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 |
|---|---|---|---|---|
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $58.29 – $124.55 | 10 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $206.68 – $441.64 | 11 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $65.11 – $139.12 | 10 |
| Brachytx isodose complex CPT 77318 | $95.04 | $432.00 | $123.89 – $472.18 | 15 |
| Brachytx isodose intermed CPT 77317 | $60.06 | $273.00 | $78.28 – $472.18 | 15 |
| Brachytx isodose plan simple CPT 77316 | $45.76 | $208.00 | $59.45 – $472.18 | 15 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $225.22 – $1,120.03 | 10 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $98.30 – $210.04 | 10 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $41.88 – $96.10 | 11 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $337.54 – $728.13 | 10 |
| Braf gene CPT 81210 | $411.06 | $527.00 | $115.76 – $229.09 | 15 |
| Brain aneurysm repr complx CPT 61697 | $2,618.00 | $11,900.00 | $210.00 – $6,758.02 | 7 |
| Brain aneurysm repr complx CPT 61698 | $2,868.58 | $13,039.00 | $210.00 – $7,395.91 | 7 |
| Brain aneurysm repr simple CPT 61700 | $2,117.94 | $9,627.00 | $210.00 – $5,464.65 | 7 |
| Brain biopsy w/ct/mr guide CPT 61751 | $868.12 | $3,946.00 | $123.07 – $2,234.23 | 7 |
| Brain cavity shunt w/scope CPT 62201 | $760.54 | $3,457.00 | $107.94 – $1,956.67 | 7 |
| Brain flow imaging only CPT 78610 | $8.58 | $39.00 | $11.38 – $694.29 | 15 |
| Brain image < 4 views CPT 78600 | $12.54 | $57.00 | $16.89 – $518.31 | 15 |
| Brain image 4+ views CPT 78605 | $15.62 | $71.00 | $20.72 – $694.29 | 15 |
| Brain image w/flow < 4 views CPT 78601 | $14.52 | $66.00 | $19.41 – $518.31 | 15 |
| Brain image w/flow 4 + views CPT 78606 | $18.48 | $84.00 | $24.37 – $694.29 | 15 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,134.04 | $4,018.00 | $57.50 – $724.18 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,507.70 | $3,215.00 | $46.47 – $460.65 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,697.28 | $2,176.00 | $46.47 – $409.14 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $3,134.04 | $4,018.00 | $73.50 – $460.65 | 15 |
| Brain MRI (with contrast) CPT 70552 | $2,507.70 | $3,215.00 | $69.14 – $460.65 | 15 |
| Brain MRI (without contrast) CPT 70551 | $1,697.28 | $2,176.00 | $57.50 – $411.57 | 15 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $22.59 – $47.76 | 11 |
| Brca1&2 gene full seq alys CPT 81163 | $661.76 | $3,008.00 | $308.88 – $599.04 | 15 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $385.44 | $1,752.00 | $385.59 – $747.81 | 15 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $74.59 – $409.02 | 15 |
| Brca1 gene full dup/del alys CPT 81166 | $198.88 | $904.00 | $198.89 – $385.73 | 15 |
| Brca1 gene full seq alys CPT 81165 | $223.52 | $1,016.00 | $186.70 – $362.08 | 15 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $122.18 – $236.96 | 15 |
| Brca2 dna gene analy known fam var CPT 81217 | $247.72 | $1,126.00 | $74.59 – $409.02 | 15 |
| Brca2 gene full dup/del alys CPT 81167 | $223.52 | $1,016.00 | $186.70 – $362.08 | 15 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $141.36 – $479.60 | 15 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,204.28 | $5,474.00 | $1,204.42 – $2,595.38 | 15 |
| Breast augmentation 19325 CPT 19325 | $381.48 | $1,734.00 | $50.08 – $12,342.76 | 15 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,791.58 | $4,861.00 | $9.00 – $2,089.89 | 15 |
| Breastbone (Sternum) X-ray CPT 71120 | $283.14 | $363.00 | $7.75 – $113.57 | 15 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $76.20 – $161.11 | 11 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $200.35 – $423.63 | 11 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $200.35 – $423.63 | 11 |
| Breast punct aspir cyst, bil CPT 19000 | $1,646.58 | $2,111.00 | $34.10 – $907.53 | 15 |
| Breast reconstruction 19357 CPT 19357 | $716.98 | $3,259.00 | $73.82 – $22,441.48 | 15 |
| Breast reconstruction tram flap 19367 CPT 19367 | $1,093.18 | $4,969.00 | $143.11 – $2,803.53 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $962.50 | $4,375.00 | $126.04 – $2,468.69 | 7 |
| Breast reduction CPT 19318 | $676.72 | $3,076.00 | $88.62 – $8,411.79 | 15 |
| Breath hydrogen test 91065 CPT 91065 | $5.72 | $26.00 | $8.01 – $201.81 | 15 |
| Breathing response hypoxia CPT 94450 | $12.10 | $55.00 | $15.82 – $201.81 | 15 |
