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 |
|---|---|---|---|---|
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $42.68 | $194.00 | $42.52 – $113.31 | 15 |
| Alpha-fetoprotein amniotic CPT 82106 | $11.44 | $52.00 | $10.53 – $32.00 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $88.14 | $113.00 | $10.53 – $32.00 | 15 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $6.56 – $13.40 | 4 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $18.91 – $93.23 | 4 |
| Als 1 HCPCS A0426 | not published | not published | $280.38 – $343.46 | 9 |
| Als1-emergency HCPCS A0427 | not published | not published | $330.52 – $543.82 | 9 |
| Als 2 HCPCS A0433 | not published | not published | $330.52 – $787.10 | 9 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $6,776.28 | $30,801.26 | $68.41 – $133.23 | 15 |
| Alt/sgpt CPT 84460 | $28.08 | $36.00 | $3.37 – $11.52 | 15 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.39 – $6.61 | 15 |
| Aluminum - quest CPT 82108 | $134.16 | $172.00 | $16.20 – $56.35 | 15 |
| Alveoloplasty each quadrant CPT 41874 | $154.22 | $701.00 | $17.96 – $4,183.11 | 12 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $24.42 | $111.00 | $32.62 – $118.40 | 15 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $13.88 – $28.37 | 8 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $37.42 – $136.00 | 5 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $4.50 – $166.26 | 12 |
| Ambl bp mntr w/sw i&r CPT 93790 | $11.00 | $50.00 | $14.72 – $28.49 | 4 |
| Amifostine HCPCS J0207 | not published | not published | $1,071.41 – $1,440.13 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.54 – $0.87 | 8 |
| Amines vaginal fluid qual CPT 82120 | $3.96 | $18.00 | $3.43 – $6.53 | 12 |
| Amino acid screen, urine CPT 82128 | $9.24 | $42.00 | $8.00 – $15.12 | 15 |
| Amino acid single qual CPT 82127 | $9.24 | $42.00 | $6.45 – $24.53 | 15 |
| Amino acids quant 2-5 CPT 82136 | $12.76 | $58.00 | $12.95 – $37.28 | 15 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $0.88 | $4.00 | $1.41 – $2.12 | 6 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.32 – $2.56 | 15 |
| Aminolevulinic acid delta CPT 82135 | $11.00 | $50.00 | $10.47 – $19.20 | 15 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $286.19 – $557.33 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $15.39 | $69.97 | $5.17 – $12.85 | 8 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.46 – $3.69 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $35.57 | $161.70 | $0.39 – $0.72 | 8 |
| Amitriptyline (elavil) -sendout CPT 80335 | $602.94 | $773.00 | $14.36 – $23.60 | 8 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.24 – $2.92 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $16.14 – $31.42 | 15 |
| Ammonia CPT 82140 | $76.44 | $98.00 | $5.00 – $15.88 | 15 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $346.64 – $689.93 | 8 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $49.50 | $225.00 | $52.50 – $1,123.13 | 15 |
| Amniocentesis therapeutic CPT 59001 | $109.56 | $498.00 | $135.93 – $392.36 | 15 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,099.42 – $1,649.02 | 8 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $1,923.12 – $3,024.34 | 8 |
| Amniotic fluid scan CPT 82143 | $6.16 | $28.00 | $4.37 – $10.19 | 15 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $1,632.00 – $2,774.82 | 8 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $183.26 – $239.15 | 4 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $419.54 | $1,907.00 | $56.03 – $4,185.10 | 15 |
| Amphetamine confirm urine -sendout CPT 80324 | $602.94 | $773.00 | $15.21 – $25.28 | 8 |
| Amphetamines 5 or more CPT 80326 | $602.94 | $773.00 | $15.21 – $25.28 | 6 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $14.00 – $20.88 | 3 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $32.19 – $65.34 | 8 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $7.48 – $14.57 | 15 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $16.43 – $32.00 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $10.32 | $46.91 | $0.46 – $0.93 | 8 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $11.21 | $50.97 | $1.41 – $2.14 | 8 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $1,384.50 | $1,775.00 | $149.76 – $286.66 | 12 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $261.58 | $1,189.00 | $34.56 – $4,185.10 | 15 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $438.24 | $1,992.00 | $57.28 – $1,130.44 | 7 |
