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 |
|---|---|---|---|---|
| Cytopath fl nongyn filter CPT 88106 | $11.44 | $52.00 | $2.50 – $31.59 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $16.50 | $75.00 | $22.23 – $68.92 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $17.60 | $80.00 | $17.57 – $47.28 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $13.20 | $60.00 | $6.71 – $25.60 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $92.04 | $118.00 | $4.00 – $50.63 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $16.72 | $76.00 | $6.50 – $50.63 | 15 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $12.98 | $59.00 | $6.71 – $7.87 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $21.34 | $97.00 | $17.39 – $221.03 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $41.80 | $190.00 | $32.25 – $68.92 | 12 |
| Cytopath smear other source CPT 88160 | $15.40 | $70.00 | $2.50 – $31.59 | 15 |
| Cytopath smear other source CPT 88162 | $23.54 | $107.00 | $4.75 – $68.92 | 15 |
| Cytopath smear oth prep screen & interp CPT 88161 | $57.72 | $74.00 | $7.56 – $31.59 | 15 |
| Cytopath tbs c/v auto redo CPT 88166 | $11.88 | $54.00 | $5.72 – $19.83 | 15 |
| Cytopath tbs c/v manual CPT 88164 | $11.88 | $54.00 | $6.71 – $19.83 | 15 |
| Cytopath tbs c/v redo CPT 88165 | $27.72 | $126.00 | $5.72 – $46.02 | 15 |
| Cytopath tbs c/v select CPT 88167 | $11.88 | $54.00 | $5.72 – $19.83 | 15 |
| Cytotoxic antibody screening CPT 86807 | $51.92 | $236.00 | $25.16 – $87.50 | 15 |
| Cytotoxic antibody screening CPT 86808 | $19.80 | $90.00 | $18.87 – $65.63 | 15 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $29.26 | $133.00 | $38.78 – $296.58 | 15 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.60 – $5.44 | 8 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $220.10 – $428.64 | 15 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.30 – $22.00 | 15 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $13.86 – $39.00 | 9 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.05 | 8 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.07 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $39.72 – $77.35 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.18 – $4.24 | 15 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.18 – $4.24 | 15 |
| Dark field exam spec collj CPT 87164 | $11.66 | $53.00 | $1.37 – $12.80 | 15 |
| Dark field exam without collj CPT 87166 | $7.48 | $34.00 | $7.18 – $12.80 | 15 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $185.35 – $360.96 | 15 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $14.36 – $27.96 | 15 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $57.66 – $360.18 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $119.94 – $427.96 | 15 |
| D&c after delivery 59160 CPT 59160 | $115.72 | $526.00 | $15.24 – $4,101.16 | 15 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $144.10 | $655.00 | $19.11 – $4,101.16 | 15 |
| Dch glucoscan CPT 82948 | $3.52 | $16.00 | $2.00 – $5.49 | 15 |
| Dch pulmonary stress test CPT 94621 | $41.36 | $188.00 | $46.99 – $401.66 | 15 |
| Dch validity tests CPT 81002 | $17.94 | $23.00 | $1.63 – $5.71 | 15 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,569.24 | $5,858.00 | $54.22 – $2,518.80 | 15 |
| Dcmprn orbit only transcrnl CPT 61330 | $1,120.24 | $5,092.00 | $158.51 – $4,183.11 | 14 |
| Dcmprn plantar digital nerve CPT 64726 | $168.74 | $767.00 | $24.42 – $2,518.80 | 15 |
| D&c of cervical stump CPT 57558 | $78.76 | $358.00 | $10.57 – $4,101.16 | 15 |
| Deamidated gliadin antibody iga CPT 86258 | $63.18 | $81.00 | $7.95 – $13.13 | 12 |
| Debr g/per/abd wall 11006 CPT 11006 | $430.54 | $1,957.00 | $559.02 – $1,108.67 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $16.72 | $76.00 | $15.44 – $789.56 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $348.66 | $447.00 | $12.14 – $126.23 | 12 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,791.58 | $4,861.00 | $20.18 – $2,089.89 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,074.06 | $1,377.00 | $31.95 – $87.06 | 10 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $59.62 | $271.00 | $55.65 – $153.74 | 10 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $935.22 | $1,199.00 | $10.99 – $515.34 | 15 |
