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 |
|---|---|---|---|---|
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $81.01 – $146.69 | 11 |
| Gefitinib oral HCPCS J8565 | not published | not published | $143.01 – $182.97 | 4 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $38.33 – $81.04 | 11 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.31 – $2.77 | 11 |
| Gel-one HCPCS J7326 | not published | not published | $380.75 – $741.48 | 15 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.56 – $0.92 | 8 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.79 – $4.19 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $171.93 – $334.81 | 15 |
| General health panel CPT 80050 | $159.90 | $205.00 | $32.49 – $99.48 | 9 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | not published | $26,510.21 – $26,510.21 | 1 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $41.76 – $41.76 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $1,616.12 | $7,346.00 | $1,616.05 – $2,668.93 | 12 |
| Genioplasty augmentation CPT 21120 | $309.76 | $1,408.00 | $41.26 – $7,630.39 | 12 |
| Geniop sldg augmentation CPT 21123 | $516.12 | $2,346.00 | $68.79 – $4,183.11 | 12 |
| Geniop sldg osteot 1 CPT 21121 | $330.22 | $1,501.00 | $43.36 – $4,183.11 | 12 |
| Geniop sldg osteot 2/> CPT 21122 | $458.04 | $2,082.00 | $60.71 – $7,630.39 | 12 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,542.85 – $2,548.04 | 12 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,320.59 – $5,484.01 | 12 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,788.57 – $2,953.85 | 12 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $25.66 | $116.62 | $2.47 – $3.70 | 9 |
| Gentamicin peak therapeutic drug level CPT 80170 | $85.80 | $110.00 | $10.42 – $19.20 | 15 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $4.38 – $8.52 | 15 |
| G-esoph reflx tst w/electrod CPT 91035 | $49.50 | $225.00 | $65.73 – $684.40 | 15 |
| Gfrg autol fat lipo ea addl CPT 15774 | $88.88 | $404.00 | $115.16 – $226.40 | 10 |
| Ghs abscess perianal iandd CPT 46050 | $2,133.30 | $2,735.00 | $8.27 – $1,175.98 | 15 |
| Ghs abscess postoperative iandd complex CPT 10180 | $110.66 | $503.00 | $11.00 – $3,691.65 | 15 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $51.48 | $66.00 | $4.89 – $14.40 | 15 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $11.44 | $52.00 | $10.22 – $18.65 | 12 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $67.32 | $306.00 | $67.50 – $325.94 | 15 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $11.44 | $52.00 | $14.82 – $166.26 | 15 |
| Ghs antibodies (torch) igm CPT 86694 | $76.44 | $98.00 | $6.01 – $31.73 | 15 |
| Ghs aspiration bladder - needle CPT 51100 | $569.40 | $730.00 | $31.48 – $313.71 | 15 |
| Ghs bladder cath - complex-foley CPT 51703 | $366.60 | $470.00 | $61.70 – $201.81 | 15 |
| Ghs bleeding time (ivy) CPT 85002 | $24.96 | $32.00 | $2.86 – $8.00 | 15 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $33.66 | $153.00 | $36.75 – $893.26 | 15 |
| Ghs central line insert < age 5, failed CPT 36555 | $7,365.54 | $9,443.00 | $68.39 – $4,059.84 | 15 |
| Ghs change cysto/gastrost CPT 43762 | $497.64 | $638.00 | $30.03 – $313.71 | 15 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $123.29 – $427.83 | 15 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $147.99 – $427.83 | 15 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $42.96 – $91.80 | 15 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $23.32 | $106.00 | $20.67 – $63.63 | 15 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $561.60 | $771.00 | $19.83 – $432.40 | 15 |