| Amputate hand at wrist CPT 25922 | $401.28 | $1,824.00 | $18.82 – $2,064.31 | 15 |
| Amputate hand at wrist CPT 25920 | $453.86 | $2,063.00 | $59.80 – $1,166.26 | 7 |
| Amputate leg at thigh CPT 27591 | $600.16 | $2,728.00 | $78.50 – $1,538.49 | 7 |
| Amputate leg at thigh CPT 27592 | $416.24 | $1,892.00 | $53.87 – $1,065.08 | 7 |
| Amputate lower leg at knee CPT 27598 | $429.66 | $1,953.00 | $55.82 – $1,102.68 | 7 |
| Amputate metacarpal bone 26910 CPT 26910 | $468.16 | $2,128.00 | $13.83 – $4,185.10 | 15 |
| Amputate thigh through femur 27590 CPT 27590 | $481.36 | $2,188.00 | $62.88 – $1,246.49 | 7 |
| Amputate upper arm & implant CPT 24931 | $579.70 | $2,635.00 | $75.85 – $1,486.63 | 7 |
| Amputation follow-up surgery CPT 24925 | $357.50 | $1,625.00 | $23.63 – $4,185.10 | 15 |
| Amputation follow-up surgery CPT 25907 | $385.44 | $1,752.00 | $18.82 – $4,185.10 | 15 |
| Amputation follow-up surgery CPT 25909 | $429.22 | $1,951.00 | $5.00 – $9,214.43 | 15 |
| Amputation follow-up surgery CPT 25929 | $375.76 | $1,708.00 | $32.76 – $2,359.45 | 15 |
| Amputation follow-up surgery CPT 25931 | $488.40 | $2,220.00 | $65.26 – $4,185.10 | 15 |
| Amputation follow-up surgery CPT 27594 | $312.84 | $1,422.00 | $5.82 – $4,185.10 | 15 |
| Amputation follow-up surgery CPT 27884 | $357.50 | $1,625.00 | $46.71 – $4,185.10 | 15 |
| Amputation follow-up surgery CPT 24930 | $483.12 | $2,196.00 | $62.92 – $1,238.57 | 7 |
| Amputation follow-up surgery CPT 25924 | $442.86 | $2,013.00 | $56.45 – $1,139.43 | 7 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $552.20 | $2,510.00 | $72.04 – $2,293.00 | 8 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $399.96 | $1,818.00 | $52.29 – $1,030.73 | 7 |
| Amputation of foot at ankle CPT 27889 | $395.12 | $1,796.00 | $51.64 – $9,214.43 | 15 |
| Amputation of foot at ankle CPT 27888 | $353.54 | $1,607.00 | $45.88 – $912.52 | 7 |
| Amputation of forearm CPT 25900 | $450.34 | $2,047.00 | $58.84 – $1,149.24 | 7 |
| Amputation of forearm CPT 25905 | $438.90 | $1,995.00 | $57.57 – $1,126.25 | 7 |
| Amputation of forearm CPT 25915 | $724.68 | $3,294.00 | $74.55 – $1,860.64 | 7 |
| Amputation of hand CPT 25927 | $529.10 | $2,405.00 | $70.46 – $1,368.53 | 7 |
| Amputation of leg at hip CPT 27290 | $1,005.18 | $4,569.00 | $131.52 – $2,582.29 | 7 |
| Amputation of leg at hip CPT 27295 | $777.26 | $3,533.00 | $102.18 – $2,009.11 | 7 |
| Amputation of lower leg CPT 27882 | $363.88 | $1,654.00 | $47.46 – $939.22 | 7 |
| Amputation of lower leg CPT 27881 | $510.18 | $2,319.00 | $67.73 – $1,336.58 | 7 |
| Amputation of midtarsal 28800 CPT 28800 | $327.80 | $1,490.00 | $43.30 – $843.25 | 7 |
| Amputation of upper arm CPT 24900 | $476.96 | $2,168.00 | $60.49 – $1,184.06 | 7 |
| Amputation of upper arm CPT 24920 | $458.48 | $2,084.00 | $60.03 – $1,174.71 | 7 |
| Amputation thru metatarsal CPT 28805 | $437.58 | $1,989.00 | $57.70 – $4,185.10 | 14 |
| Amputation toe interphalangeal joint CPT 28825 | $170.94 | $777.00 | $141.29 – $4,185.10 | 15 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $182.60 | $830.00 | $144.86 – $4,185.10 | 15 |
| Amylase CPT 82150 | $34.32 | $44.00 | $4.12 – $8.00 | 15 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $14.36 – $37.42 | 8 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $14.36 – $37.42 | 6 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $42.38 – $63.57 | 12 |
| Ana ds-dna CPT 86226 | $7.92 | $36.00 | $5.05 – $26.77 | 15 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $7.44 – $12.37 | 6 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $7.44 – $12.37 | 6 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $602.94 | $773.00 | $7.44 – $23.29 | 8 |
| Anal pressure record CPT 91122 | $53.46 | $243.00 | $28.88 – $401.66 | 15 |
| Anal/urinary muscle study CPT 51784 | $22.44 | $102.00 | $22.49 – $201.81 | 14 |
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.