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 |
|---|---|---|---|---|
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $505.50 – $1,068.81 | 11 |
| Exam of vagina w/scope 57420 CPT 57420 | $55.66 | $253.00 | $72.94 – $392.36 | 15 |
| Exam pelvic add-on CPT 99459 | not published | not published | $18.26 – $41.50 | 5 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $65.34 | $297.00 | $41.48 – $4,101.16 | 15 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $342.10 | $1,555.00 | $17.00 – $3,691.65 | 15 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $432.30 | $1,965.00 | $56.42 – $3,691.65 | 15 |
| Exc 1st&/crv rib w/sympth CPT 21616 | $440.00 | $2,000.00 | $57.14 – $1,135.49 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | $274.56 | $1,248.00 | $35.81 – $3,691.65 | 15 |
| Exc abdl tum deep < 5 cm CPT 22900 | $353.10 | $1,605.00 | $19.74 – $3,691.65 | 15 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $414.92 | $1,886.00 | $54.08 – $3,691.65 | 15 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $749.76 | $3,408.00 | $208.58 – $208.58 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | $1,096.70 | $4,985.00 | $304.75 – $304.75 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $253.44 | $1,152.00 | $33.11 – $3,691.65 | 15 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $206.36 | $938.00 | $27.04 – $2,089.89 | 15 |
| Exc aurl glomus tum extended CPT 69554 | $1,550.34 | $7,047.00 | $144.25 – $4,011.74 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | $646.36 | $2,938.00 | $60.61 – $7,630.39 | 15 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $968.22 | $4,401.00 | $90.41 – $7,630.39 | 15 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $227.26 | $1,033.00 | $23.94 – $2,089.89 | 15 |
| Exc back tum deep 5 cm/> CPT 21933 | $458.48 | $2,084.00 | $59.85 – $3,691.65 | 15 |
| Exc bartholins gland/cyst CPT 56740 | $193.82 | $881.00 | $25.76 – $4,101.16 | 15 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $140.58 | $639.00 | $18.42 – $2,089.89 | 15 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $197.12 | $896.00 | $23.39 – $3,691.65 | 15 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $112.64 | $512.00 | $14.79 – $2,089.89 | 15 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $51.92 | $236.00 | $6.90 – $907.53 | 15 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,646.58 | $2,111.00 | $8.78 – $907.53 | 15 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $90.86 | $413.00 | $12.03 – $907.53 | 15 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $110.88 | $504.00 | $14.64 – $2,089.89 | 15 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $67.32 | $306.00 | $8.94 – $907.53 | 15 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $97.90 | $445.00 | $11.97 – $2,089.89 | 15 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $166.98 | $759.00 | $11.76 – $3,691.65 | 15 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $65.12 | $296.00 | $8.65 – $515.34 | 15 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,646.58 | $2,111.00 | $12.24 – $907.53 | 15 |
| Exc breast duct fistula 19112 CPT 19112 | $201.30 | $915.00 | $17.00 – $4,939.24 | 15 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | $830.94 | $3,777.00 | $98.27 – $2,168.59 | 7 |
| Exc cervix repair bowel 57556 CPT 57556 | $362.78 | $1,649.00 | $57.71 – $6,367.34 | 14 |
| Exc cervix/repair pelvis 57545 CPT 57545 | $514.58 | $2,339.00 | $81.69 – $1,335.62 | 7 |
| Exc cervix/repair vagina 57555 CPT 57555 | $382.14 | $1,737.00 | $60.77 – $6,367.34 | 15 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $705.10 | $3,205.00 | $92.35 – $3,691.65 | 15 |
| Exc ch wal tum without lymphadec CPT 21602 | $948.20 | $4,310.00 | $123.11 – $2,423.69 | 7 |
| Exc ch wal tum w/lymphadec CPT 21603 | $1,029.60 | $4,680.00 | $134.88 – $2,659.97 | 7 |
| Exc coa rpr l subcl art/prst CPT 33851 | $778.14 | $3,537.00 | $70.78 – $2,007.07 | 7 |
| Exc coa w/direct anastomosis CPT 33840 | $757.90 | $3,445.00 | $68.93 – $1,954.14 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $493.24 | $2,242.00 | $2.00 – $4,722.15 | 15 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $393.58 | $1,789.00 | $3.00 – $3,691.65 | 15 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $504.46 | $2,293.00 | $10.71 – $4,185.10 | 15 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $335.50 | $1,525.00 | $20.34 – $4,185.10 | 15 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | $461.12 | $2,096.00 | $11.00 – $9,214.43 | 15 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $535.92 | $2,436.00 | $20.34 – $9,214.43 | 15 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | $390.94 | $1,777.00 | $4.67 – $4,185.10 | 15 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | $408.10 | $1,855.00 | $53.48 – $9,214.43 | 15 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $265.98 | $1,209.00 | $35.21 – $9,214.43 | 15 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $370.92 | $1,686.00 | $48.66 – $4,185.10 | 15 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | $955.90 | $4,345.00 | $266.22 – $266.22 | 1 |
