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 |
|---|---|---|---|---|
| Enterectomy small intestine addl 44121 CPT 44121 | $147.62 | $671.00 | $36.21 – $381.54 | 7 |
| Enterectomy small intestine single 44120 CPT 44120 | $755.26 | $3,433.00 | $88.33 – $1,944.95 | 7 |
| Enterectomy without taper cong CPT 44126 | $1,523.94 | $6,927.00 | $177.96 – $3,926.79 | 7 |
| Enterectomy w/taper cong CPT 44127 | $1,758.46 | $7,993.00 | $205.39 – $4,534.56 | 7 |
| Enteroenterostomy fusion 44130 CPT 44130 | $813.78 | $3,699.00 | $95.22 – $2,094.12 | 7 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $866.36 | $3,938.00 | $101.44 – $3,494.00 | 8 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $996.60 | $4,530.00 | $116.72 – $2,568.61 | 7 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $520.74 | $2,367.00 | $61.05 – $1,342.25 | 7 |
| Enterovirus antibody dfa CPT 87267 | $8.80 | $40.00 | $8.86 – $19.70 | 15 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $66.33 – $151.04 | 4 |
| Enzyme cell activity ra CPT 82658 | $29.04 | $132.00 | $9.42 – $47.99 | 12 |
| Enzyme histochemistry CPT 88319 | $16.06 | $73.00 | $7.41 – $1,053.69 | 15 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $275.91 – $583.37 | 11 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $82.26 – $187.77 | 11 |
| Ep & ablate supravent arrhyt CPT 93653 | $503.36 | $2,288.00 | $656.36 – $31,643.29 | 15 |
| Ep & ablate ventric tachy CPT 93654 | $606.76 | $2,758.00 | $790.79 – $31,643.29 | 15 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $40.44 – $78.76 | 15 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $433.62 | $1,971.00 | $56.68 – $2,359.45 | 15 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $84.92 | $386.00 | $110.59 – $219.12 | 10 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $441.32 | $2,006.00 | $57.97 – $2,359.45 | 15 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $62.70 | $285.00 | $81.18 – $161.06 | 10 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,562.34 | $2,003.00 | $41.91 – $91.19 | 11 |
| Epidural lysis mult sessions CPT 62263 | $199.98 | $909.00 | $26.51 – $1,148.35 | 12 |
| Epidural lysis on single day 62264 CPT 62264 | $151.14 | $687.00 | $19.94 – $1,148.35 | 12 |
| Epidurography CPT 72275 | not published | not published | $47.58 – $47.58 | 1 |
| Epiglottidectomy CPT 31420 | $511.72 | $2,326.00 | $67.99 – $7,630.39 | 15 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,050.00 – $2,465.31 | 7 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,616.05 – $2,668.93 | 12 |
| Ep induct arrhy by elect pacing CPT 93618 | $129.36 | $588.00 | $145.16 – $1,565.88 | 15 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $10.58 | $48.09 | $2.05 – $3.08 | 5 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $57.60 | $261.80 | $1.25 – $1.87 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.55 – $0.82 | 5 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $2.15 – $3.23 | 5 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | $457.16 | $2,078.00 | $26.30 – $4,185.10 | 15 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | $387.86 | $1,763.00 | $16.71 – $4,185.10 | 15 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.50 – $2.24 | 8 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $91.08 | $414.00 | $118.42 – $4,101.16 | 15 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.65 – $1.09 | 8 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $5.50 – $10.71 | 15 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $5.58 – $10.86 | 15 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.22 – $2.00 | 8 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.03 – $2.00 | 15 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.28 – $22.92 | 8 |
| Epstein barr early antigen antibody CPT 86663 | $69.42 | $89.00 | $6.21 – $29.01 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $81.12 | $104.00 | $6.21 – $33.82 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $95.16 | $122.00 | $6.21 – $40.11 | 15 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $77.00 | $350.00 | $10.84 – $13.87 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $14.42 – $28.08 | 15 |
| Ercp biliary & pancreas CPT 74330 | $21.12 | $96.00 | $20.16 – $42.95 | 7 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $280.50 | $1,275.00 | $371.42 – $7,678.31 | 15 |
