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 |
|---|---|---|---|---|
| Cryopreserve stem cells CPT 38207 | $29.04 | $132.00 | $36.44 – $563.90 | 12 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $32.25 – $68.92 | 10 |
| Cryosurg ablate fa each CPT 19105 | $129.58 | $589.00 | $5.60 – $4,939.24 | 15 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $69.74 | $317.00 | $9.18 – $256.30 | 15 |
| Cryotherapy of acne 17340 CPT 17340 | $30.36 | $138.00 | $4.00 – $77.88 | 12 |
| Cryptococcus abs qn - sendout CPT 86641 | $9.68 | $44.00 | $6.21 – $31.87 | 15 |
| Cryptosporidium antigen CPT 87272 | $63.18 | $81.00 | $7.91 – $13.06 | 12 |
| Crystal identification light microscopy CPT 89060 | $39.00 | $50.00 | $4.54 – $12.00 | 15 |
| C-Section Delivery (full care) CPT 59510 | $1,653.74 | $7,517.00 | $2,162.08 – $5,700.00 | 9 |
| C-section delivery incl p/p care 59515 CPT 59515 | $826.98 | $3,759.00 | $1,074.57 – $3,136.50 | 8 |
| Csf leakage imaging CPT 78650 | $14.96 | $68.00 | $20.15 – $1,683.89 | 15 |
| Csf shunt reprogram 62252 CPT 62252 | $28.38 | $129.00 | $32.70 – $386.84 | 12 |
| Csf ventriculography CPT 78635 | $17.82 | $81.00 | $23.63 – $694.29 | 15 |
| Cstb gene detc abnor allele CPT 81188 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Cstb gene full gene sequence CPT 81189 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Cstb gene known famil vrnt CPT 81190 | $122.32 | $556.00 | $122.23 – $201.87 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $990.60 | $1,270.00 | $30.91 – $60.16 | 4 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,887.60 | $2,420.00 | $73.02 – $288.51 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,029.52 | $3,884.00 | $84.87 – $510.56 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | $1,887.60 | $2,420.00 | $70.21 – $320.99 | 15 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,887.60 | $2,420.00 | $91.81 – $349.39 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,887.60 | $2,420.00 | $70.48 – $331.70 | 15 |
| CT Angiogram of the Head CPT 70496 | $1,887.60 | $2,420.00 | $67.76 – $306.31 | 15 |
| CT Angiogram of the Neck CPT 70498 | $1,887.60 | $2,420.00 | $67.76 – $306.31 | 15 |
| CT angio hrt w/3d image CPT 75574 | $69.74 | $317.00 | $92.47 – $460.65 | 15 |
| CT angio pelvis CPT 72191 | $1,887.60 | $2,420.00 | $69.39 – $320.99 | 15 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,887.60 | $2,420.00 | $69.39 – $288.51 | 15 |
| CT bone density axial CPT 77078 | $7.26 | $33.00 | $9.56 – $113.57 | 15 |
| CT colonography dx CPT 74261 | $70.40 | $320.00 | $64.19 – $180.60 | 12 |
| CT colonography dx w/dye CPT 74262 | $73.26 | $333.00 | $97.06 – $229.62 | 12 |
| CT colonography screening CPT 74263 | $69.52 | $316.00 | $89.18 – $311.79 | 12 |
| CT guidance for needle placement CPT 77012 | $2,305.68 | $2,956.00 | $56.66 – $156.44 | 8 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $451.62 | $579.00 | $7.88 – $87.02 | 8 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | $0.01 | $144.80 – $309.41 | 10 |
| CT guid parench tis ablat CPT 77013 | $1,665.30 | $2,135.00 | $148.41 – $289.24 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $16.94 | $77.00 | $22.40 – $113.57 | 15 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $74.36 | $338.00 | $98.27 – $460.65 | 15 |
| CT hrt w/3d image CPT 75572 | $50.60 | $230.00 | $67.28 – $460.65 | 15 |
| CT limited or localized follow-up study CPT 76380 | $747.24 | $958.00 | $37.03 – $113.57 | 12 |
| Ctlso a-p-l control molded HCPCS L0700 | not published | not published | $1,187.28 – $2,510.36 | 11 |
| Ctlso a-p-l control with inter HCPCS L0710 | not published | not published | $1,212.96 – $2,564.65 | 11 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $38.98 – $82.41 | 11 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,191.20 – $2,518.64 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,887.60 | $2,420.00 | $47.04 – $229.62 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $543.66 | $697.00 | $83.48 – $299.53 | 15 |
| CT scan for localization CPT 77011 | $37.84 | $172.00 | $47.19 – $276.32 | 8 |
| CT scan for therapy guide CPT 77014 | $27.94 | $127.00 | $33.26 – $103.84 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,786.90 | $4,855.00 | $77.74 – $460.65 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,029.52 | $3,884.00 | $70.54 – $460.65 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,050.62 | $2,629.00 | $67.48 – $311.79 | 15 |
