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 |
|---|---|---|---|---|
| Eye surgery follow-up add-on CPT 67331 | $140.14 | $637.00 | $125.69 – $340.88 | 8 |
| Eye suture during surgery CPT 67335 | $113.74 | $517.00 | $150.87 – $292.81 | 7 |
| Ezh2 gene common variants CPT 81237 | $115.72 | $526.00 | $115.76 – $191.19 | 12 |
| Ezh2 gene full gene sequence CPT 81236 | $223.52 | $1,016.00 | $186.70 – $308.34 | 12 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $201.75 – $468.56 | 3 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,594.61 – $2,914.55 | 12 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $195.03 – $526.98 | 12 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $222.73 – $341.92 | 2 |
| F9 full gene sequence CPT 81238 | $396.00 | $1,800.00 | $396.00 – $654.00 | 12 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $188.25 – $398.04 | 11 |
| Face bone graft CPT 21210 | $473.66 | $2,153.00 | $62.03 – $7,630.39 | 15 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,134.04 | $4,018.00 | $83.25 – $723.34 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,697.28 | $2,176.00 | $52.27 – $411.57 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $283.14 | $363.00 | $7.73 – $113.57 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $342.42 | $439.00 | $10.25 – $137.16 | 15 |
| Facial nerve function test CPT 92516 | $13.86 | $63.00 | $18.43 – $401.66 | 15 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,681.09 – $4,183.11 | 10 |
| Factor ix CPT 85250 | $12.76 | $58.00 | $5.00 – $20.75 | 15 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $2.63 – $5.13 | 15 |
| Factor ix complex HCPCS J7194 | not published | not published | $0.88 – $2.41 | 15 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $3.88 – $7.56 | 15 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $0.97 – $1.89 | 15 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.33 – $6.48 | 15 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.48 – $2.22 | 8 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.35 – $2.65 | 15 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.76 – $3.39 | 8 |
| Factor viii CPT 85240 | $94.38 | $121.00 | $11.39 – $20.80 | 15 |
| Factor viii HCPCS J7190 | not published | not published | $0.82 – $1.60 | 15 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $1.76 – $3.43 | 15 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $0.85 – $1.66 | 15 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.57 – $3.05 | 15 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.12 – $2.17 | 15 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.10 – $2.15 | 15 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.35 – $4.57 | 15 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $7.83 – $15.25 | 15 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $13.29 – $25.89 | 15 |
| Fallopian tube recnl CPT 58345 | $178.64 | $812.00 | $23.63 – $4,101.16 | 12 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $17.33 – $38.43 | 11 |
| Family therapy without pt 50min 90846 CPT 90846 | $63.58 | $289.00 | $16.16 – $207.24 | 15 |
| Family therapy with patient 50 min 90847 CPT 90847 | $66.22 | $301.00 | $16.16 – $207.24 | 15 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $0.22 | $1.00 | $0.01 – $0.01 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $21.80 – $42.45 | 15 |
| Fancc gene CPT 81242 | $24.20 | $110.00 | $24.17 – $39.92 | 12 |
| Fasciotomy hip/thigh any typ CPT 27025 | $583.00 | $2,650.00 | $75.75 – $1,482.40 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $27.30 | $35.00 | $2.78 – $11.26 | 15 |
| Fatty acids nonesterified CPT 82725 | $12.32 | $56.00 | $8.46 – $21.09 | 15 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $101.37 – $214.35 | 11 |
| Fecal bilirubin test CPT 82252 | $3.08 | $14.00 | $2.89 – $4.97 | 15 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $46.52 – $90.60 | 15 |
| Fecal microbiota prep instil HCPCS G0455 | $43.34 | $197.00 | $57.13 – $1,175.98 | 14 |
| #fecal-sodium CPT 84302 | $25.74 | $33.00 | $3.21 – $8.69 | 15 |
