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 |
|---|---|---|---|---|
| Fusion of big toe joint CPT 28755 | $209.88 | $954.00 | $27.61 – $9,214.43 | 15 |
| Fusion of facial/other nerve CPT 64866 | $762.52 | $3,466.00 | $110.65 – $1,963.78 | 7 |
| Fusion of finger jnt add-on CPT 26861 | $62.70 | $285.00 | $81.84 – $161.13 | 7 |
| Fusion of finger joint CPT 26860 | $373.56 | $1,698.00 | $50.26 – $4,185.10 | 15 |
| Fusion of finger tendons CPT 26471 | $404.36 | $1,838.00 | $27.34 – $4,185.10 | 15 |
| Fusion of finger tendons CPT 26474 | $397.76 | $1,808.00 | $53.44 – $2,064.31 | 15 |
| Fusion of foot bones CPT 28730 | $450.78 | $2,049.00 | $17.50 – $16,596.43 | 15 |
| Fusion of foot bones CPT 28735 | $485.32 | $2,206.00 | $16.72 – $16,596.43 | 15 |
| Fusion of foot bones CPT 28740 | $383.02 | $1,741.00 | $37.13 – $9,214.43 | 15 |
| Fusion of hand joint CPT 26843 | $479.16 | $2,178.00 | $12.12 – $9,214.43 | 15 |
| Fusion of knee CPT 27580 | $911.24 | $4,142.00 | $119.86 – $2,348.69 | 7 |
| Fusion of knuckle CPT 26850 | $450.34 | $2,047.00 | $12.12 – $9,214.43 | 15 |
| Fusion of knuckle joint CPT 26516 | $456.28 | $2,074.00 | $60.91 – $4,185.10 | 15 |
| Fusion of knuckle joints CPT 26517 | $531.96 | $2,418.00 | $69.78 – $4,185.10 | 15 |
| Fusion of knuckle joints CPT 26518 | $538.34 | $2,447.00 | $2.50 – $9,214.43 | 15 |
| Fusion of knuckle with graft CPT 26852 | $512.82 | $2,331.00 | $12.12 – $9,214.43 | 15 |
| Fusion of skull arteries CPT 61711 | $1,623.16 | $7,378.00 | $210.00 – $4,181.97 | 7 |
| Fusion of spermatic ducts CPT 54900 | $495.22 | $2,251.00 | $65.10 – $2,642.30 | 14 |
| Fusion of spermatic ducts CPT 54901 | $652.96 | $2,968.00 | $85.99 – $4,448.70 | 14 |
| Fusion of tendons at wrist CPT 25300 | $432.96 | $1,968.00 | $56.74 – $4,185.10 | 15 |
| Fusion of tendons at wrist CPT 25301 | $403.26 | $1,833.00 | $50.57 – $4,185.10 | 15 |
| Fusion of thumb CPT 26841 | $473.44 | $2,152.00 | $21.40 – $9,214.43 | 15 |
| Fusion of tibiofibular joint CPT 27871 | $429.22 | $1,951.00 | $56.59 – $16,596.43 | 15 |
| Fusion of toes CPT 28280 | $212.52 | $966.00 | $28.46 – $4,185.10 | 15 |
| Fusion of ureter & bowel CPT 50810 | $870.76 | $3,958.00 | $90.57 – $2,241.61 | 7 |
| Fusion of ureter & kidney CPT 50740 | $758.78 | $3,449.00 | $78.89 – $1,954.15 | 7 |
| Fusion of ureter & kidney CPT 50750 | $710.16 | $3,228.00 | $74.81 – $1,829.27 | 7 |
| Fxn gene charac alleles CPT 81285 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Fxn gene detc abnor alleles CPT 81284 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Fxn gene full gene sequence CPT 81286 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Fxn gene known famil variant CPT 81289 | $122.32 | $556.00 | $122.23 – $201.87 | 12 |
| G0180 home health certification HCPCS G0180 | $32.78 | $149.00 | $43.89 – $134.00 | 4 |
| G6pc gene CPT 81250 | not published | not published | $38.60 – $63.75 | 12 |
| G6pd full gene sequence CPT 81249 | $396.00 | $1,800.00 | $396.00 – $654.00 | 12 |
| G6pd gene alys cmn variant CPT 81247 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| G6pd known familial variant CPT 81248 | $247.72 | $1,126.00 | $247.67 – $409.02 | 12 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $121.20 – $200.87 | 4 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $37.12 – $56.67 | 12 |
| Gabapentin non-blood CPT 80355 | not published | not published | $13.88 – $23.41 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.25 – $0.37 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.39 – $2.09 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.11 – $0.16 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $13.67 – $20.80 | 8 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $14.08 | $64.00 | $2.00 – $22.97 | 15 |
| Galactokinase - sendout CPT 82759 | $14.08 | $64.00 | $13.66 – $47.50 | 15 |
| Galactose transferase test CPT 82776 | $7.92 | $36.00 | $5.33 – $12.80 | 12 |
