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 |
|---|---|---|---|---|
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $81.84 | $372.00 | $108.92 – $212.03 | 11 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $97.90 | $445.00 | $130.13 – $253.22 | 11 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $34.32 | $156.00 | $9.45 – $401.66 | 15 |
| Eeg recording awake and asleep CPT 95819 | $34.32 | $156.00 | $9.45 – $401.66 | 15 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $638.04 | $818.00 | $187.97 – $734.03 | 15 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $638.04 | $818.00 | $94.79 – $401.66 | 15 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,086.54 | $1,393.00 | $320.29 – $1,505.11 | 15 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $1,086.54 | $1,393.00 | $320.29 – $1,194.38 | 15 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $638.04 | $818.00 | $187.97 – $621.43 | 15 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,086.54 | $1,393.00 | $140.06 – $684.40 | 15 |
| E equine encephalitis igg CPT 86652 | $8.80 | $40.00 | $8.70 – $29.15 | 15 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $23.54 – $45.84 | 15 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $139.70 | $635.00 | $183.79 – $2,446.86 | 15 |
| Egd control bleeding any CPT 43255 | $121.88 | $554.00 | $161.04 – $2,446.86 | 15 |
| Egd dilate stricture CPT 43245 | $107.80 | $490.00 | $141.10 – $2,446.86 | 15 |
| Egd endo mucosal resection CPT 43254 | $164.34 | $747.00 | $198.28 – $2,446.86 | 15 |
| Egd endoscopic stent place CPT 43266 | $132.44 | $602.00 | $174.85 – $7,678.31 | 15 |
| Egd esophagogastrc fndoplsty CPT 43210 | $262.68 | $1,194.00 | $344.69 – $13,429.04 | 12 |
| Egd flx trnsorl dplmnt balo CPT 43290 | $109.12 | $496.00 | $144.71 – $2,446.86 | 12 |
| Egd flx trnsorl rmvl balo CPT 43291 | $98.34 | $447.00 | $129.04 – $1,209.32 | 12 |
| Egd guide wire insertion CPT 43248 | $101.20 | $460.00 | $133.83 – $1,209.32 | 15 |
| Egd injection varices CPT 43243 | $144.76 | $658.00 | $190.89 – $2,446.86 | 15 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $86.90 | $395.00 | $114.61 – $2,446.86 | 15 |
| Egd lesion ablation CPT 43270 | $136.84 | $622.00 | $180.39 – $2,446.86 | 15 |
| Egd optical endomicroscopy CPT 43252 | $102.30 | $465.00 | $135.51 – $2,446.86 | 12 |
| Egd remove foreign body CPT 43247 | $107.58 | $489.00 | $142.20 – $1,209.32 | 15 |
| Egd remove lesion snare CPT 43251 | $119.24 | $542.00 | $157.63 – $2,446.86 | 15 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $104.06 | $473.00 | $136.71 – $2,446.86 | 15 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $137.72 | $626.00 | $181.57 – $2,446.86 | 15 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $141.46 | $643.00 | $186.72 – $2,446.86 | 15 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $159.50 | $725.00 | $211.28 – $2,446.86 | 15 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $159.72 | $726.00 | $211.01 – $2,446.86 | 15 |
| Egd varices ligation CPT 43244 | $148.72 | $676.00 | $197.08 – $2,446.86 | 15 |
| Egd w/thrml txmnt gerd CPT 43257 | $141.24 | $642.00 | $187.79 – $4,907.32 | 12 |
| Egd w/transmural drain cyst CPT 43240 | $237.60 | $1,080.00 | $314.96 – $7,678.31 | 15 |
| Egfr gene com variants CPT 81235 | not published | not published | $214.23 – $421.34 | 15 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $184.86 | $237.00 | $23.16 – $44.91 | 15 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $12.76 | $58.00 | $12.91 – $21.33 | 11 |
| EKG (Electrocardiogram) CPT 93000 | $8.80 | $40.00 | $10.91 – $52.50 | 9 |
| EKG for initial prevent exam g0403 HCPCS G0403 | not published | not published | $11.67 – $51.45 | 4 |
| EKG interpret & report preve g0405 HCPCS G0405 | $5.06 | $23.00 | $6.63 – $22.52 | 4 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $5.04 – $31.59 | 11 |
| EKG (Tracing Only) CPT 93005 | $139.62 | $179.00 | $5.04 – $76.62 | 15 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $1,907.65 – $4,033.49 | 11 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,190.85 – $2,517.89 | 11 |
| Elbow arthroscopy CPT 29830 | $287.54 | $1,307.00 | $5.96 – $4,185.10 | 15 |
| Elbow arthroscopy/surgery CPT 29834 | $309.98 | $1,409.00 | $6.64 – $4,185.10 | 15 |
| Elbow arthroscopy/surgery CPT 29835 | $319.88 | $1,454.00 | $2.98 – $4,185.10 | 15 |