| Breath recording infant CPT 94772 | not published | not published | $15.00 – $684.40 | 15 |
| Breath test analysis c-14 CPT 78268 | $62.48 | $284.00 | $62.32 – $146.56 | 12 |
| Breath tst attain/anal c-14 CPT 78267 | $7.48 | $34.00 | $7.30 – $17.30 | 12 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $187.84 – $365.80 | 15 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $355,830.55 – $692,953.80 | 14 |
| Brief alcohol misuse counsel HCPCS G0443 | $18.70 | $85.00 | $18.46 – $119.31 | 11 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | $7.92 | $36.00 | $10.44 – $13.08 | 6 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | $15.40 | $70.00 | $20.41 – $25.82 | 6 |
| Brief comunicaj tech-bsd svc CPT 98016 | $9.46 | $43.00 | $12.39 – $32.96 | 8 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.74 – $1.04 | 4 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $86.68 | $394.00 | $114.32 – $500.87 | 15 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $40.70 | $185.00 | $53.85 – $105.34 | 10 |
| Bronch ebus samplng 1/2 node CPT 31652 | $133.98 | $609.00 | $177.05 – $4,755.66 | 15 |
| Bronch ebus samplng 3/> node CPT 31653 | $148.50 | $675.00 | $196.20 – $4,755.66 | 15 |
| Bronchial allergy tests CPT 95070 | $20.90 | $95.00 | $22.58 – $684.40 | 15 |
| Bronchial brush biopsy CPT 31717 | $64.24 | $292.00 | $85.79 – $500.87 | 15 |
| Bronchial challenge CPT 94070 | $16.72 | $76.00 | $7.98 – $401.66 | 15 |
| Bronchial valve addl insert CPT 31651 | $45.98 | $209.00 | $60.97 – $119.29 | 4 |
| Bronchial valve init insert CPT 31647 | $124.74 | $567.00 | $165.03 – $8,929.03 | 12 |
| Bronchial valve remov addl CPT 31649 | $42.02 | $191.00 | $53.76 – $2,224.33 | 12 |
| Bronchial valve remov init CPT 31648 | $119.46 | $543.00 | $159.10 – $4,755.66 | 12 |
| Bronchoscopy bronch stents CPT 31636 | $132.22 | $601.00 | $173.62 – $8,929.03 | 15 |
| Bronchoscopy clear airways 31645 CPT 31645 | $89.54 | $407.00 | $118.37 – $2,224.33 | 15 |
| Bronchoscopy dilate/fx repr CPT 31630 | $120.78 | $549.00 | $158.95 – $4,755.66 | 15 |
| Bronchoscopy dilate w/stent CPT 31631 | $137.72 | $626.00 | $181.12 – $8,929.03 | 15 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $29.48 | $134.00 | $39.33 – $77.25 | 11 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $106.48 | $484.00 | $141.50 – $4,755.66 | 15 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $38.28 | $174.00 | $50.51 – $98.91 | 11 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $113.52 | $516.00 | $150.08 – $4,755.66 | 15 |
| Bronchoscopy revise stent CPT 31638 | $149.60 | $680.00 | $197.30 – $8,929.03 | 15 |
| Bronchoscopy stent add-on CPT 31637 | $46.20 | $210.00 | $60.97 – $119.29 | 8 |
| Bronchoscopy treat blockage CPT 31641 | $153.34 | $697.00 | $203.76 – $4,755.66 | 15 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $94.60 | $430.00 | $125.63 – $2,224.33 | 15 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $106.48 | $484.00 | $140.89 – $2,224.33 | 15 |
| Bronchoscopy w/markers CPT 31626 | $120.56 | $548.00 | $158.02 – $8,929.03 | 15 |
| Bronchoscopy w/tumor excise CPT 31640 | $149.60 | $680.00 | $187.95 – $4,755.66 | 15 |
| Bronch thermoplsty 1 lobe CPT 31660 | $114.62 | $521.00 | $152.83 – $8,929.03 | 12 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $121.44 | $552.00 | $161.39 – $8,929.03 | 12 |
| Bronch w/balloon occlusion CPT 31634 | $114.62 | $521.00 | $151.09 – $8,929.03 | 15 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | $0.01 | $117.19 – $250.41 | 10 |
| Br punct aspir ea add, l CPT 19001 | $12.54 | $57.00 | $16.95 – $68.00 | 12 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $100.20 – $211.87 | 11 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | $1,336.94 | $6,077.00 | $175.07 – $3,433.36 | 7 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | $1,242.12 | $5,646.00 | $162.69 – $3,189.96 | 7 |
| Brst rcnstj free flap CPT 19364 | $1,675.30 | $7,615.00 | $219.33 – $4,303.57 | 7 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $3.16 – $6.67 | 11 |
| Bso omentectomy w/tah 58956 CPT 58956 | $842.16 | $3,828.00 | $133.30 – $2,178.97 | 7 |
| Btk gene common variants CPT 81233 | $115.72 | $526.00 | $115.76 – $191.19 | 12 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.31 – $10.36 | 4 |
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.