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 |
|---|---|---|---|---|
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.27 – $0.52 | 15 |
| Filleted finger/toe flap CPT 14350 | $412.50 | $1,875.00 | $55.38 – $2,359.45 | 15 |
| Filtered speech hearing test CPT 92571 | not published | not published | $6.83 – $50.63 | 15 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $18.56 – $39.23 | 11 |
| Filter spider fx 3mmx320cm HCPCS C1884 | not published | not published | $1,742.73 – $1,742.73 | 1 |
| Filter vena cava fem denali HCPCS C1880 | not published | not published | $906.41 – $906.41 | 1 |
| Fimbrioplasty 58760 CPT 58760 | $506.66 | $2,303.00 | $80.43 – $2,026.00 | 5 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.15 – $0.21 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,646.58 | $2,111.00 | $9.36 – $907.53 | 15 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $1,234.74 | $1,583.00 | $41.60 – $82.07 | 11 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $26.84 | $122.00 | $9.36 – $68.84 | 11 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,234.74 | $1,583.00 | $9.36 – $79.31 | 11 |
| Fine needle asp without image guide 10021 CPT 10021 | $935.22 | $1,199.00 | $11.69 – $515.34 | 15 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $208.46 – $440.76 | 11 |
| Finger tendon transfer CPT 26497 | $555.50 | $2,525.00 | $60.23 – $4,185.10 | 15 |
| Finger tendon transfer CPT 26498 | $724.68 | $3,294.00 | $14.08 – $4,185.10 | 15 |
| Finger X-ray (both hands) CPT 73140 | $283.14 | $363.00 | $5.25 – $113.57 | 15 |
| Fistula repair & colostomy CPT 57307 | $664.62 | $3,021.00 | $105.82 – $1,719.94 | 7 |
| Fistula repair transperine 57308 CPT 57308 | $410.96 | $1,868.00 | $65.24 – $1,060.59 | 7 |
| Fit aphakia spectcl monofocl CPT 92352 | $11.66 | $53.00 | $14.64 – $76.62 | 12 |
| Fit aphakia spectcl multifoc CPT 92353 | $15.84 | $72.00 | $19.87 – $76.62 | 12 |
| Fitg c-lens keratoconus 1st CPT 92072 | $56.76 | $258.00 | $76.56 – $147.84 | 7 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $11.22 – $50.63 | 12 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $17.39 – $50.63 | 12 |
| Fit spectacles bifocal CPT 92341 | $14.96 | $68.00 | $18.75 – $36.49 | 4 |
| Fit spectacles monofocal CPT 92340 | $11.66 | $53.00 | $14.64 – $28.45 | 4 |
| Fit spectacles multifocal CPT 92342 | $16.94 | $77.00 | $21.26 – $41.31 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $29.26 | $133.00 | $38.25 – $259.48 | 15 |
| Fixation of ankle joint CPT 27860 | $102.30 | $465.00 | $13.43 – $4,185.10 | 15 |
| Fixation of knee joint CPT 27570 | $96.80 | $440.00 | $5.82 – $2,064.31 | 15 |
| Fixation of shoulder blade CPT 23400 | $605.22 | $2,751.00 | $5.22 – $9,214.43 | 15 |
| Fix g/colon tube w/device CPT 49460 | $31.02 | $141.00 | $37.76 – $1,209.32 | 15 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $420.20 | $1,910.00 | $55.16 – $4,185.10 | 15 |
| Flebogamma injection HCPCS J1572 | not published | not published | $40.52 – $60.78 | 12 |
| Flecainide (tambocor)-sendout CPT 80181 | $98.28 | $126.00 | $12.30 – $20.32 | 12 |
| Fl exam g/colon tube w contrast CPT 49465 | $565.50 | $725.00 | $24.42 – $311.79 | 15 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $1,389.36 – $2,937.64 | 11 |
| Flex foot system HCPCS L5980 | not published | not published | $2,294.13 – $4,850.66 | 11 |
| Flexible keel foot HCPCS L5972 | not published | not published | $218.07 – $461.07 | 11 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $103.01 – $217.81 | 11 |
| Flexible Sigmoidoscopy CPT 45330 | $34.98 | $159.00 | $45.85 – $1,175.98 | 15 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $144.00 – $421.51 | 11 |
| Flexor-plasty elbow CPT 24330 | $449.24 | $2,042.00 | $58.90 – $9,214.43 | 15 |
| Flexor-plasty elbw w/advmnt CPT 24331 | $490.82 | $2,231.00 | $22.00 – $9,214.43 | 15 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $114.79 – $242.71 | 11 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $1,982.98 – $4,192.75 | 11 |
| Floor of mouth biopsy 41108 CPT 41108 | $56.54 | $257.00 | $7.48 – $2,089.89 | 15 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $925.51 – $3,468.00 | 12 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $357.00 – $4,043.90 | 12 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $487.71 – $731.63 | 11 |
