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 |
|---|---|---|---|---|
| Dynamic fine wire emg CPT 96003 | $10.34 | $47.00 | $273.34 – $273.34 | 1 |
| Dynamic surface emg CPT 96002 | $13.20 | $60.00 | $15.88 – $401.66 | 12 |
| Ear and throat examination CPT 92502 | $58.52 | $266.00 | $41.48 – $656.86 | 15 |
| Ear canal biopsy 69105 CPT 69105 | $39.82 | $181.00 | $52.04 – $1,910.65 | 15 |
| Ear cartilage graft CPT 21235 | $352.44 | $1,602.00 | $46.72 – $7,630.39 | 15 |
| Ear irrigation 69209 CPT 69209 | $139.62 | $179.00 | $10.08 – $76.62 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $23.69 – $117.56 | 12 |
| Ecallantide injection HCPCS J1290 | not published | not published | $421.42 – $820.68 | 15 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $4.18 | $19.00 | $5.53 – $18.00 | 8 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $139.62 | $179.00 | $4.64 – $76.62 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | $214.50 | $275.00 | $55.41 – $218.32 | 15 |
| Ecg external < 48 hours recording CPT 93225 | $301.86 | $387.00 | $14.71 – $166.26 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $139.62 | $179.00 | $28.67 – $76.62 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $92.04 | $118.00 | $9.61 – $50.63 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $92.04 | $118.00 | $9.61 – $50.63 | 15 |
| Ecg record/review CPT 93268 | not published | not published | $53.95 – $520.00 | 9 |
| Ecg/review interpret only CPT 93272 | $14.74 | $67.00 | $19.69 – $69.48 | 8 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,283.10 | $1,645.00 | $45.02 – $707.23 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $565.50 | $725.00 | $15.75 – $311.79 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $962.52 | $1,234.00 | $2.52 – $65.00 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,848.60 | $2,370.00 | $476.91 – $1,019.07 | 10 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $836.16 | $1,072.00 | $215.58 – $460.65 | 10 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $962.52 | $1,234.00 | $5.79 – $69.00 | 9 |
| Echo exam of eye CPT 76516 | $13.86 | $63.00 | $18.24 – $137.16 | 15 |
| Echo exam of eye CPT 76519 | $18.48 | $84.00 | $24.62 – $137.16 | 15 |
| Echo exam of eye CPT 76529 | $386.10 | $495.00 | $26.27 – $113.57 | 15 |
| Echo exam of eye thickness CPT 76514 | $4.84 | $22.00 | $2.85 – $31.59 | 15 |
| Echo exam of fetal heart CPT 76825 | $48.18 | $219.00 | $13.65 – $707.23 | 15 |
| Echo exam of fetal heart CPT 76826 | $23.98 | $109.00 | $19.95 – $311.79 | 15 |
| Echo exam of fetal heart CPT 76827 | $16.94 | $77.00 | $22.73 – $137.16 | 15 |
| Echo exam of fetal heart CPT 76828 | $16.06 | $73.00 | $18.20 – $137.16 | 15 |
| Echo exam uterus 76831- CPT 76831 | $1,060.80 | $1,360.00 | $28.30 – $311.79 | 12 |
| Echograp trans r pros study CPT 76873 | $46.86 | $213.00 | $62.55 – $137.16 | 12 |
| Echo guidance radiotherapy CPT 76965 | $41.80 | $190.00 | $22.23 – $42.24 | 4 |
| Echo guidance radiotherapy HCPCS G6001 | $19.58 | $89.00 | $24.33 – $35.89 | 7 |
| Echo guide for amniocentesis CPT 76946 | $580.32 | $744.00 | $12.29 – $28.46 | 8 |
| Echo guide for artery repair CPT 76936 | $1,366.56 | $1,752.00 | $75.69 – $401.66 | 15 |
| Echo guide for heart biopsy CPT 76932 | $21.56 | $98.00 | $24.36 – $56.62 | 8 |
| Echo guide for transfusion CPT 76941 | $39.16 | $178.00 | $51.12 – $81.92 | 8 |
| Echo guide ova aspiration CPT 76948 | $20.46 | $93.00 | $26.15 – $50.52 | 4 |
| Echo guide villus sampling CPT 76945 | $19.58 | $89.00 | $26.15 – $72.28 | 8 |
| Echo stress CPT 93350 | $1,283.10 | $1,645.00 | $31.50 – $707.23 | 15 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $15.62 | $71.00 | $20.97 – $707.23 | 15 |
| Echo tee guidance CPT 93355 | $136.62 | $621.00 | $181.38 – $353.50 | 7 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,283.10 | $1,645.00 | $86.34 – $707.23 | 15 |
| Echo transesophageal CPT 93313 | $6.82 | $31.00 | $9.11 – $707.23 | 14 |
| Echo transesophageal CPT 93314 | $54.34 | $247.00 | $58.29 – $203.38 | 8 |
| Echo transesophageal CPT 93315 | $76.34 | $347.00 | $102.41 – $707.23 | 15 |
| Echo transesophageal CPT 93317 | $53.68 | $244.00 | $70.93 – $198.93 | 7 |
| Echo transesophageal intraop CPT 93318 | $1,283.10 | $1,645.00 | $81.14 – $707.23 | 12 |
| Echo transthoracic CPT 93303 | $37.40 | $170.00 | $49.96 – $707.23 | 15 |
