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 |
|---|---|---|---|---|
| Budesonide non-comp con HCPCS J7633 | not published | not published | $0.03 – $8.64 | 4 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.20 – $1.84 | 8 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.44 – $0.86 | 15 |
| Bundled special stain group 1 microorganisms CPT 88312 | $125.58 | $161.00 | $21.39 – $73.67 | 15 |
| Bundled special stain group 2 CPT 88313 | $301.86 | $387.00 | $9.68 – $166.26 | 15 |
| Bundle his recording CPT 93600 | $69.74 | $317.00 | $72.52 – $9,787.60 | 15 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.01 | 7 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $3.40 | 11 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $4.23 – $14.73 | 2 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $1.30 – $9.29 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $1.94 – $15.05 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $602.94 | $773.00 | $20.39 – $73.04 | 6 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.90 – $5.85 | 8 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.50 – $0.89 | 4 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,436.16 – $2,796.82 | 15 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,436.16 – $2,796.82 | 15 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $13.80 – $19.84 | 4 |
| Bur hol/trph drg brn abs/cst CPT 61150 | $844.80 | $3,840.00 | $119.47 – $2,173.08 | 7 |
| Burr hol aspir hmtm/cst icer CPT 61156 | $776.16 | $3,528.00 | $109.68 – $1,995.33 | 7 |
| Burr hole for vent puncture 61120 CPT 61120 | $471.02 | $2,141.00 | $66.85 – $1,210.04 | 7 |
| Burr hole implant ventricular cath/other device CPT 61210 | $226.60 | $1,030.00 | $289.85 – $584.42 | 7 |
| Burr hole skull for biopsy 61140 CPT 61140 | $795.96 | $3,618.00 | $50.57 – $2,048.91 | 7 |
| Burr hole skull & remove clot 61154 CPT 61154 | $799.92 | $3,636.00 | $113.45 – $2,057.95 | 7 |
| Burr hole treph ittl uni/bi CPT 61253 | $622.60 | $2,830.00 | $88.17 – $1,601.02 | 7 |
| Burr hole/treph sbsq tapping CPT 61151 | $622.60 | $2,830.00 | $88.17 – $1,601.02 | 7 |
| Burr hole/treph sttl expl CPT 61250 | $544.72 | $2,476.00 | $77.17 – $1,399.20 | 7 |
| Bur rotalink 2.15mm HCPCS C1724 | not published | not published | $4,232.59 – $4,232.59 | 1 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.34 – $2.60 | 15 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $8.73 | $39.70 | $4.77 – $7.41 | 8 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $57.53 – $73.60 | 4 |
| Buttock fasciotomy CPT 27027 | $549.56 | $2,498.00 | $72.13 – $9,214.43 | 14 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | $625.90 | $2,845.00 | $81.95 – $2,064.31 | 14 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $100.54 | $457.00 | $13.35 – $2,089.89 | 15 |
| Bx bone trocar/ndl deep CPT 20225 | $3,791.58 | $4,861.00 | $6.01 – $2,089.89 | 15 |
| Bx breast 1st lesion mr imag CPT 19085 | $109.56 | $498.00 | $14.00 – $2,089.89 | 15 |
| Bx breast 1st lesion strtctc CPT 19081 | $99.66 | $453.00 | $8.00 – $2,089.89 | 15 |
| Bx breast add lesion mr imag CPT 19086 | $54.56 | $248.00 | $7.96 – $140.61 | 11 |
| Bx breast add lesion strtctc CPT 19082 | $49.94 | $227.00 | $12.00 – $128.73 | 11 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,843.88 | $3,646.00 | $10.00 – $121.21 | 11 |
| Bx breast perq without image 19100 CPT 19100 | $42.24 | $192.00 | $6.72 – $2,089.89 | 15 |
| Bx breast pq tomo guide CPT 19499 | not published | $0.01 | $2,311.48 – $4,939.24 | 10 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $82.50 | $375.00 | $108.64 – $392.36 | 15 |
| Bx/exc idrl imed lesn cervl CPT 63285 | $1,629.10 | $7,405.00 | $208.95 – $4,197.03 | 7 |
| Bx/exc idrl imed lesn thrc CPT 63286 | $1,610.62 | $7,321.00 | $208.95 – $4,129.20 | 7 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | $1,707.64 | $7,762.00 | $208.95 – $4,400.49 | 7 |
| Bx/exc idrl spine lesn crvl CPT 63280 | $1,318.68 | $5,994.00 | $187.08 – $3,406.00 | 7 |
| Bx/exc idrl spine lesn scrl CPT 63283 | $1,189.54 | $5,407.00 | $168.32 – $3,062.74 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $259.16 | $1,178.00 | $33.96 – $4,939.24 | 15 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $157.96 | $718.00 | $20.67 – $4,939.24 | 15 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | $1,736.68 | $7,894.00 | $208.95 – $4,474.67 | 7 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | $1,122.00 | $5,100.00 | $159.19 – $2,890.31 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | $975.04 | $4,432.00 | $138.36 – $2,505.11 | 7 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | $997.70 | $4,535.00 | $141.22 – $2,567.52 | 7 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | $1,114.74 | $5,067.00 | $158.18 – $2,872.33 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $257.18 | $1,169.00 | $5.41 – $3,691.65 | 15 |
