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 |
|---|---|---|---|---|
| Delivery of placenta 59414 CPT 59414 | $56.10 | $255.00 | $72.35 – $4,101.16 | 15 |
| Delivery only failed vbac 59620 CPT 59620 | $578.60 | $2,630.00 | $315.00 – $2,312.00 | 8 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $855.36 | $3,888.00 | $1,113.36 – $2,222.42 | 7 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $396.00 | $1,800.00 | $36.07 – $1,024.87 | 7 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $77.79 – $166.22 | 11 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $14.38 – $262.35 | 15 |
| Denervation of hip joint CPT 27035 | $697.84 | $3,172.00 | $92.93 – $4,185.10 | 15 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $15.00 – $95.83 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $21.24 – $41.37 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $301.86 | $440.00 | $12.56 – $242.21 | 15 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $1.87 – $3.95 | 11 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $38.65 – $66.38 | 9 |
| Dermabrasion other than face CPT 15782 | $228.36 | $1,038.00 | $30.27 – $3,691.65 | 12 |
| Dermabrasion segmental face 15781 CPT 15781 | $258.06 | $1,173.00 | $34.76 – $907.53 | 12 |
| Dermabrasion suprfl any site CPT 15783 | $220.22 | $1,001.00 | $29.09 – $562.15 | 12 |
| Dermabrasion total face CPT 15780 | $408.76 | $1,858.00 | $54.21 – $3,691.65 | 12 |
| Derma-fat-fascia graft 15770 CPT 15770 | $416.46 | $1,893.00 | $2.00 – $4,722.15 | 15 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $300.18 – $1,232.99 | 8 |
| Dermagraft HCPCS Q4106 | not published | not published | $40.62 – $52.72 | 3 |
| Dermal filler injection(s) HCPCS G0429 | $42.02 | $191.00 | $55.63 – $2,359.45 | 11 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $42.84 – $67.93 | 8 |
| Derm autograft face/nck/hf/g CPT 15135 | $467.28 | $2,124.00 | $61.66 – $4,722.15 | 15 |
| Derm autograft trnk/arm/leg CPT 15130 | $368.94 | $1,677.00 | $48.49 – $2,359.45 | 15 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $102.45 – $303.69 | 8 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $1,557.99 – $2,440.93 | 8 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $1,079.32 | $4,906.00 | $98.14 – $2,797.19 | 7 |
| Description not available HCPCS S0013 | $9.24 | $42.00 | $14.07 – $18.53 | 4 |
| Design custom breast implant CPT 19396 | $88.00 | $400.00 | $115.33 – $4,939.24 | 12 |
| Design mlc device for imrt CPT 77338 | $140.36 | $638.00 | $185.26 – $472.18 | 12 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $30.41 | $138.25 | $2.83 – $5.51 | 15 |
| Desoxycorticosterone CPT 82633 | $20.24 | $92.00 | $19.69 – $68.50 | 15 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $238.92 | $1,086.00 | $54.84 – $618.89 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $927.08 | $4,214.00 | $84.29 – $2,402.22 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $6,136.26 | $7,867.00 | $61.20 – $1,741.97 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $54.12 | $246.00 | $7.10 – $256.30 | 15 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $73.04 | $332.00 | $6.93 – $256.30 | 15 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $84.26 | $383.00 | $6.93 – $256.30 | 15 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $59.62 | $271.00 | $7.81 – $256.30 | 15 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $65.12 | $296.00 | $8.58 – $256.30 | 15 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $74.80 | $340.00 | $9.89 – $256.30 | 15 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $43.56 | $198.00 | $5.00 – $256.30 | 15 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $54.12 | $246.00 | $5.00 – $256.30 | 15 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $68.20 | $310.00 | $5.00 – $256.30 | 15 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $75.46 | $343.00 | $9.98 – $256.30 | 15 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $118.58 | $539.00 | $15.70 – $2,518.80 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $41.36 | $188.00 | $54.54 – $106.55 | 11 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $94.60 | $430.00 | $11.15 – $1,520.85 | 15 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $33.66 | $153.00 | $4.51 – $256.30 | 15 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $131.12 | $596.00 | $17.40 – $2,359.45 | 15 |
