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 |
|---|---|---|---|---|
| Adv prim care mgmt lvl 2 HCPCS G0557 | $23.10 | $105.00 | $17.98 – $38.43 | 11 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | $51.04 | $232.00 | $55.84 – $119.31 | 11 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $67.73 – $401.66 | 15 |
| Aep neurodiagnostic i&r CPT 92653 | $49.50 | $225.00 | $68.01 – $401.66 | 15 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $91.89 – $401.66 | 15 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,138.69 – $3,213.59 | 12 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $559,932.49 – $1,090,427.30 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $13.20 | $60.00 | $13.23 – $35.47 | 15 |
| #afb mycobacteria suscep. #1 CPT 87190 | $4.84 | $22.00 | $3.59 – $11.20 | 15 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $76.12 | $346.00 | $76.14 – $211.49 | 15 |
| Aff2 gen aly detc abnl allel CPT 81171 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Aff2 gen alys charac alleles CPT 81172 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Aflibercept injection HCPCS J0178 | not published | not published | $574.04 – $1,117.90 | 15 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $11.89 – $28.82 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $325.58 – $688.40 | 11 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $626.99 – $1,451.93 | 11 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $287.22 – $607.29 | 11 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $540.98 – $1,143.85 | 11 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $158.62 – $335.37 | 11 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $213.15 – $450.67 | 11 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $203.04 – $429.30 | 11 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $455.31 – $962.70 | 11 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $152.00 – $331.28 | 11 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $341.12 – $721.27 | 11 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $687.56 – $1,453.77 | 11 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $394.88 – $834.93 | 11 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $396.66 – $838.68 | 11 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $456.39 – $964.98 | 11 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $316.24 – $668.66 | 11 |
| Afo, walk boot type, cus fab HCPCS L4631 | $880.00 | $4,000.00 | $966.67 – $2,043.90 | 11 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $284.16 – $600.82 | 11 |
| After cataract laser surgery CPT 66821 | $187.22 | $851.00 | $25.29 – $707.62 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $167.31 – $325.82 | 15 |
| Ag detect nos ia single CPT 87450 | not published | not published | $9.90 – $9.90 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $8.40 – $166.26 | 15 |
| Air injection into abdomen 49400 CPT 49400 | $55.22 | $251.00 | $50.40 – $141.86 | 11 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $7.48 | $34.00 | $9.98 – $201.81 | 15 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $1,516.37 – $3,206.16 | 11 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $996.91 – $2,107.84 | 11 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $339.85 – $718.57 | 11 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $743.06 – $1,571.12 | 11 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $332.07 – $702.12 | 11 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $52.27 – $110.53 | 11 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $117.90 – $272.10 | 11 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $65.01 – $137.47 | 11 |
| Ak open end sach HCPCS L5321 | not published | not published | $2,033.64 – $4,299.88 | 11 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $84.95 – $179.60 | 11 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $80.00 – $237.34 | 11 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $117.75 – $248.97 | 11 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $840.36 – $1,776.83 | 11 |
| Albumin body fluid quantitative each specimen CPT 82042 | $41.34 | $53.00 | $3.29 – $8.48 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $89.09 | $404.95 | $45.90 – $75.10 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $15.43 – $30.04 | 15 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $106.64 | $484.75 | $38.57 – $75.10 | 15 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.01 – $33.45 | 8 |
| Albumin ischemia modified CPT 82045 | $22.44 | $102.00 | $22.40 – $60.70 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $30.42 | $39.00 | $3.62 – $12.80 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $26.52 | $34.00 | $3.15 – $5.84 | 15 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.21 – $1.23 | 4 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.09 – $0.98 | 4 |
| Albuterol ipratrop non-comp HCPCS J7620 | $0.50 | $2.28 | $0.19 – $1.05 | 9 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.15 – $0.23 | 8 |
| Albuterol non-comp unit HCPCS J7613 | $0.35 | $1.61 | $0.07 – $1.05 | 9 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $90.48 | $116.00 | $11.40 – $18.82 | 12 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $11.76 – $18.82 | 6 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $13.72 – $31.59 | 11 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $17.98 – $38.43 | 11 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $52.43 – $207.24 | 11 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,851.90 – $6,060.00 | 12 |
| Aldosterone suppression eval CPT 80408 | $82.72 | $376.00 | $79.78 – $277.50 | 15 |
| Alefacept HCPCS J0215 | not published | not published | $28.58 – $61.52 | 3 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $1,773.41 – $3,453.59 | 15 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $5.30 – $11.21 | 11 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $11.84 – $25.05 | 11 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $3.81 – $8.03 | 11 |
| Alglucerase injection HCPCS J0205 | not published | not published | $33.58 – $62.09 | 3 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $206.70 – $305.37 | 3 |
| Alkaline phosphatase CPT 84075 | $27.30 | $35.00 | $3.29 – $10.19 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $94.38 | $121.00 | $11.84 – $28.34 | 15 |
| Allergen egg white ige CPT 86003 | $27.30 | $35.00 | $3.32 – $11.54 | 15 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $5.28 | $24.00 | $5.07 – $8.69 | 12 |
| Allergy injections; 2 or more 95117 CPT 95117 | $94.38 | $121.00 | $9.87 – $59.51 | 12 |
| Allergy injection; single 95115 CPT 95115 | $94.38 | $121.00 | $5.60 – $59.51 | 12 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1.58 – $1,312.29 | 15 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $3.97 – $1,312.29 | 15 |
| Allgrft implnt knee w/scope CPT 29867 | $794.64 | $3,612.00 | $104.03 – $16,596.43 | 15 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.05 – $22.25 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $80.05 – $120.07 | 8 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $95.01 – $152.27 | 8 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | $0.01 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $28.45 – $43.44 | 8 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $141.82 – $212.72 | 8 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $85.96 – $151.62 | 4 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $118.93 – $178.38 | 8 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $228.18 – $342.24 | 8 |
| Alloskin HCPCS Q4115 | not published | not published | $13.66 – $20.48 | 8 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $37.98 – $91.62 | 8 |
| All tstg perq&iq drugs/biol CPT 95018 | $4.40 | $20.00 | $5.78 – $50.63 | 15 |
| All tstg perq&iq w/venoms CPT 95017 | $2.20 | $10.00 | $2.99 – $31.59 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $3.77 – $7.34 | 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.