| Bx liver with other CPT 47001 | $2,843.88 | $3,646.00 | $82.29 – $163.80 | 8 |
| Bx muscle CPT 20200 | $59.18 | $269.00 | $6.95 – $2,089.89 | 15 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $87.12 | $396.00 | $11.63 – $4,183.11 | 15 |
| Bx of breast open 19101 CPT 19101 | $138.60 | $630.00 | $6.72 – $4,939.24 | 15 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $98.78 | $449.00 | $129.55 – $4,101.16 | 15 |
| Bx pancreas pq ndl CPT 48102 | $3,791.58 | $4,861.00 | $18.94 – $2,089.89 | 15 |
| Bx perianal mass CPT 46999 | not published | $0.01 | $550.34 – $1,175.98 | 10 |
| Bx pleura pq ndl CPT 32400 | $3,791.58 | $4,861.00 | $67.49 – $2,089.89 | 15 |
| Bx prst8 ndl sat sampling CPT 55706 | $232.98 | $1,059.00 | $30.68 – $4,448.70 | 15 |
| Bx shoulder tissues deep 23066 CPT 23066 | $232.32 | $1,056.00 | $7.00 – $3,691.65 | 15 |
| Bx shoulder tissues supf 23065 CPT 23065 | $98.56 | $448.00 | $7.00 – $2,089.89 | 15 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $1,074.06 | $1,377.00 | $16.10 – $185.00 | 12 |
| Bx skin punch ea sep/ addl les CPT 11105 | $701.22 | $899.00 | $12.00 – $170.78 | 12 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $348.66 | $447.00 | $13.00 – $135.00 | 12 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $97.46 | $443.00 | $12.95 – $2,089.89 | 15 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $3,791.58 | $4,861.00 | $13.18 – $2,089.89 | 15 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $3,791.58 | $4,861.00 | $15.00 – $2,089.89 | 15 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $235.84 | $1,072.00 | $30.98 – $2,089.89 | 15 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $95.70 | $435.00 | $12.64 – $2,089.89 | 15 |
| Bx spinal cord pq ndl CPT 62269 | $159.94 | $727.00 | $209.94 – $2,089.89 | 12 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $108.68 | $494.00 | $14.33 – $2,089.89 | 15 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,646.58 | $2,111.00 | $61.89 – $907.53 | 15 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $40.48 | $184.00 | $53.13 – $1,123.13 | 15 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $36.52 | $166.00 | $48.01 – $1,123.13 | 15 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $17.82 | $81.00 | $23.60 – $94.00 | 12 |
| Bypass graft/av fist patency CPT 35686 | $97.24 | $442.00 | $27.43 – $251.46 | 8 |
| Bypass graft patency/patch CPT 35685 | $119.90 | $545.00 | $32.98 – $309.71 | 8 |
| Bypass temp external fem-fem CPT 37799 | $1,446.90 | $1,855.00 | $373.20 – $797.47 | 10 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $55.12 – $107.35 | 15 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $47.76 – $93.00 | 15 |
| C1 esterase inhibitor func - sendout CPT 86161 | $63.18 | $81.00 | $7.63 – $26.54 | 15 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $165.01 – $321.35 | 15 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $1.66 – $2.29 | 4 |
| Cabg 2 arterial grafts 33534 CPT 33534 | $1,337.38 | $6,079.00 | $156.22 – $3,450.86 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | $1,486.10 | $6,755.00 | $173.62 – $3,835.65 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | $1,601.16 | $7,278.00 | $187.08 – $4,133.76 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | $1,138.28 | $5,174.00 | $133.04 – $2,937.91 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | $1,175.02 | $5,341.00 | $106.86 – $3,033.90 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | $317.02 | $1,441.00 | $65.98 – $819.97 | 7 |
| Cabg vein five CPT 33514 | $1,580.04 | $7,182.00 | $143.63 – $4,078.45 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $1,290.74 | $5,867.00 | $117.33 – $3,331.68 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $1,468.94 | $6,677.00 | $133.63 – $3,795.93 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $1,501.28 | $6,824.00 | $136.47 – $3,877.80 | 7 |
| Cabg vein six or more CPT 33516 | $1,635.48 | $7,434.00 | $148.65 – $4,221.02 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $113.08 | $514.00 | $28.98 – $293.25 | 7 |
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.