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 |
|---|---|---|---|---|
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $561.60 | $720.00 | $14.07 – $398.24 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $186.12 | $846.00 | $24.46 – $476.84 | 15 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $561.60 | $831.00 | $3.00 – $465.51 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $561.60 | $829.00 | $8.00 – $465.06 | 15 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $335.50 | $1,525.00 | $6.00 – $857.90 | 15 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $561.60 | $891.00 | $25.80 – $500.40 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $561.60 | $780.00 | $2.00 – $438.20 | 15 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | $1,147.08 | $5,214.00 | $104.27 – $2,964.77 | 7 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | $1,141.80 | $5,190.00 | $103.81 – $2,954.07 | 7 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $257.84 | $1,172.00 | $4.75 – $658.07 | 15 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $3,745.56 | $4,802.00 | $9.91 – $2,064.31 | 15 |
| Cltx craniofacial separation CPT 21431 | $424.60 | $1,930.00 | $56.44 – $1,088.57 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $222.64 | $1,012.00 | $5.05 – $2,064.31 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $188.76 | $858.00 | $10.00 – $482.10 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $3,745.56 | $4,802.00 | $23.21 – $2,064.31 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $561.60 | $912.00 | $23.21 – $513.46 | 15 |
| Cltx lunate dislc w/mnpj CPT 25690 | $3,745.56 | $4,802.00 | $3.00 – $2,064.31 | 15 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $554.40 | $2,520.00 | $2.00 – $7,630.39 | 15 |
| Cltx mndblr fx w/mnpj CPT 21451 | $388.96 | $1,768.00 | $8.00 – $1,910.65 | 15 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $360.14 | $1,637.00 | $49.23 – $4,183.11 | 12 |
| Cltx palatal/max fx wire fix CPT 21421 | $335.72 | $1,526.00 | $3.27 – $4,183.11 | 15 |
| Cltx post ankle fx CPT 27767 | $186.34 | $847.00 | $24.41 – $471.59 | 15 |
| Cltx post ankle fx w/mnpj CPT 27768 | $284.02 | $1,291.00 | $22.72 – $2,064.31 | 15 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $242.00 | $1,100.00 | $2.00 – $2,064.31 | 15 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $561.60 | $1,055.00 | $3.00 – $591.69 | 15 |
| Cltx thigh fx CPT 27267 | $276.54 | $1,257.00 | $36.62 – $4,185.10 | 14 |
| Cltx thigh fx w/mnpj CPT 27268 | $342.10 | $1,555.00 | $44.85 – $876.20 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | $464.20 | $2,110.00 | $17.50 – $1,910.65 | 15 |
| Cmbn ant pst colprhy CPT 57260 | $481.14 | $2,187.00 | $76.33 – $6,367.34 | 15 |
| C motor evoked lwr limbs CPT 95929 | $47.30 | $215.00 | $63.82 – $684.40 | 15 |
| C motor evoked uppr limbs CPT 95928 | $47.74 | $217.00 | $64.03 – $1,312.29 | 15 |
| C motor evoked upr&lwr limbs CPT 95939 | $71.72 | $326.00 | $94.23 – $1,312.29 | 15 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | $1,184.70 | $5,385.00 | $107.70 – $3,062.68 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | $9.46 | $43.00 | $12.29 – $76.62 | 15 |
| Cmptr ophth img optic nerve CPT 92133 | $10.12 | $46.00 | $12.29 – $76.62 | 15 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $9.24 | $42.00 | $3.81 – $15.34 | 15 |
| #cms hgb-sulfhemoglobin CPT 83060 | $5.72 | $26.00 | $3.00 – $9.59 | 15 |
| #cmvcul-virus inoculation shell CPT 87254 | $102.96 | $132.00 | $5.41 – $21.32 | 15 |
| Cmv ig IV CPT 90291 | not published | not published | $10.50 – $2,550.94 | 8 |
| Cmv pcr-sendout CPT 87496 | $184.86 | $237.00 | $20.67 – $63.63 | 15 |
| Cnbp gene detc abnor allele CPT 81187 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $99.14 – $199.04 | 11 |
| Co2 monitor per day CPT 94681 | $5.72 | $26.00 | $7.75 – $401.66 | 15 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $1.74 – $3.74 | 15 |
| Coagulation time activated teg CPT 85347 | $22.62 | $29.00 | $2.70 – $8.43 | 15 |
| Coagulation time lee & white CPT 85345 | $3.08 | $14.00 | $2.73 – $6.40 | 15 |