| Exc excessive skin buttock CPT 15835 | $576.62 | $2,621.00 | $75.56 – $3,691.65 | 12 |
| Exc excessive skin hip CPT 15834 | $553.08 | $2,514.00 | $72.50 – $3,691.65 | 12 |
| Exc excessive skin leg CPT 15833 | $542.74 | $2,467.00 | $71.23 – $3,691.65 | 12 |
| Exc excessive skin thigh CPT 15832 | $574.42 | $2,611.00 | $74.81 – $3,691.65 | 12 |
| Exc excsv skin forearm/hand CPT 15837 | $443.96 | $2,018.00 | $58.22 – $3,691.65 | 12 |
| Exc excsv submental fat pad CPT 15838 | $402.38 | $1,829.00 | $52.83 – $3,691.65 | 12 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $200.20 | $910.00 | $18.76 – $3,691.65 | 15 |
| Exc face tum deep < 2 cm CPT 21013 | $249.04 | $1,132.00 | $32.60 – $2,089.89 | 15 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $323.62 | $1,471.00 | $7.04 – $3,691.65 | 15 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $95.92 | $436.00 | $12.66 – $907.53 | 15 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $140.14 | $637.00 | $18.44 – $2,089.89 | 15 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $280.28 | $1,274.00 | $37.11 – $3,691.65 | 15 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $162.58 | $739.00 | $21.57 – $2,089.89 | 15 |
| Exc forearm les sc 3 cm/> CPT 25071 | $265.32 | $1,206.00 | $34.74 – $2,089.89 | 15 |
| Exc forearm tum deep < 3 cm CPT 25076 | $325.60 | $1,480.00 | $28.75 – $2,089.89 | 15 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $335.94 | $1,527.00 | $43.97 – $3,691.65 | 15 |
| Exc hand les sc < 1.5 cm CPT 26115 | $209.66 | $953.00 | $10.53 – $2,089.89 | 15 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $343.86 | $1,563.00 | $45.07 – $2,089.89 | 15 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $330.22 | $1,501.00 | $28.13 – $2,089.89 | 15 |
| Exchange biliary drg cath CPT 47536 | $8,257.86 | $10,587.00 | $104.95 – $4,552.00 | 15 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $103.40 | $470.00 | $112.86 – $563.90 | 15 |
| Exchange drainage catheter CPT 49423 | $4,438.98 | $5,691.00 | $56.44 – $2,446.86 | 15 |
| Exchange lens prosthesis CPT 66986 | $544.72 | $2,476.00 | $73.06 – $2,941.83 | 15 |
| Exchange nephrostomy cath CPT 50435 | $4,793.88 | $6,146.00 | $79.87 – $2,642.30 | 15 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $155.98 | $709.00 | $7.73 – $3,691.65 | 15 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $217.80 | $990.00 | $14.75 – $3,691.65 | 15 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $178.20 | $810.00 | $14.75 – $3,691.65 | 15 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $382.80 | $1,740.00 | $20.16 – $3,691.65 | 15 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $456.72 | $2,076.00 | $59.65 – $3,691.65 | 15 |
| Excimer lsr psriasis 250-500 CPT 96921 | $35.42 | $161.00 | $49.89 – $1,187.28 | 15 |
| Excimer lsr psriasis<250sqcm CPT 96920 | $31.24 | $142.00 | $43.91 – $256.30 | 15 |
| Excimer lsr psriasis>500sqcm CPT 96922 | $56.54 | $257.00 | $79.64 – $515.34 | 15 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $413.82 | $1,881.00 | $53.86 – $3,691.65 | 15 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $217.80 | $990.00 | $28.66 – $3,691.65 | 15 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $434.06 | $1,973.00 | $56.72 – $3,691.65 | 15 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $1,270.50 | $5,775.00 | $115.44 – $3,280.79 | 7 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $989.12 | $4,496.00 | $130.32 – $2,556.17 | 15 |
| Exc ischial pr ulc prim sutr CPT 15940 | $440.22 | $2,001.00 | $5.00 – $3,691.65 | 15 |
| Exc isch pr ulc prm sut ostc CPT 15941 | $585.20 | $2,660.00 | $5.00 – $3,691.65 | 15 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $577.50 | $2,625.00 | $10.00 – $4,722.15 | 15 |
| Exc isch pr ulc skn flp ostc CPT 15945 | $630.30 | $2,865.00 | $82.86 – $2,359.45 | 15 |
| Excise anal ext tag/papilla CPT 46220 | $75.24 | $342.00 | $9.93 – $1,520.85 | 15 |
| Excise epiphyseal bar CPT 20150 | $623.48 | $2,834.00 | $81.57 – $4,185.10 | 15 |
| Excise foot tendon sheath CPT 28086 | $216.48 | $984.00 | $28.83 – $4,185.10 | 15 |
| Excise foot tendon sheath CPT 28088 | $183.92 | $836.00 | $24.26 – $4,185.10 | 15 |
| Excise ileoanal reservior CPT 45136 | $1,091.64 | $4,962.00 | $129.82 – $2,821.25 | 7 |
| Excise inferior turbinate CPT 30130 | $252.34 | $1,147.00 | $34.03 – $4,183.11 | 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.