| CT t-spine w /wo contrast CPT 72130 | $1,887.60 | $2,420.00 | $49.47 – $229.62 | 15 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,887.60 | $2,420.00 | $47.04 – $229.62 | 15 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $607.39 – $1,284.25 | 11 |
| Cultr oocyte/embryo <4 days CPT 89250 | $575.52 | $2,616.00 | $103.44 – $1,039.92 | 12 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $103.44 – $1,081.78 | 12 |
| Cult skin graft fnhfg 15155 CPT 15155 | $450.56 | $2,048.00 | $59.02 – $4,722.15 | 15 |
| Cult skin grft t/arm/leg CPT 15150 | $395.56 | $1,798.00 | $51.56 – $2,359.45 | 15 |
| Culture aerobic additional method definitive id each CPT 87077 | $42.90 | $55.00 | $5.34 – $11.36 | 15 |
| Culture afb any source CPT 87116 | $56.94 | $73.00 | $6.87 – $12.00 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $42.90 | $55.00 | $5.34 – $14.00 | 15 |
| Culture anaerobic except blood CPT 87075 | $49.92 | $64.00 | $5.38 – $16.00 | 15 |
| Culture bacteria anaerobic CPT 87073 | $6.16 | $28.00 | $5.22 – $10.53 | 15 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $10.00 – $16.00 | 7 |
| Culture bact stool aero addl path ea CPT 87046 | $49.92 | $64.00 | $2.61 – $10.29 | 15 |
| Culture body fluid CPT 87070 | $46.02 | $59.00 | $5.47 – $11.04 | 15 |
| Culture fungi definitive id mold CPT 87107 | $6.60 | $30.00 | $6.81 – $18.27 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $54.60 | $70.00 | $3.91 – $15.52 | 15 |
| Culture fungi other (except blood) CPT 87102 | $44.46 | $57.00 | $5.34 – $15.52 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $40.56 | $52.00 | $4.90 – $15.52 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $9.68 | $44.00 | $3.31 – $24.19 | 15 |
| Culture mycoplasma any source CPT 87109 | $10.12 | $46.00 | $9.78 – $25.60 | 15 |
| Culture of specimen by kit CPT 87084 | $18.04 | $82.00 | $5.47 – $29.51 | 12 |
| Culture quantitative aerobic other source CPT 87071 | $6.60 | $30.00 | $5.22 – $10.78 | 15 |
| Culture screening strep group a CPT 87081 | $35.10 | $45.00 | $4.21 – $8.32 | 15 |
| Culture type pulse field gel CPT 87152 | $5.28 | $24.00 | $4.66 – $9.25 | 15 |
| Culture typing added method CPT 87158 | $5.28 | $24.00 | $3.33 – $8.44 | 15 |
| Culture typing glc/hplc CPT 87143 | $8.36 | $38.00 | $4.00 – $13.65 | 15 |
| Culture typing immunologic CPT 87147 | $27.30 | $35.00 | $3.00 – $5.65 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $143.92 – $237.69 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $23.32 | $106.00 | $23.16 – $64.35 | 15 |
| Culture urine each isolate CPT 87088 | $42.90 | $55.00 | $5.14 – $12.80 | 15 |
| Culture virus isolation CPT 87250 | $12.76 | $58.00 | $7.00 – $21.32 | 15 |
| Curette/treat cornea CPT 65435 | $2,266.68 | $2,906.00 | $56.48 – $1,249.28 | 15 |
| Curette/treat cornea CPT 65436 | $224.62 | $1,021.00 | $30.00 – $3,009.20 | 15 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $798.99 – $1,689.39 | 11 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $798.99 – $1,689.39 | 11 |
| Custom glove for term device HCPCS L6895 | not published | not published | $272.00 – $809.89 | 11 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $666.36 – $1,408.94 | 11 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $363.46 – $768.48 | 11 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $873.20 – $1,846.27 | 11 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $649.95 – $1,374.24 | 11 |
| Cutter lead HCPCS C1773 | not published | not published | $244.92 – $244.92 | 1 |
| Cv line/pic reposition CPT 36597 | $3,635.58 | $4,661.00 | $48.08 – $2,003.72 | 15 |
| Cv stress test i&r only 93018 CPT 93018 | $8.80 | $40.00 | $11.38 – $36.00 | 8 |
| Cv stress test/supervision only 93016 CPT 93016 | $12.76 | $58.00 | $17.24 – $56.00 | 8 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $9.24 | $42.00 | $9.11 – $32.02 | 15 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $5.38 | $24.47 | $0.78 – $1.66 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $68.64 | $88.00 | $8.55 – $23.15 | 15 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $4.58 – $4.58 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.45 – $0.88 | 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.