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 |
|---|---|---|---|---|
| Esophagoscp guide wire dilat 43196 CPT 43196 | $121.22 | $551.00 | $159.36 – $2,446.86 | 15 |
| Esophagoscp rig trnso biopsy CPT 43193 | $104.94 | $477.00 | $137.65 – $2,446.86 | 15 |
| Esophagoscp rig trnso inject CPT 43192 | $104.72 | $476.00 | $127.16 – $2,446.86 | 15 |
| Esophagoscp rig trnso rem fb CPT 43194 | $119.02 | $541.00 | $138.40 – $2,446.86 | 15 |
| Esophagotomy thrc rmvl fb CPT 43045 | $799.26 | $3,633.00 | $93.62 – $2,061.63 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | $85.58 | $389.00 | $113.71 – $2,446.86 | 15 |
| Esophagus motility study CPT 91010 | $39.16 | $178.00 | $12.08 – $684.40 | 15 |
| Esoph balloon distension tst CPT 91040 | $29.70 | $135.00 | $39.90 – $684.40 | 15 |
| Esoph egd dilation <30 mm CPT 43249 | $93.50 | $425.00 | $123.67 – $2,446.86 | 15 |
| Esoph endoscopy dilation CPT 43226 | $80.30 | $365.00 | $104.94 – $2,446.86 | 15 |
| Esoph fundoplasty lap 43327 CPT 43327 | $516.34 | $2,347.00 | $59.11 – $1,299.95 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | $685.30 | $3,115.00 | $80.18 – $1,770.33 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | $5.50 | $25.00 | $7.45 – $15.59 | 8 |
| Esoph imped function test CPT 91037 | $29.70 | $135.00 | $39.55 – $401.66 | 15 |
| Esoph imped funct test > 1hr CPT 91038 | $33.66 | $153.00 | $45.05 – $684.40 | 15 |
| Esoph optical endomicroscopy CPT 43206 | $81.40 | $370.00 | $106.97 – $2,446.86 | 12 |
| Esoph scope w/sclerosis inj CPT 43204 | $82.50 | $375.00 | $108.84 – $2,446.86 | 15 |
| Esoph scope w/submucous inj CPT 43201 | $63.36 | $288.00 | $83.71 – $2,446.86 | 15 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $2,165.02 | $9,841.00 | $253.52 – $5,599.32 | 7 |
| Esphg thrsc moblj CPT 43288 | $2,285.58 | $10,389.00 | $267.43 – $5,905.05 | 7 |
| Esphg tot w/laps moblj CPT 43286 | $1,946.34 | $8,847.00 | $226.82 – $5,005.13 | 7 |
| Esphg tot w/thrcm CPT 43112 | $2,082.08 | $9,464.00 | $210.00 – $5,445.77 | 7 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $307.12 | $1,396.00 | $408.00 – $792.89 | 4 |
| Esrd home pt serv p mo 20+ CPT 90966 | $181.28 | $824.00 | $240.02 – $465.85 | 4 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $318.78 | $1,449.00 | $425.06 – $826.24 | 4 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $372.24 | $1,692.00 | $496.04 – $964.39 | 4 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $124.96 | $568.00 | $165.45 – $320.64 | 4 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $452.51 – $871.15 | 4 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | $200.64 | $912.00 | $266.40 – $517.38 | 4 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $679.38 – $1,308.03 | 4 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $715.88 | $3,254.00 | $957.26 – $1,863.61 | 4 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | $617.10 | $2,805.00 | $821.45 – $1,598.96 | 4 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | $214.94 | $977.00 | $284.50 – $552.26 | 4 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $307.78 | $1,399.00 | $408.91 – $794.70 | 4 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $181.28 | $824.00 | $240.02 – $465.85 | 4 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $321.64 | $1,462.00 | $426.64 – $829.57 | 4 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $218.68 | $994.00 | $289.19 – $710.00 | 5 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $472.78 | $2,149.00 | $628.44 – $1,222.14 | 4 |
| Esrd svc pr day pt 12-19 CPT 90969 | $10.34 | $47.00 | $13.78 – $26.77 | 4 |
| Esrd svc pr day pt <2 CPT 90967 | $10.78 | $49.00 | $14.34 – $27.86 | 4 |
| Esrd svc pr day pt 20+ CPT 90970 | $5.94 | $27.00 | $7.72 – $14.97 | 4 |
| Esrd svc pr day pt 2-11 CPT 90968 | $10.56 | $48.00 | $14.06 – $27.31 | 4 |
| Essure 58565 CPT 58565 | $281.82 | $1,281.00 | $44.94 – $6,367.34 | 15 |
| Establish access to aorta CPT 36160 | $2,960.10 | $3,795.00 | $97.88 – $192.76 | 11 |
| Establish access to artery CPT 36100 | $92.62 | $421.00 | $49.35 – $238.48 | 11 |
| Establish brain cavity shunt CPT 62223 | $643.28 | $2,924.00 | $91.92 – $1,661.83 | 7 |
| Establish brain cavity shunt CPT 62180 | $999.90 | $4,545.00 | $141.46 – $2,574.43 | 7 |
| Establish brain cavity shunt CPT 62190 | $584.10 | $2,655.00 | $82.81 – $1,500.62 | 7 |
| Establish brain cavity shunt CPT 62192 | $621.28 | $2,824.00 | $88.39 – $1,602.51 | 7 |