| Debride nail1-5 11720 CPT 11720 | $139.62 | $179.00 | $11.56 – $76.62 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $139.62 | $179.00 | $19.33 – $76.62 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $183.92 | $836.00 | $239.61 – $1,187.28 | 15 |
| Debride skin bone at fx site CPT 11012 | $255.64 | $1,162.00 | $334.64 – $3,691.65 | 15 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $348.70 | $1,585.00 | $454.99 – $900.04 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $473.88 | $2,154.00 | $615.79 – $1,224.62 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $701.22 | $899.00 | $15.17 – $40.16 | 10 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $31.90 | $145.00 | $41.81 – $256.30 | 15 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $170.28 | $774.00 | $22.33 – $1,187.28 | 15 |
| Debr inf skin add-on 11001 CPT 11001 | $9.02 | $41.00 | $12.06 – $54.00 | 12 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $94.82 | $431.00 | $17.09 – $789.56 | 15 |
| Decalcification CPT 88311 | $338.52 | $434.00 | $6.92 – $11.06 | 8 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.50 – $3.04 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $776.10 | $995.00 | $26.31 – $427.83 | 15 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $293.70 | $1,335.00 | $5.82 – $4,185.10 | 15 |
| Decomp forearm 1 space 25020 CPT 25020 | $447.48 | $2,034.00 | $3.00 – $2,064.31 | 15 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $762.08 | $3,464.00 | $99.77 – $2,064.31 | 15 |
| Decompress fasciotomyhand 26037 CPT 26037 | $352.88 | $1,604.00 | $14.72 – $4,185.10 | 15 |
| Decompress fingers/hand CPT 26035 | $537.68 | $2,444.00 | $14.72 – $4,185.10 | 15 |
| Decompress forearm 1 space CPT 25023 | $799.70 | $3,635.00 | $3.00 – $4,185.10 | 15 |
| Decompress forearm 2 spaces CPT 25024 | $485.10 | $2,205.00 | $63.84 – $4,185.10 | 15 |
| Decompression fasct forearm CPT 24495 | $559.02 | $2,541.00 | $75.05 – $9,214.43 | 14 |
| Decompression of leg CPT 27892 | $337.04 | $1,532.00 | $43.69 – $4,185.10 | 15 |
| Decompression of leg CPT 27893 | $384.56 | $1,748.00 | $50.49 – $9,214.43 | 15 |
| Decompression of leg CPT 27894 | $508.86 | $2,313.00 | $28.07 – $4,185.10 | 15 |
| Decompression of lower leg CPT 27600 | $249.04 | $1,132.00 | $32.49 – $4,185.10 | 15 |
| Decompression of lower leg CPT 27601 | $272.58 | $1,239.00 | $36.14 – $4,185.10 | 15 |
| Decompression of thigh/knee CPT 27496 | $344.96 | $1,568.00 | $45.28 – $4,185.10 | 15 |
| Decompression of thigh/knee CPT 27497 | $363.88 | $1,654.00 | $47.72 – $4,185.10 | 15 |
| Decompression of thigh/knee CPT 27498 | $412.06 | $1,873.00 | $53.99 – $2,064.31 | 15 |
| Decompression of thigh/knee CPT 27499 | $439.12 | $1,996.00 | $57.60 – $9,214.43 | 15 |
| Decompression of tibia nerve CPT 28035 | $226.16 | $1,028.00 | $29.55 – $2,518.80 | 15 |
| Decompression unspecified nerve 64722 CPT 64722 | $231.88 | $1,054.00 | $33.43 – $2,518.80 | 15 |
| Decompressive craniotomy CPT 61322 | $1,483.46 | $6,743.00 | $210.00 – $3,826.80 | 7 |
| Decompress optic nerve CPT 67570 | $760.10 | $3,455.00 | $95.78 – $4,864.07 | 15 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $1,011.78 | $4,599.00 | $143.72 – $9,214.43 | 15 |
| Decompress small bowel CPT 44021 | $603.02 | $2,741.00 | $70.30 – $1,546.85 | 7 |
| Decompress spinal cord lmbr CPT 63056 | $925.32 | $4,206.00 | $132.01 – $9,214.43 | 15 |
| Decompress spinal cord thrc CPT 63064 | $1,097.36 | $4,988.00 | $157.06 – $9,214.43 | 15 |
| Decompress spine cord add-on CPT 63066 | $126.94 | $577.00 | $30.87 – $326.91 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $198.44 | $902.00 | $50.39 – $510.41 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | $95.70 | $435.00 | $3.00 – $3,691.65 | 15 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $31.72 | $144.20 | $8.51 – $12.76 | 8 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.17 – $6.17 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | $471.68 | $2,144.00 | $61.89 – $12,342.76 | 15 |
| Delay flap arms/legs CPT 15610 | $151.58 | $689.00 | $19.96 – $2,359.45 | 15 |
| Delay flap eye/nos/ear/lip CPT 15630 | $212.52 | $966.00 | $28.12 – $2,359.45 | 15 |
| Delay flap fccnaxghf 15620 CPT 15620 | $202.18 | $919.00 | $3.00 – $2,359.45 | 15 |
| Delay flap trunk 15600 CPT 15600 | $130.02 | $591.00 | $17.33 – $4,722.15 | 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.