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 |
|---|---|---|---|---|
| Dmpk gene detc abnor allele CPT 81234 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Dna antibody native/double stranded CPT 86225 | $72.54 | $93.00 | $8.74 – $23.20 | 15 |
| Dna gardnerella CPT 87510 | $105.30 | $135.00 | $10.34 – $25.66 | 15 |
| Dna probe chlamydia CPT 87490 | $14.96 | $68.00 | $10.34 – $36.35 | 15 |
| Dna probe gc CPT 87590 | $17.60 | $80.00 | $10.34 – $29.30 | 12 |
| Dna trichomonas CPT 87660 | $105.30 | $135.00 | $13.23 – $35.87 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $10.69 | $48.58 | $7.39 – $15.75 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.36 – $0.95 | 8 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $35.66 – $69.44 | 15 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.19 – $15.92 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.32 – $78.72 | 4 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $34.00 – $34.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $51.00 – $51.00 | 2 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $71.00 – $71.00 | 2 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $91.00 – $91.00 | 2 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $45.00 – $45.00 | 2 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $70.00 – $70.00 | 2 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $93.00 – $93.00 | 2 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $129.00 – $129.00 | 2 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $175.00 – $175.00 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $17.52 | $79.63 | $0.62 – $1.00 | 8 |
| Doppler echo complete CPT 93320 | $962.52 | $1,234.00 | $14.45 – $137.00 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $43.56 | $198.00 | $56.84 – $135.45 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $457.86 | $587.00 | $17.47 – $201.81 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $377.52 | $484.00 | $9.57 – $166.26 | 15 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.53 – $1.06 | 3 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $52.03 – $78.05 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $12,065.52 – $25,511.05 | 11 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $47.56 – $100.56 | 11 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $177.16 – $345.01 | 15 |
| Double transfer toe-hand CPT 26554 | $2,342.34 | $10,647.00 | $210.00 – $6,040.36 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.57 – $4.33 | 8 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $79.41 – $154.64 | 15 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.22 | $1.00 | $0.11 – $0.16 | 6 |
| Dpyd gene common variants CPT 81232 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $12.37 – $26.15 | 11 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,646.58 | $2,111.00 | $9.71 – $907.53 | 15 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,646.58 | $2,111.00 | $11.79 – $907.53 | 15 |
| Drainage external ear complex 69005 CPT 69005 | $99.88 | $454.00 | $13.24 – $2,089.89 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $1,646.58 | $2,111.00 | $10.28 – $907.53 | 15 |
| Drainage lymph node lesion 38300 CPT 38300 | $130.02 | $591.00 | $17.05 – $3,691.65 | 15 |
| Drainage lymph node lesion 38305 CPT 38305 | $307.78 | $1,399.00 | $44.20 – $3,691.65 | 15 |
| Drainage mouth roof lesion CPT 42000 | $543.66 | $697.00 | $8.96 – $299.53 | 15 |
| Drainage of abdomen CPT 48000 | $1,161.82 | $5,281.00 | $85.51 – $2,994.80 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | $100.10 | $455.00 | $5.94 – $2,089.89 | 15 |
| Drainage of bladder abscess CPT 51080 | $254.32 | $1,156.00 | $26.82 – $3,691.65 | 15 |
| Drainage of bone lesion CPT 26992 | $621.94 | $2,827.00 | $82.38 – $1,610.45 | 7 |
| Drainage of bone lesion CPT 27303 | $401.28 | $1,824.00 | $52.60 – $1,028.28 | 7 |
| Drainage of eye CPT 65800 | $54.34 | $247.00 | $72.09 – $2,941.83 | 15 |
| Drainage of eye CPT 65810 | $280.72 | $1,276.00 | $37.67 – $2,941.83 | 15 |
| Drainage of eye CPT 65815 | $288.86 | $1,313.00 | $38.66 – $2,941.83 | 15 |
| Drainage of forearm bursa CPT 25031 | $232.54 | $1,057.00 | $12.00 – $2,064.31 | 15 |
