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 |
|---|---|---|---|---|
| Chiropract manj 3-4 regions CPT 98941 | $20.90 | $95.00 | $15.27 – $53.73 | 12 |
| Chiropract manj xtrspinl 1/> CPT 98943 | $14.74 | $67.00 | $18.47 – $35.94 | 4 |
| Chlamydia culture CPT 87110 | $102.96 | $132.00 | $12.46 – $41.76 | 15 |
| Chlamydia trachomatis ag if CPT 87270 | $7.92 | $36.00 | $7.91 – $13.06 | 12 |
| Chlamydia type CPT 87140 | $29.64 | $38.00 | $3.00 – $6.07 | 15 |
| Chlmyd pneum dna dir probe CPT 87485 | $13.20 | $60.00 | $10.34 – $36.35 | 15 |
| Chlmyd pneum dna quant CPT 87487 | $28.16 | $128.00 | $20.80 – $46.70 | 12 |
| Chlnggrphy intraop addl s&i CPT 74301 | $244.92 | $314.00 | $8.03 – $15.60 | 7 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $49.62 – $63.49 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $27.47 | 4 |
| Chloride CPT 82435 | $24.18 | $31.00 | $2.92 – $10.14 | 15 |
| Chloride 24 hour urine CPT 82436 | $30.42 | $39.00 | $2.90 – $11.12 | 15 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $0.42 | 4 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.03 – $0.06 | 8 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.44 – $0.85 | 15 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $37.76 – $78.90 | 8 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $25.54 – $39.78 | 8 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.36 – $0.46 | 4 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $82.94 | $377.00 | $108.94 – $727.50 | 15 |
| Cholangiogram percutaneous compl CPT 47532 | $8,257.86 | $10,587.00 | $168.11 – $4,552.00 | 15 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $8.14 | $37.00 | $10.74 – $24.42 | 7 |
| Cholecystectomy expl duct 47612 CPT 47612 | $786.72 | $3,576.00 | $92.05 – $2,028.41 | 7 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $698.06 | $3,173.00 | $81.69 – $1,797.20 | 7 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $714.34 | $3,247.00 | $83.71 – $1,840.40 | 7 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $8,257.86 | $10,587.00 | $26.69 – $4,552.00 | 14 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $15.00 – $399.30 | 9 |
| Cholesterol CPT 82465 | $22.62 | $29.00 | $2.77 – $9.62 | 15 |
| Cholesterol (Lipid) Test CPT 80061 | $70.98 | $91.00 | $8.51 – $22.40 | 15 |
| Choline c-11 HCPCS A9515 | not published | not published | $1,498.93 – $5,100.00 | 12 |
| Cholinesterase CPT 82480 | $41.34 | $53.00 | $5.01 – $9.60 | 15 |
| Cholinesterase challenge CPT 95857 | $17.38 | $79.00 | $23.07 – $401.66 | 12 |
| Chorion biopsy CPT 59015 | $80.74 | $367.00 | $61.95 – $1,123.13 | 15 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $16.52 – $25.67 | 8 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $46.20 | $210.00 | $61.70 – $208.00 | 12 |
| Chrom analysis CPT 88273 | $22.88 | $104.00 | $22.98 – $37.94 | 12 |
| Chromatogram assay sugars CPT 84375 | $25.96 | $118.00 | $12.46 – $42.51 | 15 |
| Chromatography CPT 83021 | $95.16 | $122.00 | $11.35 – $31.95 | 15 |
| Chromogenic substrate assay CPT 85130 | $7.92 | $36.00 | $4.86 – $12.96 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $37.84 | $172.00 | $37.64 – $73.01 | 15 |
| Chromosome analys amniotic CPT 88269 | $114.40 | $520.00 | $105.73 – $367.76 | 15 |
| Chromosome analysis 100 CPT 88249 | $114.40 | $520.00 | $51.21 – $306.34 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $82.72 | $376.00 | $79.24 – $275.60 | 15 |
| Chromosome analysis 20-25 CPT 88245 | $114.40 | $520.00 | $23.05 – $329.15 | 15 |
| Chromosome analysis 45 CPT 88263 | $99.00 | $450.00 | $95.53 – $332.27 | 15 |
| Chromosome analysis 5 CPT 88261 | $174.68 | $794.00 | $112.35 – $390.78 | 15 |
| Chromosome analysis 50-100 CPT 88248 | $114.40 | $520.00 | $110.09 – $382.91 | 15 |
| Chromosome analys placenta CPT 88267 | $124.52 | $566.00 | $114.28 – $397.50 | 15 |
| Chromosome banding study CPT 88283 | $45.32 | $206.00 | $43.60 – $151.66 | 15 |
| Chromosome count additional CPT 88285 | $17.60 | $80.00 | $12.08 – $42.02 | 15 |
| Chromosome karyotype study CPT 88280 | $22.00 | $100.00 | $15.95 – $55.49 | 15 |
| Chromosome study additional CPT 88289 | $22.88 | $104.00 | $21.89 – $64.88 | 15 |