| Flow cytometry interp 16 or more CPT 88189 | $50.60 | $230.00 | $67.75 – $128.59 | 8 |
| Flow cytometry marker each additional CPT 88185 | $107.64 | $138.00 | $18.26 – $29.22 | 8 |
| Flow cytometry one marker technical component CPT 88184 | $841.62 | $1,079.00 | $37.14 – $463.99 | 15 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $153.00 – $241.95 | 4 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $87.18 – $131.75 | 8 |
| #flow interp 9 - 15 markers CPT 88188 | $37.18 | $169.00 | $49.96 – $97.60 | 8 |
| Floxuridine injection HCPCS J9200 | not published | not published | $2,997.62 – $5,837.65 | 15 |
| Flt3 gene CPT 81245 | not published | not published | $109.24 – $212.38 | 15 |
| Flt3 gene analysis CPT 81246 | not published | not published | $54.78 – $90.47 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $6.93 | $31.50 | $2.13 – $4.16 | 8 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $52.06 – $168.30 | 15 |
| Fluidotherapy charges pt CPT 97022 | $59.28 | $76.00 | $10.75 – $26.63 | 12 |
| Fluid pressure muscle 20950 CPT 20950 | $54.78 | $249.00 | $71.89 – $907.53 | 14 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $8.22 – $21.83 | 3 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $361.70 – $704.38 | 15 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $246.87 – $480.76 | 15 |
| Fluorescein angioscopy i&r CPT 92230 | $19.36 | $88.00 | $16.00 – $684.40 | 15 |
| Fluorescein angrph mltiframe CPT 92235 | $25.74 | $117.00 | $34.32 – $401.66 | 15 |
| Fluorescein&icg angiography CPT 92242 | $33.00 | $150.00 | $43.88 – $401.66 | 15 |
| Fluorescent antibody titer dna CPT 86256 | $63.18 | $81.00 | $7.66 – $14.58 | 15 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $362.30 – $543.50 | 12 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $362.33 – $4,707.30 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $481.26 | $617.00 | $23.21 – $45.66 | 8 |
| Fluoroguide needle placement CPT 77002 | $605.28 | $776.00 | $20.71 – $54.58 | 8 |
| Fluoro polarize fetal lung CPT 83663 | $12.32 | $56.00 | $10.46 – $20.61 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $777.66 | $997.00 | $7.88 – $311.79 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $1.62 – $2.91 | 8 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $7.11 – $22.05 | 9 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $59.06 – $577.70 | 11 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.57 – $49.97 | 4 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,356.26 – $3,366.00 | 12 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $12.71 – $21.66 | 3 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $21.78 | $99.00 | $11.97 – $57.71 | 3 |
| Fmri brain by phys/psych CPT 70555 | $73.26 | $333.00 | $96.91 – $311.79 | 12 |
| Fmri brain by tech CPT 70554 | $62.26 | $283.00 | $82.33 – $311.79 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,646.58 | $2,111.00 | $7.00 – $907.53 | 15 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,234.74 | $1,583.00 | $7.00 – $114.99 | 11 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $11.69 – $907.53 | 15 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $11.69 – $292.09 | 8 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $9.01 – $12.73 | 3 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $14.35 – $30.35 | 11 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $6.99 – $14.79 | 11 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $7.42 – $15.69 | 11 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $21.15 – $44.73 | 11 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $5.38 – $11.38 | 11 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $6.45 – $13.63 | 11 |
| Foam stability fetal lung CPT 83662 | $12.32 | $56.00 | $12.02 – $35.20 | 15 |
| Folic acid CPT 82746 | $77.22 | $99.00 | $8.57 – $19.20 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $49.22 | $223.72 | $0.05 – $0.08 | 6 |
| Follow-up angiography CPT 75898 | $10,126.74 | $12,983.00 | $40.85 – $4,059.84 | 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.