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 |
|---|---|---|---|---|
| Colonoscopy stoma w/snare 44394 CPT 44394 | $137.28 | $624.00 | $181.06 – $1,520.85 | 15 |
| Colonoscopy submucous njx CPT 45381 | $122.54 | $557.00 | $161.13 – $1,520.85 | 15 |
| Colonoscopy thru stoma spx CPT 44388 | $95.48 | $434.00 | $62.97 – $1,175.98 | 15 |
| Colonoscopy w/ablation CPT 45388 | $164.56 | $748.00 | $217.18 – $1,520.85 | 15 |
| Colonoscopy w/balloon dilat CPT 45386 | $129.36 | $588.00 | $170.31 – $1,520.85 | 15 |
| Colonoscopy w/band ligation CPT 45398 | $143.44 | $652.00 | $188.81 – $1,520.85 | 15 |
| Colonoscopy w/control bleed CPT 45382 | $157.52 | $716.00 | $207.96 – $1,520.85 | 15 |
| Colonoscopy w/decompression CPT 44408 | $141.02 | $641.00 | $152.81 – $1,187.28 | 15 |
| Colonoscopy w/dilation CPT 44405 | $111.76 | $508.00 | $147.53 – $1,520.85 | 15 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $156.64 | $712.00 | $207.18 – $1,520.85 | 15 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $184.58 | $839.00 | $244.47 – $1,520.85 | 15 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $175.78 | $799.00 | $232.74 – $7,678.31 | 15 |
| Colonoscopy w/fb removal CPT 45379 | $144.98 | $659.00 | $191.75 – $1,520.85 | 15 |
| Colonoscopy w/injection CPT 44404 | $104.94 | $477.00 | $138.04 – $1,520.85 | 15 |
| Colonoscopy with ablation CPT 44401 | $147.18 | $669.00 | $194.85 – $1,520.85 | 15 |
| Colonoscopy (with biopsy) CPT 45380 | $122.54 | $557.00 | $161.40 – $1,520.85 | 15 |
| Colonoscopy with biopsy CPT 44389 | $104.94 | $477.00 | $138.04 – $1,520.85 | 15 |
| Colonoscopy (with polyp removal) CPT 45385 | $154.66 | $703.00 | $204.27 – $1,520.85 | 15 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $167.42 | $761.00 | $152.81 – $1,520.85 | 15 |
| Colonoscopy w/resection CPT 45390 | $201.74 | $917.00 | $189.53 – $3,537.31 | 15 |
| Colonoscopy w/stent plcmt CPT 44402 | $158.62 | $721.00 | $210.16 – $7,678.31 | 15 |
| Colonoscopy w/ultrasound CPT 44406 | $139.70 | $635.00 | $152.81 – $1,520.85 | 15 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $740.74 | $3,367.00 | $86.99 – $1,908.80 | 7 |
| Colostomy with biopsies CPT 44322 | $616.44 | $2,802.00 | $72.86 – $1,590.91 | 7 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $608.08 | $2,764.00 | $71.12 – $1,563.94 | 7 |
| Colpocentesis 57020 CPT 57020 | $48.84 | $222.00 | $42.53 – $6,367.34 | 15 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $327.58 | $1,489.00 | $52.17 – $6,367.34 | 15 |
| Colpopexy abdominal approach 57280 CPT 57280 | $596.42 | $2,711.00 | $94.53 – $1,544.57 | 7 |
| Colpopexy extraperitoneal CPT 57282 | $428.56 | $1,948.00 | $68.07 – $9,538.29 | 15 |
| Colpopexy intraperitoneal CPT 57283 | $431.86 | $1,963.00 | $68.51 – $9,538.29 | 15 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $2,979.80 – $6,367.34 | 10 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $7,440.42 | $9,539.00 | $27.83 – $4,101.16 | 15 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $75.46 | $343.00 | $98.85 – $1,123.13 | 15 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $113.30 | $515.00 | $148.33 – $4,101.16 | 15 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $56.10 | $255.00 | $41.48 – $259.48 | 15 |
| Colposcopy vulva 56820 CPT 56820 | $51.92 | $236.00 | $68.36 – $259.48 | 15 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $70.18 | $319.00 | $92.10 – $392.36 | 15 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $67.32 | $306.00 | $88.11 – $392.36 | 15 |
| Colpotomy drng of abscess 57010 CPT 57010 | $282.26 | $1,283.00 | $45.01 – $4,101.16 | 15 |
| Colpotomy w/exploration 57000 CPT 57000 | $124.52 | $566.00 | $16.53 – $4,101.16 | 15 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $1,172.31 – $2,478.73 | 11 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $281.59 – $595.39 | 11 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $41.02 – $119.31 | 11 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $902.46 | $1,157.00 | $21.00 – $221.03 | 15 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $21.00 – $221.03 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $902.46 | $1,157.00 | $21.00 – $221.03 | 15 |
| Compatibility test incubate CPT 86921 | not published | not published | $21.00 – $221.03 | 15 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $63.36 | $288.00 | $83.77 – $860.94 | 15 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $77.00 | $350.00 | $101.38 – $860.94 | 15 |