| Echo transthoracic CPT 93304 | $21.56 | $98.00 | $15.75 – $707.23 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $565.50 | $725.00 | $35.24 – $311.79 | 15 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $141.90 | $645.00 | $184.52 – $364.91 | 7 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $145.42 | $661.00 | $189.07 – $373.57 | 7 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $208.34 | $947.00 | $270.31 – $537.35 | 7 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $187.88 | $854.00 | $244.28 – $485.48 | 7 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $498.52 | $2,266.00 | $646.95 – $1,289.15 | 7 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $504.68 | $2,294.00 | $656.11 – $1,308.47 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $285.34 | $1,297.00 | $369.46 – $736.02 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $255.64 | $1,162.00 | $330.82 – $658.91 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $288.42 | $1,311.00 | $373.59 – $744.66 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $258.06 | $1,173.00 | $336.11 – $668.59 | 7 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $309.10 | $1,405.00 | $400.90 – $798.67 | 7 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $317.90 | $1,445.00 | $411.06 – $819.45 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $163.90 | $745.00 | $213.03 – $424.35 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $111.32 | $506.00 | $144.08 – $286.75 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $171.82 | $781.00 | $222.70 – $444.13 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $143.44 | $652.00 | $186.46 – $371.10 | 7 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $296.78 | $1,349.00 | $385.52 – $768.10 | 7 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $281.60 | $1,280.00 | $365.13 – $727.44 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $141.24 | $642.00 | $183.40 – $365.38 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $111.32 | $506.00 | $144.08 – $286.75 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $141.24 | $642.00 | $183.40 – $365.38 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $111.32 | $506.00 | $144.08 – $286.75 | 7 |
| Ecog impltd brn npgt <30 d CPT 95836 | $64.90 | $295.00 | $22.51 – $167.20 | 12 |
| E coli 0157 ag ia CPT 87335 | $8.36 | $38.00 | $5.69 – $13.80 | 12 |
| Ecp ciliary body destruction CPT 66711 | $305.58 | $1,389.00 | $41.09 – $2,941.83 | 15 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $29.48 | $134.00 | $32.53 – $63.35 | 14 |
| Eculizumab injection HCPCS J1300 | not published | not published | $224.16 – $292.53 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $4,689.89 – $9,133.21 | 15 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.85 – $1.94 | 3 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $22.29 – $28.53 | 3 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $89.26 – $114.15 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $24.58 – $71.00 | 5 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $34.32 | $156.00 | $46.09 – $401.66 | 15 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $23.32 | $106.00 | $31.49 – $684.40 | 12 |
| Eeg during surgery CPT 95955 | $32.12 | $146.00 | $43.10 – $83.43 | 8 |
| Eeg monitoring/function test CPT 95958 | $135.74 | $617.00 | $47.46 – $1,312.29 | 15 |
| Eeg monitoring/giving drugs CPT 95954 | $68.20 | $310.00 | $21.00 – $684.40 | 15 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $34.32 | $156.00 | $9.45 – $401.66 | 15 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $51.70 | $235.00 | $66.68 – $401.66 | 15 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $125.40 | $570.00 | $167.46 – $325.87 | 11 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $152.46 | $693.00 | $203.09 – $395.38 | 11 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $154.00 | $700.00 | $203.34 – $395.58 | 11 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $193.60 | $880.00 | $255.88 – $497.78 | 11 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $176.44 | $802.00 | $234.46 – $456.20 | 11 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $245.96 | $1,118.00 | $327.59 – $637.43 | 11 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $125.84 | $572.00 | $167.67 – $326.37 | 11 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $65.12 | $296.00 | $85.95 – $167.28 | 11 |
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.