| Chronic urticaria - sendout CPT 86343 | $8.36 | $38.00 | $7.92 – $13.58 | 12 |
| Chylomicron screen, bf - sendout CPT 82664 | $40.48 | $184.00 | $21.84 – $67.03 | 12 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $754.55 – $1,595.39 | 11 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $4,425.08 – $9,356.27 | 11 |
| Cidofovir injection HCPCS J0740 | not published | not published | $301.10 – $749.07 | 15 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $108.76 – $229.95 | 11 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.58 – $9.87 | 8 |
| Ciliary transsleral therapy CPT 66710 | $236.94 | $1,077.00 | $31.75 – $3,009.20 | 15 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $402,085.06 – $783,031.04 | 14 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.03 | 4 |
| Cine/video x-rays CPT 76120 | $11.66 | $53.00 | $15.67 – $137.16 | 15 |
| Cine/video x-rays add-on CPT 76125 | $8.36 | $38.00 | $10.50 – $22.95 | 8 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $5.39 | $24.50 | $0.83 – $3.28 | 8 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.88 – $38.07 | 4 |
| Circum 28 days or older CPT 54161 | $122.54 | $557.00 | $16.13 – $2,642.30 | 15 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $89.76 | $408.00 | $11.88 – $860.94 | 15 |
| Circumcision (newborn) CPT 54150 | $4,793.88 | $6,146.00 | $77.79 – $2,642.30 | 15 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $1.84 – $3.51 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $217.36 | $988.00 | $217.48 – $421.78 | 15 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $7.07 – $13.76 | 15 |
| C-laminoplasty w/graft/plate CPT 63051 | $1,050.28 | $4,774.00 | $150.02 – $2,704.94 | 7 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | not published | not published | $282.68 – $282.68 | 1 |
| Clamp neck artery CPT 61703 | $851.40 | $3,870.00 | $120.49 – $2,189.99 | 7 |
| Claviculectomy partial CPT 23120 | $368.06 | $1,673.00 | $7.50 – $4,185.10 | 15 |
| Claviculectomy total CPT 23125 | $444.18 | $2,019.00 | $7.00 – $4,185.10 | 15 |
| Clean out mastoid cavity CPT 69222 | $83.60 | $380.00 | $11.20 – $656.86 | 15 |
| Clearance of airways CPT 31720 | $32.78 | $149.00 | $34.65 – $262.35 | 15 |
| Clearance of airways CPT 31725 | $48.40 | $220.00 | $34.65 – $124.90 | 7 |
| Clearance of tear duct CPT 68530 | $154.22 | $701.00 | $20.57 – $398.00 | 15 |
| C-lens fitg corneosclrl lens CPT 92313 | $26.40 | $120.00 | $35.10 – $166.26 | 12 |
| C-lens fitg tech aphakia 1 CPT 92315 | $12.76 | $58.00 | $16.97 – $166.26 | 12 |
| C-lens fitg tech aphakia ou CPT 92316 | $19.36 | $88.00 | $25.62 – $166.26 | 12 |
| C-lens fitg tech corneosclrl CPT 92317 | $12.76 | $58.00 | $16.97 – $50.63 | 12 |
| C-lens fitg tech ou CPT 92314 | $21.78 | $99.00 | $27.60 – $53.65 | 4 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.58 – $2.78 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | not published | not published | $381.89 – $381.89 | 1 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | not published | not published | $975.41 – $975.41 | 1 |
| Clitoroplasty intersex state CPT 56805 | $718.30 | $3,265.00 | $114.09 – $4,101.16 | 15 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $159.54 – $337.33 | 11 |
| Cl mult vsd w/rem pul band CPT 33677 | $1,276.00 | $5,800.00 | $115.98 – $3,299.08 | 7 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.46 – $20.83 | 15 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $16.67 – $25.01 | 8 |
| Close bladder-uterus fistula CPT 51920 | $472.34 | $2,147.00 | $49.77 – $1,214.88 | 7 |
| Close bronchial fistula 32815 CPT 32815 | $1,704.56 | $7,748.00 | $204.75 – $4,404.21 | 7 |
| Close chest after drainage CPT 32810 | $551.76 | $2,508.00 | $71.85 – $1,423.36 | 7 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $243.76 | $1,108.00 | $17.55 – $623.07 | 15 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $251.46 | $1,143.00 | $15.85 – $2,064.31 | 15 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $455.18 | $2,069.00 | $59.19 – $1,164.25 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $561.60 | $1,177.00 | $19.00 – $664.66 | 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.