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 |
|---|---|---|---|---|
| Excise intestine lesion(s) 44110 CPT 44110 | $525.14 | $2,387.00 | $61.83 – $1,355.16 | 7 |
| Excise intraspinl lesion crv CPT 63265 | $1,037.96 | $4,718.00 | $147.82 – $9,214.43 | 14 |
| Excise intrspinl lesion crvl CPT 63270 | $1,296.46 | $5,893.00 | $183.31 – $3,339.41 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | $855.80 | $3,890.00 | $121.80 – $9,214.43 | 15 |
| Excise intrspinl lesion lmbr CPT 63272 | $1,175.90 | $5,345.00 | $165.80 – $3,005.29 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | $915.64 | $4,162.00 | $129.70 – $9,214.43 | 14 |
| Excise intrspinl lesion scrl CPT 63273 | $1,166.88 | $5,304.00 | $165.10 – $3,005.61 | 7 |
| Excise intrspinl lesion thrc CPT 63271 | $1,294.92 | $5,886.00 | $182.91 – $3,330.25 | 7 |
| Excise lesion testis CPT 54512 | $334.18 | $1,519.00 | $43.93 – $4,448.70 | 15 |
| Excise lip or cheek fold CPT 40819 | $124.52 | $566.00 | $14.72 – $1,910.65 | 12 |
| Excise lwr jaw cyst w/repair CPT 21047 | $750.64 | $3,412.00 | $94.08 – $7,630.39 | 15 |
| Excise mandible lesion CPT 21040 | $225.28 | $1,024.00 | $20.00 – $4,183.11 | 15 |
| Excise max/zygoma b9 tumor CPT 21030 | $224.40 | $1,020.00 | $13.18 – $7,630.39 | 15 |
| Excise max/zygoma mal tumor CPT 21034 | $693.66 | $3,153.00 | $12.00 – $7,630.39 | 15 |
| Excise oral mucosa for graft 40818 CPT 40818 | $161.92 | $736.00 | $19.48 – $1,653.93 | 15 |
| Excise parotid gland/lesion CPT 42410 | $389.84 | $1,772.00 | $46.44 – $7,630.39 | 15 |
| Excise parotid gland/lesion CPT 42415 | $655.38 | $2,979.00 | $77.90 – $7,630.39 | 15 |
| Excise parotid gland/lesion CPT 42420 | $733.70 | $3,335.00 | $87.14 – $7,630.39 | 15 |
| Excise parotid gland/lesion CPT 42425 | $520.30 | $2,365.00 | $61.79 – $7,630.39 | 15 |
| Excise parotid gland/lesion CPT 42426 | $834.90 | $3,795.00 | $99.00 – $2,153.52 | 7 |
| Excise pharynx lesion CPT 42808 | $103.40 | $470.00 | $13.64 – $4,183.11 | 15 |
| Excise/repair mouth lesion CPT 40812 | $112.20 | $510.00 | $14.90 – $1,910.65 | 15 |
| Excise sacral spine tumor CPT 49215 | $1,362.68 | $6,194.00 | $89.25 – $3,531.25 | 7 |
| Excise sublingual gland CPT 42450 | $225.72 | $1,026.00 | $26.93 – $7,630.39 | 15 |
| Excise submaxillary gland CPT 42440 | $257.84 | $1,172.00 | $30.76 – $7,630.39 | 15 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $208.34 | $947.00 | $27.27 – $2,089.89 | 15 |
| Excise tendon forearm/wrist CPT 25109 | $337.48 | $1,534.00 | $44.27 – $4,185.10 | 15 |
| Excise wrist tendon sheath CPT 25118 | $242.00 | $1,100.00 | $31.81 – $2,064.31 | 15 |
| Excision addl breast lesion 19126 CPT 19126 | $98.34 | $447.00 | $127.77 – $254.41 | 7 |
| Excision aural polyp CPT 69540 | $78.98 | $359.00 | $10.67 – $1,910.65 | 15 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $81.84 | $372.00 | $10.92 – $907.53 | 15 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $3,791.58 | $4,861.00 | $11.12 – $2,089.89 | 15 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $71.28 | $324.00 | $9.46 – $907.53 | 15 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $154.00 | $700.00 | $19.70 – $2,089.89 | 15 |
