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 |
|---|---|---|---|---|
| Followup eval of foot pt lop HCPCS G0246 | $12.32 | $56.00 | $16.37 – $166.22 | 11 |
| Follow-up surgery of eye CPT 66250 | $336.16 | $1,528.00 | $45.12 – $3,009.20 | 15 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $759.22 | $3,451.00 | $4.38 – $12.89 | 12 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $0.67 – $1.02 | 8 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $98.54 – $257.70 | 11 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $46.27 – $125.00 | 11 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $28.53 – $60.32 | 11 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $46.83 – $99.03 | 11 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $135.83 – $287.20 | 11 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $16.00 – $207.02 | 11 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $80.18 – $169.55 | 11 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $105.65 – $223.38 | 11 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $74.26 – $157.00 | 11 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $105.65 – $223.38 | 11 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $49.60 – $254.30 | 11 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $30.85 – $65.23 | 11 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $223.62 – $472.82 | 11 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $168.15 – $389.00 | 11 |
| Foot X-ray CPT 73630 | $354.12 | $454.00 | $6.63 – $113.57 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $283.14 | $363.00 | $6.08 – $113.57 | 15 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $512.31 – $1,083.22 | 11 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $396.27 – $837.87 | 11 |
| Forearm X-ray (both sides) CPT 73090 | $283.14 | $363.00 | $6.35 – $113.57 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $614.02 | $2,791.00 | $81.08 – $4,722.15 | 15 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $153.07 – $721.66 | 3 |
| Forensic cytopathology CPT 88125 | $8.36 | $38.00 | $11.05 – $68.92 | 12 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $35.20 | $160.00 | $46.14 – $313.71 | 12 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.73 – $4.41 | 4 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.85 – $2.78 | 8 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.11 – $0.16 | 8 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $11.32 – $66.77 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $31.13 | $141.52 | $2.81 – $4.67 | 4 |
| Fractionation ketosteroids CPT 83593 | $18.92 | $86.00 | $13.00 – $31.07 | 15 |
| Fracture assessment via dxa CPT 77086 | $283.14 | $363.00 | $6.63 – $113.57 | 12 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $29.62 – $132.72 | 15 |
| Fragmenting of kidney stone CPT 50590 | $353.98 | $1,609.00 | $37.37 – $4,448.70 | 15 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $345.24 – $729.97 | 11 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $356.90 – $754.62 | 11 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $416.91 – $881.50 | 11 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $451.50 – $954.63 | 11 |
| Free fascial flap microvasc CPT 15758 | $1,388.42 | $6,311.00 | $182.98 – $3,581.82 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | $674.74 | $3,067.00 | $78.97 – $1,738.11 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $76.87 – $3,604.77 | 4 |
| Free myo/skin flap microvasc CPT 15756 | $1,402.72 | $6,376.00 | $184.77 – $3,619.10 | 7 |
| Free omental flap microvasc CPT 49906 | $856.02 | $3,891.00 | $167.38 – $4,015.38 | 4 |
| Free/remove chest lining 32320 CPT 32320 | $980.10 | $4,455.00 | $127.58 – $2,528.82 | 7 |
| Free skin flap microvasc CPT 15757 | $1,394.14 | $6,337.00 | $183.72 – $3,597.06 | 7 |
| Frenectomy 41115 CPT 41115 | $89.76 | $408.00 | $11.97 – $1,910.65 | 15 |
| Frenotomy 40806 CPT 40806 | $18.48 | $84.00 | $24.04 – $656.86 | 12 |