| Establish brain cavity shunt CPT 62200 | $861.08 | $3,914.00 | $121.85 – $2,216.36 | 7 |
| Establish brain cavity shunt CPT 62220 | $608.52 | $2,766.00 | $86.51 – $1,569.40 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $263.64 | $338.00 | $7.39 – $61.20 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $329.94 | $423.00 | $20.80 – $119.72 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $396.24 | $508.00 | $20.80 – $192.21 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $461.76 | $592.00 | $20.80 – $271.52 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $528.06 | $677.00 | $20.80 – $382.02 | 15 |
| Estim aid bone healg invasiv CPT 20975 | $110.22 | $501.00 | $29.51 – $1,187.28 | 8 |
| Estradiol total CPT 82670 | $146.64 | $188.00 | $17.77 – $34.40 | 15 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.28 – $17.85 | 9 |
| Estrogens total-sendout CPT 82672 | $113.88 | $146.00 | $13.79 – $23.65 | 15 |
| Etanercept injection HCPCS J1438 | not published | not published | $785.37 – $1,178.16 | 12 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $377.48 – $735.12 | 15 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $164.95 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $570.46 | $2,593.00 | $77.00 – $4,183.11 | 15 |
| Ethylene glycol -sendout CPT 82693 | $78.78 | $101.00 | $9.47 – $16.24 | 12 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,238.93 – $2,017.05 | 9 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.98 – $1.84 | 8 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $71.47 – $107.20 | 8 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $83.18 – $161.99 | 15 |
| Euglobulin lysis CPT 85360 | $5.72 | $26.00 | $5.00 – $9.17 | 15 |
| Evacuate mole of uterus CPT 59870 | $328.90 | $1,495.00 | $35.49 – $4,101.16 | 15 |
| Eval aud funcj ea addl 15 CPT 92627 | $10.78 | $49.00 | $14.38 – $27.78 | 11 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $45.76 | $208.00 | $42.62 – $201.81 | 15 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $84.66 – $196.72 | 12 |
| Evaluation cervical mucus CPT 89330 | $7.04 | $32.00 | $6.29 – $11.31 | 12 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $64.68 | $294.00 | $64.76 – $106.94 | 12 |
| Evaluation heart device CPT 93640 | $106.04 | $482.00 | $138.71 – $1,187.28 | 8 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $91.86 – $212.02 | 12 |
| Evaluation psychiatric diagnostic CPT 90791 | $92.40 | $420.00 | $42.00 – $240.82 | 15 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $361.46 | $1,643.00 | $445.57 – $926.23 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | $154.22 | $701.00 | $189.23 – $395.50 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $7,615.92 | $9,764.00 | $67.91 – $1,936.74 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $748.00 | $3,400.00 | $67.81 – $1,932.04 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,086.58 | $4,939.00 | $101.20 – $2,887.81 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,377.20 | $6,260.00 | $124.77 – $3,561.81 | 7 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $7,615.92 | $9,764.00 | $61.79 – $692.82 | 7 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $829.18 | $3,769.00 | $75.31 – $2,146.78 | 7 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,378.96 | $6,268.00 | $125.53 – $3,581.66 | 7 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $702.90 | $3,195.00 | $63.68 – $1,814.89 | 7 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,101.10 | $5,005.00 | $99.71 – $2,851.11 | 7 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $592.46 | $2,693.00 | $771.36 – $1,533.81 | 4 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $471.24 | $2,142.00 | $613.91 – $1,220.74 | 4 |
| Event monitor CPT 93270 | $87.36 | $112.00 | $6.65 – $48.10 | 15 |
| Evoked auditory tst complete CPT 92588 | $17.60 | $80.00 | $3.97 – $401.66 | 15 |
| Evoked oa emissions ltd CPT 92587 | $11.22 | $51.00 | $2.89 – $401.66 | 15 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $21.99 – $42.22 | 8 |
| Evoked potentials upper limbs CPT 95925 | $16.72 | $76.00 | $11.55 – $401.66 | 15 |
| Evoked potential visual not glaucoma CPT 95930 | $11.22 | $51.00 | $14.41 – $401.66 | 15 |
| Evok oa screening qual CPT 92558 | $5.50 | $25.00 | $6.90 – $22.00 | 5 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $749.14 – $1,583.97 | 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.