| Excision breast lesion CPT 19125 | $287.98 | $1,309.00 | $37.52 – $4,939.24 | 15 |
| Excision coa w/graft CPT 33845 | $816.20 | $3,710.00 | $74.25 – $2,105.00 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | $133.54 | $607.00 | $15.94 – $4,183.11 | 15 |
| Excision graft abdomen CPT 35907 | $1,157.64 | $5,262.00 | $104.80 – $2,992.09 | 7 |
| Excision graft extremity CPT 35903 | $340.78 | $1,549.00 | $31.22 – $4,059.84 | 15 |
| Excision graft neck CPT 35901 | $290.40 | $1,320.00 | $26.40 – $749.38 | 7 |
| Excision graft thorax 35905 CPT 35905 | $1,018.82 | $4,631.00 | $92.25 – $2,636.71 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $199.00 – $4,183.11 | 12 |
| Excision hand/finger tendon CPT 26415 | $520.08 | $2,364.00 | $69.51 – $4,185.10 | 15 |
| Excision lesion mouth roof CPT 42106 | $99.66 | $453.00 | $13.13 – $4,183.11 | 15 |
| Excision lesion mouth roof CPT 42107 | $201.74 | $917.00 | $23.85 – $7,630.39 | 15 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $82.28 | $374.00 | $10.92 – $1,910.65 | 15 |
| Excision of anal lesion(s) CPT 46922 | $85.58 | $389.00 | $11.25 – $3,537.31 | 15 |
| Excision of bile duct cyst CPT 47715 | $822.36 | $3,738.00 | $96.30 – $2,119.33 | 7 |
| Excision of bile duct tumor CPT 47711 | $958.54 | $4,357.00 | $112.73 – $2,481.19 | 7 |
| Excision of bile duct tumor CPT 47712 | $1,230.68 | $5,594.00 | $143.92 – $3,173.85 | 7 |
| Excision of bowel lesion(s) CPT 44111 | $604.78 | $2,749.00 | $70.99 – $1,557.40 | 7 |
| Excision of brain tumor CPT 61545 | $1,983.52 | $9,016.00 | $210.00 – $5,110.63 | 7 |
| Excision of esophagus lesion CPT 43100 | $394.02 | $1,791.00 | $46.99 – $1,018.19 | 7 |
| Excision of esophagus lesion CPT 43101 | $616.66 | $2,803.00 | $72.20 – $1,590.58 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $44.63 – $1,910.65 | 12 |
| Excision of gum lesion CPT 41822 | $125.62 | $571.00 | $16.40 – $1,910.65 | 12 |
| Excision of gum lesion CPT 41823 | $227.48 | $1,034.00 | $26.98 – $7,630.39 | 12 |
| Excision of gum lesion CPT 41826 | $120.78 | $549.00 | $15.94 – $4,183.11 | 15 |
| Excision of gum lesion CPT 41827 | $180.18 | $819.00 | $21.24 – $7,630.39 | 15 |
| Excision of gum lesion CPT 41828 | $137.94 | $627.00 | $18.04 – $1,910.65 | 15 |
| Excision of gum lesion 41825 CPT 41825 | $75.02 | $341.00 | $9.96 – $4,183.11 | 15 |
| Excision of lesion of mesentery 44820 CPT 44820 | $528.22 | $2,401.00 | $61.79 – $1,359.46 | 7 |
| Excision of lingual tonsil CPT 42870 | $357.50 | $1,625.00 | $43.12 – $7,630.39 | 15 |
| Excision of meckels diverticulum 44800 CPT 44800 | $480.26 | $2,183.00 | $56.56 – $1,239.82 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | $187.66 | $853.00 | $22.39 – $4,183.11 | 15 |
| Excision of neck cyst CPT 42815 | $331.76 | $1,508.00 | $39.70 – $7,630.39 | 15 |
| Excision of neck cyst confined 42810 CPT 42810 | $175.12 | $796.00 | $20.95 – $4,183.11 | 15 |
