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 |
|---|---|---|---|---|
| Construct bowel bladder CPT 50825 | $1,012.66 | $4,603.00 | $106.64 – $2,608.53 | 7 |
| Construction of absent anus CPT 46730 | $1,231.34 | $5,597.00 | $125.48 – $3,164.18 | 7 |
| Construction of absent anus CPT 46735 | $1,416.14 | $6,437.00 | $157.50 – $3,640.98 | 7 |
| Construction of absent anus CPT 46740 | $1,343.10 | $6,105.00 | $157.11 – $3,452.43 | 7 |
| Construction of vagina CPT 57291 | $339.46 | $1,543.00 | $54.03 – $6,367.34 | 15 |
| Construct thumb replacement CPT 26550 | $1,013.54 | $4,607.00 | $94.08 – $4,185.10 | 15 |
| Construct vagina with graft CPT 57292 | $511.06 | $2,323.00 | $81.14 – $6,367.34 | 14 |
| Consultation pathology during surgery CPT 88329 | $21.34 | $97.00 | $16.96 – $76.62 | 15 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $36.96 | $168.00 | $16.01 – $1,053.69 | 15 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $18.48 | $84.00 | $7.79 – $23.61 | 8 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $37.18 | $169.00 | $7.50 – $221.03 | 15 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $53.46 | $243.00 | $10.36 – $68.92 | 15 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $50.60 | $230.00 | $23.69 – $80.83 | 14 |
| Consultation with family CPT 90887 | $46.86 | $213.00 | $59.05 – $114.83 | 4 |
| Consult comp w/report rfrd material CPT 88325 | $82.50 | $375.00 | $46.31 – $221.03 | 14 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $5.29 – $11.18 | 11 |
| Contact lens fitg aphakia 1 CPT 92311 | $31.02 | $141.00 | $42.04 – $514.71 | 12 |
| Contact lens fitg aphakia ou CPT 92312 | $37.40 | $170.00 | $50.03 – $166.26 | 12 |
| Contact lens fitting for tx CPT 92071 | $19.58 | $89.00 | $26.27 – $50.79 | 7 |
| Contact lens fitting ou CPT 92310 | $36.96 | $168.00 | $46.64 – $90.69 | 4 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $328.90 – $695.41 | 11 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $21.34 | $97.00 | $28.42 – $109.00 | 9 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $26.07 – $32.96 | 3 |
| Contour cranial bone lesion CPT 21181 | $459.14 | $2,087.00 | $60.20 – $7,630.39 | 15 |
| Contour of face bone lesion CPT 21029 | $388.74 | $1,767.00 | $51.04 – $4,183.11 | 15 |
| Contrast baths charges CPT 97034 | $60.06 | $77.00 | $9.51 – $22.21 | 14 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $10,126.74 | $12,983.00 | $12.08 – $4,059.84 | 15 |
| Contrast exam thoracic aorta CPT 75600 | $14.30 | $65.00 | $11.55 – $4,059.84 | 15 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $17,392.44 | $22,298.00 | $12.08 – $6,972.61 | 15 |
| Contrast x-ray gallbladder CPT 74290 | $9.46 | $43.00 | $12.42 – $229.62 | 15 |
| Contrast x-ray of ankle CPT 73615 | $16.72 | $76.00 | $19.95 – $460.65 | 15 |
| Contrast x-ray of brain CPT 70010 | $36.08 | $164.00 | $12.35 – $460.65 | 15 |
| Contrast x-ray of brain CPT 70015 | $34.76 | $158.00 | $46.19 – $1,019.07 | 15 |
| Contrast x-ray of elbow CPT 73085 | $1,148.94 | $1,473.00 | $19.95 – $460.65 | 15 |
| Contrast x-ray of hip CPT 73525 | $1,148.94 | $1,473.00 | $23.03 – $460.65 | 15 |
| Contrast x-ray of knee joint CPT 73580 | $1,148.94 | $1,473.00 | $11.55 – $460.65 | 15 |
| Contrast x-ray of wrist CPT 73115 | $1,148.94 | $1,473.00 | $19.95 – $460.65 | 15 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $8,826.38 – $18,662.27 | 11 |
| Controller infinity pt dbs HCPCS C1787 | not published | not published | $1,018.52 – $1,018.52 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $301.86 | $387.00 | $77.81 – $168.67 | 15 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $280.50 | $1,275.00 | $33.50 – $725.07 | 7 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $313.72 | $1,426.00 | $37.44 – $4,183.11 | 14 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $254.54 | $1,157.00 | $30.42 – $657.83 | 15 |
| Control of nosebleed ant comp 30903 CPT 30903 | $377.52 | $484.00 | $42.53 – $166.26 | 15 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $301.86 | $387.00 | $28.35 – $166.26 | 15 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $100.10 | $455.00 | $13.20 – $656.86 | 15 |
| Control throat bleeding CPT 42961 | $259.38 | $1,179.00 | $31.02 – $670.35 | 7 |
| Control throat bleeding CPT 42962 | $320.10 | $1,455.00 | $38.20 – $4,183.11 | 15 |
| Conversion ext bil drg cath CPT 47535 | $118.80 | $540.00 | $155.76 – $4,552.00 | 15 |
| Convert nephrostomy catheter CPT 50434 | $4,793.88 | $6,146.00 | $152.25 – $2,642.30 | 15 |