| Galectin-3 CPT 82777 | $29.04 | $132.00 | $14.24 – $48.23 | 15 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $822.90 | $1,055.00 | $28.48 – $518.31 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,102.14 | $1,413.00 | $34.35 – $694.29 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $410.52 | $1,866.00 | $48.04 – $7,525.52 | 15 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $2.94 – $7.73 | 11 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $270.42 – $776.84 | 11 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $388.67 – $793.42 | 11 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $707.45 – $1,061.27 | 12 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $634.64 – $952.05 | 12 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.66 – $3.13 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $476.89 – $715.29 | 8 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $121.39 – $494.16 | 15 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $35.18 – $68.52 | 15 |
| Gammaglobulin iga CPT 82784 | $49.14 | $63.00 | $5.91 – $20.56 | 15 |
| Gammaglobulin ige CPT 82785 | $86.58 | $111.00 | $10.47 – $28.00 | 15 |
| Gamma glutamyltransferase CPT 82977 | $38.22 | $49.00 | $4.58 – $14.98 | 15 |
| Gammagraft HCPCS Q4111 | not published | not published | $6.71 – $10.07 | 8 |
| Gammaplex injection HCPCS J1557 | not published | not published | $45.39 – $88.39 | 15 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $34.90 – $67.96 | 15 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $28.74 – $56.06 | 8 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $4,590.00 – $25,056.00 | 3 |
| Gardner vag dna amp probe CPT 87511 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Gardner vag dna quant CPT 87512 | $219.96 | $282.00 | $20.80 – $45.52 | 12 |
| Gastric analy w/ph ea spec CPT 82930 | $4.40 | $20.00 | $4.43 – $9.82 | 15 |
| Gastric emptying imag study CPT 78265 | $822.90 | $1,055.00 | $37.15 – $518.31 | 15 |
| Gastric emptying imag study CPT 78266 | $1,102.14 | $1,413.00 | $39.98 – $694.29 | 15 |
| Gastric motility studies CPT 91020 | $43.78 | $199.00 | $58.96 – $684.40 | 15 |
| Gastric mucosa imaging CPT 78261 | $16.94 | $77.00 | $22.68 – $518.31 | 15 |
| Gastrin test CPT 82938 | $11.88 | $54.00 | $11.25 – $39.14 | 15 |
| Gastroduodenostomy CPT 43810 | $630.30 | $2,865.00 | $73.65 – $1,622.38 | 7 |
| Gastroesophageal reflux study CPT 78262 | $19.80 | $90.00 | $22.58 – $518.31 | 15 |
| Gastroesophageal reflux test CPT 91034 | $29.92 | $136.00 | $40.23 – $684.40 | 15 |
| Gastrointestinal repair CPT 43360 | $1,372.36 | $6,238.00 | $160.59 – $3,547.41 | 7 |
| Gastrointestinal repair CPT 43361 | $1,666.06 | $7,573.00 | $194.56 – $4,291.15 | 7 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $832.70 | $3,785.00 | $97.42 – $2,144.62 | 7 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $812.24 | $3,692.00 | $94.92 – $2,091.15 | 7 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $17.86 – $34.19 | 3 |
| Gastroplasty duodenal switch CPT 43845 | $1,213.96 | $5,518.00 | $141.60 – $3,121.81 | 4 |
| Gastrostomy open neonatal CPT 43831 | $377.96 | $1,718.00 | $41.50 – $1,209.32 | 15 |
| Gated heart multiple CPT 78473 | $822.90 | $1,055.00 | $55.79 – $518.31 | 15 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.75 – $3.70 | 11 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.87 – $3.95 | 11 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $1.54 – $3.25 | 11 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.69 – $1.45 | 11 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.60 – $5.48 | 11 |
| Gba gene CPT 81251 | $51.48 | $234.00 | $31.19 – $51.50 | 12 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $43.34 – $78.49 | 11 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $51.39 – $98.07 | 11 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $60.16 – $127.50 | 11 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $32.15 – $58.23 | 11 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $36.72 – $66.49 | 11 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $42.27 – $76.55 | 11 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $57.36 – $103.87 | 11 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $68.39 – $123.83 | 11 |
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.