| Excision of penis lesion(s) 54060 CPT 54060 | $81.84 | $372.00 | $10.80 – $2,359.45 | 15 |
| Excision of rectal lesion CPT 45160 | $636.46 | $2,893.00 | $53.13 – $3,537.31 | 14 |
| Excision of rectal prolapse CPT 45135 | $797.28 | $3,624.00 | $94.63 – $2,056.18 | 7 |
| Excision of rectal stricture CPT 45150 | $263.56 | $1,198.00 | $30.98 – $1,520.85 | 15 |
| Excision of salivary cyst CPT 42408 | $216.26 | $983.00 | $25.70 – $4,183.11 | 15 |
| Excision of skull/sutures CPT 61558 | $1,175.46 | $5,343.00 | $166.39 – $3,028.12 | 7 |
| Excision of skull/sutures CPT 61559 | $1,496.88 | $6,804.00 | $177.24 – $3,853.84 | 7 |
| Excision of skull tumor CPT 61563 | $1,236.40 | $5,620.00 | $174.88 – $3,185.93 | 7 |
| Excision of skull tumor CPT 61564 | $1,500.18 | $6,819.00 | $196.88 – $3,863.81 | 7 |
| Excision of stomach lesion CPT 43610 | $603.90 | $2,745.00 | $70.86 – $1,559.18 | 7 |
| Excision of stomach lesion CPT 43611 | $759.66 | $3,453.00 | $89.01 – $1,958.46 | 7 |
| Excision of tongue lesion CPT 41112 | $149.82 | $681.00 | $17.88 – $4,183.11 | 15 |
| Excision of tongue lesion CPT 41114 | $382.58 | $1,739.00 | $45.70 – $4,183.11 | 15 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $162.80 | $740.00 | $19.42 – $4,183.11 | 15 |
| Excision of tonsil tags CPT 42860 | $121.00 | $550.00 | $14.44 – $4,183.11 | 15 |
| Excision of umbilicus 49250 CPT 49250 | $370.26 | $1,683.00 | $43.42 – $4,552.00 | 15 |
| Excision of uvula CPT 42140 | $100.76 | $458.00 | $12.05 – $4,183.11 | 15 |
| Excision of vaginal septum 57130 CPT 57130 | $106.70 | $485.00 | $14.17 – $4,101.16 | 15 |
| Excision olecranon bursa CPT 24105 | $227.04 | $1,032.00 | $24.00 – $4,185.10 | 15 |
| Excision perinephric cyst CPT 50290 | $554.84 | $2,522.00 | $58.50 – $1,429.38 | 7 |
| Excision radial head CPT 24130 | $322.52 | $1,466.00 | $42.19 – $4,185.10 | 15 |
| Excision tongue lesion without closure 41110 CPT 41110 | $79.64 | $362.00 | $10.64 – $4,183.11 | 15 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $293.26 | $1,333.00 | $38.22 – $2,089.89 | 15 |
| Excis partial tal calc CPT 28120 | $308.22 | $1,401.00 | $38.80 – $4,185.10 | 15 |
| Excis uppr jaw cyst w/repair CPT 21049 | $712.80 | $3,240.00 | $93.82 – $7,630.39 | 15 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $417.12 | $1,896.00 | $54.86 – $3,691.65 | 15 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $291.06 | $1,323.00 | $37.85 – $3,691.65 | 15 |
| Exc les conjunctiva <1 cm CPT 68110 | $90.20 | $410.00 | $12.04 – $3,009.20 | 15 |
| Exc les conjunctiva >1 cm CPT 68115 | $110.88 | $504.00 | $14.84 – $3,009.20 | 15 |
| Exc les conjunctiva adj scl CPT 68130 | $250.14 | $1,137.00 | $33.52 – $3,009.20 | 15 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $75.24 | $342.00 | $10.03 – $4,183.11 | 15 |
| Excl laa open any method 33267 CPT 33267 | $636.90 | $2,895.00 | $57.89 – $1,641.08 | 4 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $78.54 | $357.00 | $101.75 – $202.83 | 4 |
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.