| Conv gtube to jtube CPT 44373 | $3,883.62 | $4,979.00 | $153.69 – $2,446.86 | 15 |
| Coombs direct CPT 86880 | $312.78 | $401.00 | $3.41 – $11.89 | 15 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $3.96 | $18.00 | $3.26 – $12.64 | 15 |
| Coombs indirect titer reference CPT 86886 | $3.52 | $16.00 | $3.29 – $11.44 | 15 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $432.40 – $981.75 | 12 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,161.10 – $1,817.55 | 9 |
| Cor artery disease mrna CPT 81493 | not published | not published | $693.00 – $1,144.50 | 12 |
| Core ndl bx lng/med perq CPT 32408 | $3,791.58 | $4,861.00 | $122.38 – $2,089.89 | 15 |
| Corf related serv 15 mins ea HCPCS G0409 | not published | not published | $19.00 – $26.84 | 3 |
| Corf skilled nursing service HCPCS G0128 | not published | not published | $7.73 – $10.49 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | $371.58 | $1,689.00 | $49.04 – $9,214.43 | 15 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $321.64 | $1,462.00 | $42.42 – $4,185.10 | 15 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $315.92 | $1,436.00 | $41.84 – $9,214.43 | 15 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $3,957.63 – $8,367.93 | 11 |
| Corneal hysteresis deter CPT 92145 | $3.30 | $15.00 | $4.38 – $76.62 | 12 |
| Corneal smear CPT 65430 | $61.60 | $280.00 | $82.00 – $514.71 | 12 |
| Corneal transplant CPT 65710 | $687.50 | $3,125.00 | $92.29 – $6,655.32 | 15 |
| Corneal transplant CPT 65730 | $754.38 | $3,429.00 | $101.43 – $5,188.94 | 15 |
| Corneal transplant CPT 65750 | $759.22 | $3,451.00 | $102.06 – $6,655.32 | 15 |
| Corneal transplant CPT 65755 | $756.58 | $3,439.00 | $101.74 – $5,188.94 | 15 |
| Corneal trnspl endothelial CPT 65756 | $715.44 | $3,252.00 | $95.63 – $5,188.94 | 15 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | not published | not published | $985.01 – $985.01 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $200.86 | $913.00 | $263.00 – $4,148.73 | 15 |
| Coronary angio/lv gram/lt heart CPT 93458 | $177.10 | $805.00 | $232.16 – $4,148.73 | 15 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $225.06 | $1,023.00 | $294.16 – $4,148.73 | 15 |
| Coronary artery correction CPT 33502 | $781.66 | $3,553.00 | $71.12 – $2,015.71 | 7 |
| Coronary artery graft CPT 33503 | $812.68 | $3,694.00 | $73.94 – $2,094.67 | 7 |
| Coronary artery graft CPT 33504 | $895.84 | $4,072.00 | $81.48 – $2,310.99 | 7 |
| Coronary art/grft angio s&i CPT 93455 | $167.64 | $762.00 | $219.20 – $4,148.73 | 15 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $143.66 | $653.00 | $188.16 – $4,148.73 | 15 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $43.71 – $427.83 | 14 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $12.76 – $72.40 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $303.82 | $1,381.00 | $16.00 – $4,185.10 | 15 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $184.58 | $839.00 | $24.65 – $4,185.10 | 15 |
| Correct finger deformity CPT 26567 | $441.10 | $2,005.00 | $58.95 – $4,185.10 | 15 |
| Correct inverted nipple(s) CPT 19355 | $382.58 | $1,739.00 | $50.18 – $4,939.24 | 15 |
| Correction claw finger other CPT 26499 | $535.04 | $2,432.00 | $14.58 – $4,185.10 | 15 |
| Correction eyelid w/implant CPT 67912 | $294.14 | $1,337.00 | $39.32 – $3,009.20 | 15 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $372.24 | $1,692.00 | $49.43 – $4,185.10 | 15 |
| Correction of astigmatism CPT 65772 | $245.74 | $1,117.00 | $32.90 – $1,249.28 | 15 |
| Correction of astigmatism CPT 65775 | $346.72 | $1,576.00 | $46.58 – $3,009.20 | 14 |
| Correction of bladder defect CPT 51940 | $1,008.48 | $4,584.00 | $106.23 – $2,598.78 | 7 |
| Correction of everted punctum 68705 CPT 68705 | $100.32 | $456.00 | $13.44 – $385.58 | 15 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $13.42 | $61.00 | $18.06 – $166.26 | 15 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $83.60 | $380.00 | $11.15 – $1,249.28 | 15 |
| Correct malrotation of bowel 44055 CPT 44055 | $922.68 | $4,194.00 | $107.56 – $2,370.70 | 7 |
| Correct metacarpal flaw CPT 26565 | $437.14 | $1,987.00 | $18.23 – $4,185.10 | 15 |
| Correct rectal prolapse CPT 45541 | $579.92 | $2,636.00 | $68.30 – $3,537.31 | 15 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | $646.58 | $2,939.00 | $76.41 – $1,666.68 | 7 |
| Correct skin color 6.0 cm/< CPT 11920 | $70.18 | $319.00 | $92.04 – $789.56 | 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.