| Coagulation time otr method CPT 85348 | $3.08 | $14.00 | $2.36 – $8.22 | 15 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.56 – $1.89 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.29 – $2.52 | 2 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $9.52 – $9.52 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $5,179.64 – $10,951.72 | 11 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $273.96 – $579.25 | 11 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $63.81 – $134.92 | 11 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $15.93 – $33.66 | 11 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $55.73 – $117.84 | 11 |
| Cochlear implt f/up exam <7 CPT 92601 | $75.02 | $341.00 | $94.44 – $201.81 | 14 |
| Cochlear implt f/up exam 7/> CPT 92603 | $73.04 | $332.00 | $79.41 – $201.81 | 14 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $58.43 – $139.71 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.48 – $1.98 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $311.61 – $679.94 | 8 |
| Cold agglutinin screen (arc) CPT 86156 | $5.28 | $24.00 | $4.26 – $8.80 | 15 |
| Cold agglutinin titer CPT 86157 | $42.90 | $55.00 | $5.12 – $17.82 | 15 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $1,015.52 | $4,616.00 | $119.23 – $2,621.57 | 7 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $1,138.06 | $5,173.00 | $133.79 – $2,933.42 | 7 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $1,267.20 | $5,760.00 | $149.39 – $3,272.50 | 7 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $828.30 | $3,765.00 | $97.08 – $2,134.71 | 7 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $1,191.52 | $5,416.00 | $132.30 – $3,067.47 | 7 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $1,014.64 | $4,612.00 | $119.27 – $2,618.68 | 7 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $1,288.32 | $5,856.00 | $151.51 – $3,324.82 | 7 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $766.48 | $3,484.00 | $89.86 – $1,974.77 | 7 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $1,112.76 | $5,058.00 | $130.88 – $2,875.81 | 7 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $1,085.04 | $4,932.00 | $127.31 – $2,798.98 | 7 |
| Colectomy w/ileoanal anast CPT 44157 | $1,344.20 | $6,110.00 | $157.47 – $3,467.73 | 7 |
| Colectomy w/neo-rectum pouch CPT 44158 | $1,377.42 | $6,261.00 | $161.39 – $3,554.66 | 7 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $10.74 – $16.12 | 8 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $53.16 – $103.53 | 15 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $20.16 – $47.16 | 11 |
| Collagen dressing <=16 sq in HCPCS A6021 | $5.06 | $23.00 | $15.14 – $32.02 | 11 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $15.14 – $32.02 | 11 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $4.46 – $9.42 | 11 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $1.84 – $3.48 | 11 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $270.95 – $572.88 | 11 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $16.24 – $34.34 | 11 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $37.96 – $80.27 | 11 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $81.21 – $171.71 | 11 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $69.64 – $147.24 | 11 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $299.92 – $634.14 | 11 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $678.60 | $870.00 | $22.23 – $166.26 | 12 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $24.10 – $166.26 | 12 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,616.21 – $2,621.09 | 8 |
| Collj & interpj data ea 30 d CPT 99091 | $33.00 | $150.00 | $44.33 – $86.33 | 4 |
| Colon motility 6 hr study CPT 91117 | $82.94 | $377.00 | $110.43 – $401.66 | 15 |
| Colonoscopy (diagnostic) CPT 45378 | $112.64 | $512.00 | $74.37 – $1,175.98 | 15 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $152.90 | $695.00 | $189.53 – $1,520.85 | 15 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $139.26 | $633.00 | $183.04 – $1,520.85 | 15 |
| Colonoscopy for bleeding 44391 CPT 44391 | $139.92 | $636.00 | $185.40 – $1,520.85 | 15 |
| Colonoscopy for foreign body CPT 44390 | $128.26 | $583.00 | $169.17 – $1,175.98 | 15 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $122.10 | $555.00 | $160.10 – $1,520.85 | 15 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $184.36 | $838.00 | $152.81 – $1,520.85 | 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.