 | 11 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,116.63 – $2,360.98 | 11 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $448.88 – $745.10 | 11 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $360.00 – $868.46 | 11 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $80.00 – $187.35 | 11 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $356.48 – $577.54 | 11 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $564.48 – $1,193.53 | 11 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $57.20 – $120.94 | 11 |
| Brace m arm board HCPCS L3809 | not published | not published | $137.96 – $291.71 | 11 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | not published | not published | $31.80 – $74.78 | 12 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $651.27 – $1,377.03 | 11 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $602.95 – $1,274.86 | 11 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $137.96 – $291.71 | 11 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $90.08 – $135.13 | 11 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $38.23 – $80.83 | 11 |
| Brachioplasty 15836 CPT 15836 | $493.46 | $2,243.00 | $64.77 – $3,691.65 | 12 |
| Brach/thor cath 1st CPT 36215 | $4,630.86 | $5,937.00 | $169.08 – $332.67 | 11 |
| Brach/thor cath 2nd CPT 36216 | $8,551.14 | $10,963.00 | $120.23 – $426.60 | 11 |
| Brach/thor cath 3rd CPT 36217 | $12,185.16 | $15,622.00 | $262.72 – $522.75 | 11 |
| Brach/thor cath addl CPT 36218 | $5,523.96 | $7,082.00 | $41.52 – $82.40 | 11 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $31.94 – $68.25 | 10 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $22.36 – $47.78 | 10 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $21.19 – $45.29 | 11 |
| Brachy source palladium HCPCS C2640 | not published | not published | $42.07 – $89.89 | 10 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $48.15 – $102.89 | 10 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $6,756.68 – $22,553.37 | 11 |
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.