| Elbow arthroscopy/surgery CPT 29836 | $366.74 | $1,667.00 | $14.94 – $9,214.43 | 15 |
| Elbow arthroscopy/surgery CPT 29837 | $325.82 | $1,481.00 | $14.94 – $4,185.10 | 15 |
| Elbow arthroscopy/surgery CPT 29838 | $372.02 | $1,691.00 | $48.87 – $4,185.10 | 15 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $1,661.55 – $3,513.14 | 11 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $1,471.95 – $3,112.27 | 11 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $1,687.99 – $3,569.05 | 11 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,263.09 – $2,670.65 | 11 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $362.25 – $765.93 | 11 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $434.71 – $919.13 | 11 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $1,601.76 – $3,386.72 | 11 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $354.12 | $454.00 | $6.90 – $113.57 | 15 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $21.12 | $96.00 | $13.16 – $386.84 | 15 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $14,512.86 – $30,685.64 | 11 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $14,581.71 – $30,831.22 | 11 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $7.93 – $11.90 | 11 |
| Elect analysis of infusion pump 62367 CPT 62367 | $14.96 | $68.00 | $2.18 – $386.84 | 12 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $21.34 | $97.00 | $28.40 – $386.84 | 15 |
| Electrical bone stim 20974 CPT 20974 | $31.90 | $145.00 | $13.92 – $80.84 | 11 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $49.14 | $63.00 | $10.01 – $22.88 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $88.92 | $114.00 | $10.13 – $24.29 | 7 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $11.66 | $53.00 | $15.78 – $36.32 | 4 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | not published | not published | $12.60 – $72.46 | 8 |
| Electrocochleography CPT 92584 | not published | not published | $22.26 – $201.81 | 15 |
| Electroconvulsive therapy 90870 CPT 90870 | $64.90 | $295.00 | $47.25 – $684.40 | 15 |
| Electrocorticography durng sx CPT 95829 | $199.32 | $906.00 | $266.39 – $613.95 | 4 |
| Electrodes, pair HCPCS A4556 | not published | not published | $7.43 – $15.72 | 11 |
| Electrode stimulation brain CPT 95961 | $97.68 | $444.00 | $41.36 – $1,312.29 | 15 |
| Electroejaculation CPT 55870 | $87.12 | $396.00 | $115.07 – $1,123.13 | 12 |
| Electrogastrography CPT 91132 | not published | not published | $21.30 – $401.66 | 12 |
| Electrogastrography w/test CPT 91133 | not published | not published | $26.88 – $166.26 | 12 |
| Electrolyte panel CPT 80051 | $36.66 | $47.00 | $4.63 – $11.20 | 15 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $7.08 – $10.62 | 11 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $5,672.35 – $11,993.49 | 11 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $26.40 | $120.00 | $35.03 – $68.34 | 11 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $29.92 | $136.00 | $39.96 – $118.40 | 15 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $24,338.29 – $51,460.28 | 11 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $21,603.95 – $45,678.86 | 11 |
| Electron microscopy diagnostic CPT 88348 | $46.42 | $211.00 | $17.50 – $1,053.69 | 15 |
| Electro-oculography w/i&r CPT 92270 | $25.52 | $116.00 | $34.40 – $166.26 | 15 |
| Electrophysiologic study CPT 93624 | $144.10 | $655.00 | $70.93 – $9,787.60 | 15 |
| Electrophysiology evaluation CPT 93619 | $230.34 | $1,047.00 | $285.67 – $9,787.60 | 15 |
| Electrophysiology evaluation CPT 93620 | $371.14 | $1,687.00 | $218.88 – $9,787.60 | 15 |
| Electrophysiology evaluation CPT 93621 | $55.22 | $251.00 | $32.96 – $1,008.84 | 7 |
| Electrophysiology evaluation CPT 93622 | $102.08 | $464.00 | $59.82 – $1,014.77 | 7 |
| Electrophysiology evaluation CPT 93641 | $184.36 | $838.00 | $240.31 – $1,187.28 | 8 |
| Electrophysiology evaluation CPT 93642 | $151.36 | $688.00 | $65.60 – $1,565.88 | 15 |
| Electrophysiology evaluation CPT 93644 | $86.46 | $393.00 | $40.75 – $77.35 | 4 |
| Electrophys map 3d add-on CPT 93613 | $175.12 | $796.00 | $64.21 – $365.19 | 4 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $12.07 – $23.90 | 14 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $10.40 – $13.31 | 4 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $222.92 – $434.11 | 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.