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 |
|---|---|---|---|---|
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $32.13 – $74.76 | 3 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $32.41 – $75.41 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $41.36 | $188.00 | $45.85 – $1,175.98 | 11 |
| Casiri and imdev repeat HCPCS M0240 | not published | not published | $363.03 – $576.00 | 3 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.01 – $0.01 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.14 – $6.60 | 8 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $1.79 – $3.80 | 11 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $9.34 – $28.28 | 11 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $5.86 – $13.29 | 11 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $4.69 – $14.14 | 11 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $2.94 – $6.50 | 11 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $24.49 – $51.79 | 11 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $9.29 – $19.65 | 11 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $21.98 – $46.48 | 11 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $11.00 – $23.27 | 11 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $6.44 – $13.61 | 11 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $18.80 – $44.40 | 11 |
| Cast sup long arm adult plst HCPCS Q4005 | not published | not published | $8.35 – $20.93 | 11 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $9.40 – $22.06 | 11 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $4.17 – $10.46 | 11 |
| Cast sup long leg fiberglass HCPCS Q4030 | not published | not published | $48.98 – $103.57 | 11 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $13.26 – $35.35 | 11 |
| Cast sup shrt leg ped plster HCPCS Q4039 | not published | not published | $5.31 – $16.69 | 11 |
| Cast sup shrt leg plaster HCPCS Q4037 | not published | not published | $10.58 – $33.09 | 11 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $12.54 – $34.50 | 11 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $5.57 – $16.12 | 11 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $6.28 – $17.25 | 11 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $2.78 – $7.92 | 11 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $7.82 – $28.28 | 11 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $4.34 – $13.29 | 11 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $3.92 – $14.14 | 11 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $2.18 – $6.50 | 11 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $12.02 – $26.30 | 11 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $6.01 – $13.01 | 11 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $3.72 – $7.87 | 11 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $7.48 – $15.81 | 11 |
| Cataract Surgery CPT 66984 | $328.68 | $1,494.00 | $44.06 – $2,941.83 | 15 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $61.92 – $2,941.83 | 15 |
| Catecholamines,fractionated, urine CPT 82382 | $18.04 | $82.00 | $10.93 – $31.20 | 15 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | not published | not published | $162.91 – $162.91 | 1 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | not published | not published | $1,215.22 – $1,215.22 | 1 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | not published | not published | $581.60 – $581.60 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | not published | not published | $11.54 – $11.54 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | not published | not published | $96.99 – $96.99 | 1 |
| Cath bi-dir df smarttouch HCPCS C1732 | not published | not published | $318.24 – $318.24 | 1 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $190.08 | $864.00 | $248.68 – $4,148.73 | 15 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $9.80 – $20.72 | 11 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,170.00 | $1,500.00 | $122.40 – $122.40 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | not published | not published | $86.40 – $86.40 | 1 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $8.04 – $15.40 | 3 |
| Catheter declot mechanical CPT 36596 | $3,635.58 | $4,661.00 | $36.12 – $2,003.72 | 15 |
| Catheter insert artery CPT 36625 | $64.02 | $291.00 | $84.26 – $166.18 | 8 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $48.36 | $62.00 | $3.10 – $9.91 | 11 |
| Catheter stripping venous CPT 36595 | $7,365.54 | $9,443.00 | $144.65 – $4,059.84 | 15 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $13.08 – $27.65 | 11 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $9.07 – $19.18 | 11 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $1.33 – $3.06 | 11 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $3.18 – $9.78 | 11 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $248.82 | $1,131.00 | $86.24 – $86.24 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | not published | not published | $971.91 – $971.91 | 1 |
| Cath impl vasc access portal HCPCS A4300 | not published | not published | $3.18 – $37.14 | 2 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $12.28 – $25.95 | 11 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $1.24 – $2.63 | 11 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $7.04 – $17.80 | 11 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | not published | not published | $1,121.38 – $1,121.38 | 1 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | $50.60 | $230.00 | $67.08 – $313.71 | 12 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $32.12 | $146.00 | $43.24 – $84.26 | 11 |
| Cath left heart/lv gram CPT 93452 | $142.12 | $646.00 | $186.28 – $4,148.73 | 15 |
| Cath left heart transseptal punc CPT 93462 | $124.74 | $567.00 | $162.88 – $323.25 | 7 |
| Cath lt/rt pulm art CPT 36014 | $92.18 | $419.00 | $119.83 – $236.48 | 11 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | not published | not published | $120.77 – $120.77 | 1 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $16.00 – $48.35 | 11 |
| Cath place 1st order venous 36011 CPT 36011 | $4,161.30 | $5,335.00 | $120.23 – $244.08 | 11 |
| Cath place cardio brachytx CPT 92974 | $97.02 | $441.00 | $126.89 – $252.15 | 4 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $248.60 | $1,130.00 | $325.20 – $4,148.73 | 15 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $187.44 | $852.00 | $245.12 – $4,148.73 | 15 |
| Cath plc art/grft/angio right hrt CPT 93457 | $210.76 | $958.00 | $275.25 – $4,148.73 | 15 |
| Cath right heart w/o2 sat & card CPT 93451 | $78.98 | $359.00 | $103.23 – $4,148.73 | 15 |
| Cath right hrt mnpul art CPT 36013 | $76.56 | $348.00 | $100.03 – $196.83 | 11 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $35.86 | $163.00 | $46.86 – $91.55 | 11 |
| Cath segmntl pulm art CPT 36015 | $104.94 | $477.00 | $120.23 – $267.96 | 11 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | not published | not published | $7.55 – $275.00 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | not published | not published | $43.32 – $43.32 | 1 |
| Cath stripping venous s&i CPT 75901 | $326.82 | $419.00 | $18.24 – $35.55 | 7 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $0.21 – $3.60 | 11 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $97.59 | $443.59 | $18.59 – $18.59 | 1 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $17.29 – $36.55 | 11 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $18.59 – $39.31 | 11 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $8.64 – $23.35 | 11 |
| Cauterization chemical granulation tissue CPT 17250 | $464.88 | $596.00 | $5.00 – $256.30 | 15 |
| Cauterization of cervix 57510 CPT 57510 | $69.74 | $317.00 | $9.23 – $4,101.16 | 15 |
| Cbc/diffwbc without platelet HCPCS G0306 | $5.28 | $24.00 | $5.13 – $8.47 | 11 |
| CBC without platelet HCPCS G0307 | $4.40 | $20.00 | $4.27 – $7.05 | 11 |
| #cbg+cort-cbg CPT 84449 | $11.88 | $54.00 | $11.18 – $39.79 | 15 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $15.00 – $37.63 | 8 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $15.00 – $39.72 | 8 |
| Ccnd1/igh translocation alys CPT 81168 | $136.84 | $622.00 | $136.83 – $265.36 | 15 |
| Cdna analysis for variants CPT 81403 | $122.32 | $556.00 | $122.23 – $201.87 | 12 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $20.46 | $93.00 | $11.22 – $166.26 | 12 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | $27.50 | $125.00 | $16.32 – $166.26 | 12 |
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.