| Destroy vulva lesion simple 56501 CPT 56501 | $82.06 | $373.00 | $10.96 – $2,359.45 | 15 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $51.70 | $235.00 | $6.82 – $256.30 | 15 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $222.64 | $1,012.00 | $15.33 – $789.56 | 15 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $170.72 | $776.00 | $22.58 – $515.34 | 15 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $326.26 | $1,483.00 | $8.00 – $2,359.45 | 15 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1.32 | $6.00 | $1.67 – $19.29 | 12 |
| Destruction anal lesion(s) CPT 46910 | $83.38 | $379.00 | $11.06 – $2,359.45 | 15 |
| Destruction anal lesion(s) CPT 46924 | $113.30 | $515.00 | $14.80 – $3,537.31 | 15 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $85.58 | $389.00 | $11.26 – $515.34 | 15 |
| Destruction benign lesions < 14 lesions CPT 17110 | $464.88 | $596.00 | $5.62 – $256.30 | 15 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $119.24 | $542.00 | $15.55 – $1,148.35 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $36.30 | $165.00 | $47.72 – $93.19 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $118.58 | $539.00 | $15.72 – $2,518.80 | 15 |
| Destruction ciliary body CPT 66700 | $236.94 | $1,077.00 | $31.78 – $2,941.83 | 14 |
| Destruction ciliary body CPT 66720 | $248.82 | $1,131.00 | $33.40 – $3,009.20 | 15 |
| Destruction ciliary body CPT 66740 | $236.94 | $1,077.00 | $31.78 – $3,009.20 | 15 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $87.56 | $398.00 | $11.63 – $256.30 | 15 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $80.08 | $364.00 | $10.56 – $3,537.31 | 15 |
| Destruction les conjunctiva CPT 68135 | $91.08 | $414.00 | $12.13 – $3,009.20 | 15 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $84.70 | $385.00 | $7.00 – $515.34 | 15 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $103.84 | $472.00 | $13.64 – $515.34 | 15 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $80.96 | $368.00 | $10.66 – $515.34 | 15 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $94.82 | $431.00 | $12.49 – $515.34 | 15 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $66.44 | $302.00 | $8.77 – $515.34 | 15 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $107.58 | $489.00 | $14.08 – $2,359.45 | 15 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $60.72 | $276.00 | $8.03 – $515.34 | 15 |
| Destruction rectal tumor 45190 CPT 45190 | $430.54 | $1,957.00 | $51.16 – $3,537.31 | 15 |
| Destruction vag lesions complex 57065 CPT 57065 | $114.40 | $520.00 | $15.24 – $4,101.16 | 15 |
| Destruction vag lesions simple 57061 CPT 57061 | $70.84 | $322.00 | $9.45 – $4,101.16 | 15 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $60.06 | $273.00 | $7.88 – $2,359.45 | 15 |
| Detect agent nos dna dir CPT 87797 | $19.80 | $90.00 | $10.34 – $36.75 | 15 |
| Detect agnt mult dna direc CPT 87800 | $29.04 | $132.00 | $22.17 – $47.60 | 15 |
| Determination venous press CPT 93770 | $5.06 | $23.00 | $0.55 – $8.10 | 8 |
| Determine refractive state CPT 92015 | $12.10 | $55.00 | $7.20 – $29.51 | 8 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $9.34 – $29.91 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | $75.02 | $341.00 | $60.00 – $201.81 | 17 |
| Device intraute mirena HCPCS J7298 | $632.50 | $2,874.98 | $1,238.93 – $1,993.95 | 9 |
| Device sut capio slim opn HCPCS C2631 | not published | not published | $719.71 – $719.71 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | $22.22 | $101.00 | $29.76 – $65.73 | 8 |
| Devise bowel pouch CPT 44316 | $875.16 | $3,978.00 | $102.31 – $2,254.67 | 7 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $9.34 – $119.31 | 11 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $31.02 | $141.00 | $43.67 – $152.00 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $283.14 | $363.00 | $7.75 – $113.57 | 15 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $61.26 – $143.60 | 15 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.17 – $1.54 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.77 | $3.52 | $0.02 – $1.05 | 9 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $5.77 | $26.25 | $0.11 – $1.05 | 9 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $149.15 – $290.47 | 15 |
| Dexamethasone panel CPT 80420 | $106.92 | $486.00 | $45.79 – $176.45 | 15 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.47 – $0.70 | 11 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $23.31 – $80.88 | 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.