| Drainage of kidney lesion CPT 50390 | $1,646.58 | $2,111.00 | $75.71 – $907.53 | 15 |
| Drainage of mouth lesion CPT 41005 | $72.60 | $330.00 | $9.50 – $299.53 | 15 |
| Drainage of mouth lesion CPT 41006 | $144.98 | $659.00 | $17.04 – $1,910.65 | 15 |
| Drainage of mouth lesion CPT 41007 | $138.82 | $631.00 | $16.34 – $1,910.65 | 15 |
| Drainage of mouth lesion CPT 41008 | $7,588.62 | $9,729.00 | $18.99 – $4,183.11 | 15 |
| Drainage of mouth lesion CPT 41009 | $177.54 | $807.00 | $21.02 – $656.86 | 15 |
| Drainage of mouth lesion CPT 41015 | $186.34 | $847.00 | $22.01 – $656.86 | 15 |
| Drainage of mouth lesion CPT 41016 | $13,842.66 | $17,747.00 | $24.68 – $7,630.39 | 15 |
| Drainage of mouth lesion CPT 41017 | $7,588.62 | $9,729.00 | $24.68 – $4,183.11 | 15 |
| Drainage of mouth lesion CPT 41018 | $247.50 | $1,125.00 | $24.68 – $1,910.65 | 15 |
| Drainage of nose lesion int 30000 CPT 30000 | $543.66 | $697.00 | $9.93 – $299.53 | 15 |
| Drainage of nose lesion sept 30020 CPT 30020 | $75.46 | $343.00 | $10.07 – $656.86 | 15 |
| Drainage of pelvis bursa CPT 26991 | $326.70 | $1,485.00 | $41.48 – $2,064.31 | 15 |
| Drainage of pelvis lesion 26990 CPT 26990 | $7,592.52 | $9,734.00 | $18.70 – $4,185.10 | 15 |
| Drainage of prostate abscess CPT 52700 | $274.56 | $1,248.00 | $28.96 – $4,448.70 | 15 |
| Drainage of prostate abscess CPT 55720 | $280.06 | $1,273.00 | $37.00 – $4,448.70 | 14 |
| Drainage of prostate abscess CPT 55725 | $369.60 | $1,680.00 | $48.73 – $4,448.70 | 14 |
| Drainage of rectal abscess CPT 45005 | $103.84 | $472.00 | $13.40 – $1,520.85 | 15 |
| Drainage of rectal abscess 45020 CPT 45020 | $355.96 | $1,618.00 | $41.61 – $3,537.31 | 15 |
| Drainage of salivary gland CPT 42305 | $268.62 | $1,221.00 | $32.04 – $4,183.11 | 15 |
| Drainage of salivary gland CPT 42320 | $1,191.84 | $1,528.00 | $14.71 – $656.86 | 15 |
| Drainage of spinal cyst CPT 63172 | $885.06 | $4,023.00 | $125.12 – $2,275.73 | 7 |
| Drainage of spinal cyst CPT 63173 | $1,078.66 | $4,903.00 | $152.69 – $2,778.73 | 7 |
| Drainage of throat abscess CPT 42725 | $495.00 | $2,250.00 | $37.80 – $7,630.39 | 15 |
| Drainage of urethra abscess CPT 53040 | $243.76 | $1,108.00 | $25.69 – $4,448.70 | 15 |
| Drainage of urethra abscess 53060 CPT 53060 | $4,793.88 | $6,146.00 | $13.54 – $2,642.30 | 15 |
| Drainage of urinary leakage CPT 53080 | $261.14 | $1,187.00 | $27.58 – $860.94 | 15 |
| Drainage of urinary leakage CPT 53085 | $401.50 | $1,825.00 | $21.00 – $2,642.30 | 15 |
| Drain bladder by trocar/cath CPT 51101 | $31.46 | $143.00 | $41.22 – $1,312.29 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $301.86 | $387.00 | $25.20 – $166.26 | 15 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $125.62 | $571.00 | $164.56 – $2,089.89 | 15 |
| Drain cath image guided visceral pq CPT 49405 | $3,791.58 | $4,861.00 | $155.56 – $2,089.89 | 15 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,620.84 | $2,078.00 | $38.85 – $893.26 | 15 |
| Drain chest lesion CPT 21502 | $314.82 | $1,431.00 | $41.06 – $4,185.10 | 15 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $53.44 – $112.99 | 11 |
| Drain finger abscess;simple 26010 CPT 26010 | $464.88 | $596.00 | $5.00 – $256.30 | 15 |
| Drain lower leg bursa CPT 27604 | $207.02 | $941.00 | $26.54 – $4,185.10 | 15 |
| Drain lower leg lesion 27603 CPT 27603 | $241.12 | $1,096.00 | $3.90 – $3,691.65 | 15 |
| Drain neck/chest lesion 21501 CPT 21501 | $210.10 | $955.00 | $17.50 – $3,691.65 | 15 |
| Drain open lung lesion 32200 CPT 32200 | $698.28 | $3,174.00 | $90.87 – $1,799.02 | 7 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.95 – $4.12 | 11 |
| Drain ovarn cyst abd CPT 58805 | $263.56 | $1,198.00 | $42.12 – $4,101.16 | 15 |
| Drain ovary abscess open CPT 58820 | $209.00 | $950.00 | $27.97 – $4,101.16 | 15 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $678.26 | $3,083.00 | $62.06 – $1,746.76 | 7 |
| Drain penis lesion CPT 54015 | $188.32 | $856.00 | $24.86 – $2,089.89 | 15 |
| Drain shoulder bone lesion CPT 23035 | $425.04 | $1,932.00 | $19.97 – $2,064.31 | 15 |
| Drain shoulder bursa 23031 CPT 23031 | $139.26 | $633.00 | $18.23 – $3,691.65 | 15 |
| Drain shoulder lesion CPT 23030 | $158.84 | $722.00 | $11.00 – $3,691.65 | 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.