| Frenulotomy of penis CPT 54164 | $121.00 | $550.00 | $15.95 – $2,642.30 | 15 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $333.06 | $427.00 | $33.90 – $91.70 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $394.68 | $506.00 | $10.82 – $108.72 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $15.31 – $221.03 | 12 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $29.54 – $63.11 | 13 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $23.69 – $90.02 | 12 |
| Frozen blood prep CPT 86930 | not published | not published | $90.49 – $221.03 | 12 |
| Frozen blood thaw CPT 86931 | not published | not published | $67.93 – $221.03 | 12 |
| Frozen cell preparation CPT 88241 | $7.92 | $36.00 | $7.98 – $13.18 | 12 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $0.96 – $80.37 | 10 |
| Fructosamine glycated protein CPT 82985 | $88.14 | $113.00 | $9.58 – $26.30 | 15 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $28.53 – $60.32 | 11 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $82.72 | $376.00 | $109.13 – $213.48 | 10 |
| Fth/gft fr trnk each addl CPT 15201 | $46.86 | $213.00 | $61.32 – $120.78 | 10 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $120.00 – $402.66 | 11 |
| Ftl cgen abnor 3 proteins CPT 81509 | $981.64 | $4,462.00 | $981.66 – $1,621.23 | 12 |
| Ftl cgen abnor five anal CPT 81512 | $163.02 | $209.00 | $45.88 – $177.26 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $101.20 | $460.00 | $94.37 – $167.32 | 15 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $36.65 – $60.54 | 12 |
| Ftl cgen abnor two proteins CPT 81508 | $35.64 | $162.00 | $35.84 – $59.19 | 12 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $180.57 – $381.78 | 11 |
| Full field erg w/i&r CPT 92273 | $21.78 | $99.00 | $29.40 – $401.66 | 15 |
| Full mouth x-ray of teeth CPT 70320 | $6.82 | $31.00 | $8.85 – $311.79 | 15 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $33.16 – $70.12 | 11 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $342.42 | $439.00 | $12.41 – $137.16 | 15 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $521.40 | $2,370.00 | $68.89 – $2,359.45 | 15 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $375.54 | $1,707.00 | $49.68 – $2,359.45 | 15 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $42.24 | $192.00 | $55.47 – $109.07 | 10 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $490.16 | $2,228.00 | $64.85 – $2,359.45 | 15 |
| Functional brain mapping CPT 96020 | $96.36 | $438.00 | $32.42 – $298.06 | 4 |
| Fundus photography with i&r 92250 CPT 92250 | $12.54 | $57.00 | $13.36 – $166.26 | 15 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $909.97 – $1,924.02 | 11 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.22 | $1.00 | $0.02 – $0.03 | 6 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $10.40 | $47.25 | $0.39 – $0.51 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $1,988.58 | $9,039.00 | $210.00 – $5,144.71 | 7 |
| Fuse esophagus & intestine CPT 43340 | $853.82 | $3,881.00 | $99.81 – $2,199.35 | 7 |
| Fuse esophagus & intestine CPT 43341 | $856.90 | $3,895.00 | $100.31 – $2,212.46 | 7 |
| Fuse esophagus & stomach CPT 43320 | $864.38 | $3,929.00 | $101.04 – $2,226.58 | 7 |
| Fuse gallbladder & bowel CPT 47740 | $811.36 | $3,688.00 | $95.05 – $2,091.59 | 7 |
| Fuse gallbladder & bowel CPT 47741 | $911.46 | $4,143.00 | $106.71 – $2,349.76 | 7 |
| Fuse/graft added joint CPT 26863 | $139.48 | $634.00 | $182.59 – $359.53 | 7 |
| Fuse liver duct & intestine CPT 47802 | $955.46 | $4,343.00 | $98.30 – $98.30 | 1 |
| Fuse liver ducts & bowel CPT 47765 | $1,866.04 | $8,482.00 | $164.85 – $4,815.27 | 7 |
| Fuse pancreas and bowel CPT 48548 | $1,032.02 | $4,691.00 | $120.71 – $2,661.38 | 7 |
| Fuse pancreas cyst and bowel CPT 48540 | $808.28 | $3,674.00 | $94.46 – $2,082.20 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $680.24 | $3,092.00 | $79.60 – $1,753.13 | 7 |
| Fuse upper gi structures CPT 47721 | $837.32 | $3,806.00 | $98.03 – $2,157.72 | 7 |
| Fusion/graft of finger joint CPT 26862 | $470.14 | $2,137.00 | $62.86 – $4,185.10 | 15 |
| Fusion/graft of hand joint CPT 26844 | $528.22 | $2,401.00 | $12.12 – $9,214.43 | 15 |
| Fusion of ankle joint open CPT 27870 | $625.90 | $2,845.00 | $39.65 – $16,596.43 | 15 |
| Fusion of big toe joint CPT 28750 | $357.50 | $1,625.00 | $47.33 – $9,214.43 | 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.