| Ercp ea duct/ampulla dilate CPT 43277 | $229.68 | $1,044.00 | $303.84 – $4,907.32 | 15 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $262.68 | $1,194.00 | $347.68 – $4,907.32 | 15 |
| Ercp lithotripsy calculi CPT 43265 | $262.24 | $1,192.00 | $347.76 – $7,678.31 | 15 |
| Ercp remove duct calculi 43264 CPT 43264 | $221.10 | $1,005.00 | $292.36 – $4,907.32 | 15 |
| Ercp remove forgn body duct 43275 CPT 43275 | $228.36 | $1,038.00 | $302.17 – $2,446.86 | 15 |
| Ercp sphincter pressure meas CPT 43263 | $216.92 | $986.00 | $241.50 – $2,446.86 | 15 |
| Ercp stent exchange w/dilate CPT 43276 | $291.94 | $1,327.00 | $386.73 – $7,678.31 | 15 |
| Ercp w/specimen collection CPT 43260 | $195.80 | $890.00 | $259.23 – $4,907.32 | 15 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $7.48 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $75.99 – $147.99 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $8.51 – $14.37 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $308.88 | $396.00 | $9.31 – $113.57 | 12 |
| ER Visit (level 2) CPT 99282 | $556.14 | $713.00 | $28.86 – $204.26 | 17 |
| ER Visit (level 3) CPT 99283 | $971.88 | $1,246.00 | $56.00 – $357.15 | 17 |
| ER Visit (level 4) CPT 99284 | $1,494.48 | $1,916.00 | $80.00 – $549.25 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $2,152.02 | $2,759.00 | $80.00 – $790.81 | 17 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $541.80 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $62.14 – $106.20 | 8 |
| Escharotomy ea addl incision CPT 16036 | $50.82 | $231.00 | $65.92 – $130.66 | 7 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $2,296.54 – $4,907.32 | 10 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.36 – $0.59 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.40 | 8 |
| Esophageal dilat s&i CPT 74360 | $16.50 | $75.00 | $21.95 – $126.03 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | $69.52 | $316.00 | $18.29 – $179.79 | 7 |
| Esophageal motility CPT 78258 | $20.46 | $93.00 | $27.20 – $518.31 | 15 |
| Esophageal recording CPT 93615 | $22.00 | $100.00 | $10.40 – $1,565.88 | 15 |
| Esophageal recording CPT 93616 | $35.42 | $161.00 | $16.87 – $1,565.88 | 15 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $2,296.54 – $4,907.32 | 10 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $826.76 | $3,758.00 | $96.66 – $2,129.51 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $820.16 | $3,728.00 | $95.96 – $2,115.69 | 7 |
| Esophagoplasty congenital CPT 43313 | $1,792.78 | $8,149.00 | $209.43 – $4,616.17 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | $119.68 | $544.00 | $156.11 – $2,446.86 | 15 |
| Esophagosc flex trnsn biopsy CPT 43198 | $60.28 | $274.00 | $79.23 – $1,209.32 | 15 |
| Esophagoscop mucosal resect CPT 43211 | $142.78 | $649.00 | $188.86 – $2,446.86 | 15 |
| Esophagoscop stent placement CPT 43212 | $115.72 | $526.00 | $151.36 – $7,678.31 | 15 |
| Esophagoscop ultrasound exam CPT 43231 | $94.82 | $431.00 | $126.73 – $2,446.86 | 15 |
| Esophagoscopy balloon <30mm CPT 43220 | $72.38 | $329.00 | $95.21 – $2,446.86 | 15 |
| Esophagoscopy control bleed CPT 43227 | $100.54 | $457.00 | $132.93 – $2,446.86 | 15 |
| Esophagoscopy flex biopsy CPT 43202 | $62.70 | $285.00 | $83.24 – $2,446.86 | 15 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $53.68 | $244.00 | $71.05 – $1,209.32 | 15 |
| Esophagoscopy flex dx brush CPT 43197 | $50.38 | $229.00 | $66.24 – $1,209.32 | 15 |
| Esophagoscopy flex remove fb CPT 43215 | $86.68 | $394.00 | $113.70 – $2,446.86 | 15 |
| Esophagoscopy lesion ablate CPT 43229 | $119.68 | $544.00 | $158.34 – $4,907.32 | 15 |
| Esophagoscopy lesion removal CPT 43216 | $81.84 | $372.00 | $107.72 – $2,446.86 | 15 |
| Esophagoscopy retro balloon CPT 43213 | $158.18 | $719.00 | $208.36 – $2,446.86 | 15 |
| Esophagoscopy rigid balloon CPT 43195 | $114.62 | $521.00 | $150.42 – $4,907.32 | 15 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $96.14 | $437.00 | $106.48 – $2,446.86 | 15 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $339.24 | $1,542.00 | $40.19 – $7,630.39 | 15 |
| Esophagoscopy snare les remv CPT 43217 | $97.68 | $444.00 | $129.02 – $2,446.86 | 15 |
| Esophagoscopy w/us needle bx CPT 43232 | $120.56 | $548.00 | $160.28 – $2,446.86 | 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.