| Complement antigen each component c3 CPT 86160 | $63.18 | $81.00 | $7.63 – $26.54 | 15 |
| Complement fixation each CPT 86171 | $6.60 | $30.00 | $4.08 – $11.20 | 15 |
| Complete removal of vulva CPT 56625 | $412.28 | $1,874.00 | $61.95 – $4,101.16 | 15 |
| Completion pneumonectomy 32488 CPT 32488 | $1,454.86 | $6,613.00 | $189.02 – $3,759.89 | 7 |
| Complex body section x-ray CPT 76101 | not published | not published | $33.14 – $33.14 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $37.81 – $37.81 | 1 |
| Complex cystometrogram 51726 CPT 51726 | $51.70 | $235.00 | $44.63 – $313.71 | 15 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $141.24 | $642.00 | $18.77 – $789.56 | 15 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $150.92 | $686.00 | $20.01 – $1,187.28 | 15 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $1,177.38 – $2,515.88 | 10 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $5.06 | $23.00 | $4.77 – $401.66 | 15 |
| Compl oph exam general anes CPT 92018 | $86.02 | $391.00 | $113.35 – $3,009.20 | 15 |
| Compl rpr tof w/pulm atresia CPT 33697 | $1,248.06 | $5,673.00 | $113.43 – $3,226.36 | 7 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,432.86 | $1,837.00 | $22.53 – $789.56 | 15 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,790.88 | $2,296.00 | $27.16 – $1,187.28 | 15 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,432.86 | $1,837.00 | $109.91 – $215.60 | 10 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $935.22 | $1,199.00 | $19.62 – $515.34 | 15 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,432.86 | $1,837.00 | $24.52 – $1,187.28 | 15 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,074.06 | $1,377.00 | $101.27 – $198.06 | 10 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $50.38 | $229.00 | $66.51 – $130.43 | 10 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $123.42 | $561.00 | $16.26 – $789.56 | 15 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $44.00 | $200.00 | $57.75 – $113.34 | 10 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $413.26 – $873.80 | 11 |
| Composite byp grft 2 veins CPT 35682 | $212.52 | $966.00 | $58.61 – $552.28 | 7 |
| Composite byp grft 3/> segmt CPT 35683 | $247.94 | $1,127.00 | $69.04 – $640.40 | 7 |
| Composite byp grft pros&vein CPT 35681 | $47.96 | $218.00 | $13.15 – $124.94 | 7 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $4.48 – $9.47 | 11 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $2.42 – $5.13 | 11 |
| Composite graft/pri close/don area 15760 CPT 15760 | $430.76 | $1,958.00 | $56.89 – $2,359.45 | 15 |
| Comprehensive hearing test CPT 92557 | $19.58 | $89.00 | $25.98 – $201.81 | 15 |
| Compre oph exam est pt 1/> CPT 92014 | $45.98 | $209.00 | $61.68 – $166.22 | 15 |
| Compre oph exam new pt 1/> CPT 92004 | $56.98 | $259.00 | $76.70 – $166.22 | 15 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $22.90 – $41.46 | 11 |
| Comp rpr tof wo pulm atresia CPT 33692 | $1,186.24 | $5,392.00 | $107.81 – $3,068.04 | 7 |
| Concentration infection agents any type CPT 87015 | $35.10 | $45.00 | $1.12 – $12.00 | 15 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $69.75 – $201.81 | 12 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $177.26 – $194.99 | 2 |
| Condylomata destruction 56420 CPT 56420 | $471.12 | $604.00 | $9.06 – $259.48 | 15 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.20 – $0.43 | 11 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.29 – $0.59 | 11 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.50 – $1.04 | 11 |
| Congo red blood test HCPCS P2029 | not published | not published | $3.27 – $5.40 | 11 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $45.46 – $50.01 | 2 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $157.74 | $717.00 | $25.13 – $4,101.16 | 15 |
| Conization of cervix CPT 57520 | $183.26 | $833.00 | $29.20 – $4,101.16 | 15 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $290.20 | $1,319.08 | $283.91 – $552.90 | 15 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $189.43 – $400.51 | 11 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $354.17 – $1,164.64 | 3 |
| Constj trachesophgl fstl CPT 31611 | $327.58 | $1,489.00 | $43.84 – $4,183.11 | 15 |
| Construct bladder opening CPT 51980 | $441.32 | $2,006.00 | $46.54 – $1,136.20 | 7 |
| Construct bowel bladder CPT 50820 | $808.72 | $3,676.00 | $85.10 – $2,082.37 | 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.