| Feeding tube reposition CPT 74355 | $22.44 | $102.00 | $29.58 – $57.49 | 7 |
| Fees w/laryngeal sense i&r CPT 92617 | $24.86 | $113.00 | $33.32 – $64.74 | 10 |
| Fees w/laryngeal sense test CPT 92616 | $61.16 | $278.00 | $81.31 – $157.65 | 10 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $98.28 | $126.00 | $12.30 – $20.32 | 12 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $2,353.82 – $4,976.85 | 11 |
| Femoral endovas graft add-on 34813 CPT 34813 | $141.68 | $644.00 | $47.88 – $367.66 | 7 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $35.96 – $76.03 | 11 |
| Fem/popl revasc w/stent CPT 37226 | $26,537.16 | $34,022.00 | $71.49 – $14,627.77 | 15 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $7.52 – $15.89 | 11 |
| Feno poc CPT 95012 | not published | not published | $15.24 – $50.63 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $8.47 | $38.50 | $0.85 – $1.36 | 8 |
| Fern test HCPCS Q0114 | $6.60 | $30.00 | $6.42 – $15.98 | 14 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,133.90 | $5,154.09 | $0.83 – $1.62 | 15 |
| Ferritin CPT 82728 | $71.76 | $92.00 | $8.30 – $19.20 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.22 – $0.44 | 15 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.22 – $0.44 | 15 |
| Fetal aneuploidy trisom risk CPT 81507 | $524.92 | $2,386.00 | $524.70 – $1,017.60 | 15 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $467.22 | $599.00 | $41.13 – $137.16 | 15 |
| Fetal chrmoml microdeltj CPT 81422 | $501.16 | $2,278.00 | $500.97 – $827.36 | 12 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,776.06 | $2,278.00 | $500.97 – $971.58 | 15 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $22.44 | $102.00 | $28.13 – $259.48 | 15 |
| Fetal cord puncture prenatal CPT 59012 | $123.86 | $563.00 | $52.50 – $392.36 | 15 |
| Fetal fibronectin CPT 82731 | $42.68 | $194.00 | $8.30 – $70.21 | 15 |
| Fetal fluid drainage w/us CPT 59074 | $190.30 | $865.00 | $43.84 – $492.07 | 15 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $5.28 | $24.00 | $4.92 – $17.10 | 15 |
| Fetal hemoglobin rosette CPT 85461 | $6.16 | $28.00 | $5.88 – $14.67 | 15 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $12.76 | $58.00 | $5.22 – $21.06 | 15 |
| Fetal monitor/interpret only CPT 59051 | $25.74 | $117.00 | $33.49 – $67.06 | 7 |
| Fetal monitor w/report CPT 59050 | $30.80 | $140.00 | $39.70 – $79.36 | 7 |
| Fetal non stress test CPT 59025 | $17.82 | $81.00 | $7.08 – $259.48 | 15 |
| Fetal scalp blood sampling 59030 CPT 59030 | $69.08 | $314.00 | $89.41 – $392.36 | 12 |
| Fetal shunt placement w/us CPT 59076 | $320.76 | $1,458.00 | $78.00 – $1,187.28 | 15 |
| #_fet/norfentcnfrmur CPT 80354 | $602.94 | $773.00 | $19.33 – $55.55 | 8 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $5.64 – $10.98 | 15 |
| Fibrin degradation d dimer quantitative CPT 85379 | $53.82 | $69.00 | $6.47 – $16.96 | 15 |
| Fibrin degradation products CPT 85362 | $4.40 | $20.00 | $4.38 – $15.23 | 15 |
| Fibrin degrade semiquant CPT 85378 | $6.60 | $30.00 | $4.54 – $15.78 | 15 |
| Fibrin degradj d-dimer CPT 85380 | $6.60 | $30.00 | $6.72 – $14.48 | 15 |
| Fibrinogen activity CPT 85384 | $50.70 | $65.00 | $5.40 – $15.86 | 15 |
| Fibrinogen test CPT 85370 | $8.36 | $38.00 | $4.37 – $16.96 | 15 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $22.00 | $100.00 | $3.00 – $16.87 | 15 |
| Fibrinolytic antiplasmin CPT 85410 | $5.28 | $24.00 | $4.90 – $17.06 | 15 |
| Fibrinolytic plasmin CPT 85400 | $5.28 | $24.00 | $5.09 – $19.55 | 15 |
| Fibrinolytic plasminogen CPT 85415 | $90.48 | $116.00 | $10.93 – $24.96 | 15 |
| Fibrinolytic plasminogen CPT 85421 | $6.60 | $30.00 | $6.47 – $22.51 | 15 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $4.40 | $20.00 | $4.16 – $8.00 | 15 |
| Fibula bone graft microvasc CPT 20955 | $1,503.04 | $6,832.00 | $70.88 – $3,875.63 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.21 – $0.40 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.72 – $1.39 | 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.