| Ghs closed reduction ankle dislocation CPT 27840 | $561.60 | $1,116.00 | $32.31 – $629.69 | 15 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,745.56 | $4,802.00 | $23.19 – $2,064.31 | 15 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $285.12 | $1,296.00 | $20.24 – $728.74 | 15 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,745.56 | $4,802.00 | $6.09 – $2,064.31 | 15 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $493.02 | $2,241.00 | $64.61 – $2,359.45 | 15 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $561.60 | $895.00 | $6.30 – $502.37 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,745.56 | $4,802.00 | $10.60 – $2,064.31 | 15 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,745.56 | $4,802.00 | $40.78 – $2,064.31 | 15 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $561.60 | $1,352.00 | $4.50 – $762.25 | 15 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $561.60 | $915.00 | $18.22 – $513.99 | 15 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $22.18 – $50.27 | 12 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $933.66 | $1,197.00 | $21.00 – $514.71 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $301.86 | $387.00 | $23.62 – $166.26 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $933.66 | $1,197.00 | $27.83 – $514.71 | 15 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $301.86 | $387.00 | $27.30 – $166.26 | 15 |
| Ghs cricothyroidotomy CPT 31605 | $543.66 | $926.00 | $140.18 – $523.93 | 15 |
| Ghs cutdown placement age 1 and over CPT 36425 | $933.66 | $1,197.00 | $14.70 – $514.71 | 15 |
| Ghs cutdown placement under 1 yr CPT 36420 | $301.86 | $387.00 | $37.97 – $166.26 | 15 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $10.12 | $46.00 | $6.21 – $33.63 | 15 |
| Ghs dislocation elbow closed treatment CPT 24600 | $561.60 | $995.00 | $7.20 – $559.90 | 15 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $2,194.14 | $2,813.00 | $81.50 – $1,209.32 | 15 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $621.66 | $797.00 | $26.79 – $342.56 | 12 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,620.84 | $2,078.00 | $84.06 – $893.26 | 15 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $320.58 | $777.00 | $94.44 – $401.95 | 15 |
| Ghs electrostagmgraphy CPT 92537 | $18.70 | $85.00 | $7.46 – $201.81 | 15 |
| Ghs elect torsion swing CPT 92546 | $9.02 | $41.00 | $12.17 – $201.81 | 15 |
| Ghs elect vertical elct CPT 92547 | not published | not published | $0.77 – $8.99 | 8 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $44.00 | $200.00 | $19.70 – $515.34 | 15 |
| Ghs excision ingrown nail CPT 11765 | $935.22 | $1,199.00 | $7.63 – $515.34 | 15 |
| Ghs eye exam CPT 92002 | $27.72 | $126.00 | $37.13 – $166.22 | 15 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $699.66 | $897.00 | $9.57 – $385.58 | 15 |
| Ghs fat & muscle CPT 89160 | $3.08 | $14.00 | $2.34 – $5.29 | 12 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,791.58 | $4,861.00 | $6.30 – $2,089.89 | 15 |
| Ghs fb removal from muscle - complicated CPT 20525 | $154.22 | $701.00 | $12.00 – $3,691.65 | 15 |
| Ghs fb removal - incisional CPT 10121 | $3,791.58 | $4,861.00 | $9.03 – $2,089.89 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | $3,791.58 | $4,861.00 | $12.10 – $2,089.89 | 15 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $4.40 | $20.00 | $4.44 – $11.60 | 15 |
| Ghs fish cytogen CPT 88271 | $14.08 | $64.00 | $14.14 – $23.35 | 12 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $33.88 | $154.00 | $33.78 – $55.80 | 12 |
| Ghs flow volume loop CPT 94375 | $8.80 | $40.00 | $11.66 – $401.66 | 15 |
| Ghs gastric intub aspiration lavage CPT 43753 | $729.30 | $935.00 | $17.34 – $1,187.28 | 15 |
| Ghs hcv amplificaiton CPT 87521 | $23.32 | $106.00 | $20.67 – $61.14 | 15 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $14.96 | $68.00 | $9.91 – $25.04 | 15 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $10.12 | $46.00 | $10.22 – $34.24 | 15 |
| Ghs hgb stability-thal CPT 83068 | $6.16 | $28.00 | $5.39 – $10.32 | 12 |
| Ghs histoplasma antigen CPT 87385 | $69.42 | $89.00 | $5.69 – $14.44 | 12 |
| Ghs HIV antibody CPT 86703 | $102.96 | $132.00 | $5.92 – $29.92 | 15 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $69.96 | $318.00 | $40.93 – $142.37 | 15 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $4,793.88 | $6,146.00 | $17.42 – $2,642.30 | 15 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,758.86 | $3,537.00 | $31.23 – $1,520.85 | 15 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,058.42 | $2,639.00 | $9.60 – $907.53 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,646.58 | $2,111.00 | $8.59 – $907.53 | 15 |
| Ghs immun0electrophoresis CPT 86320 | $11.00 | $50.00 | $11.40 – $32.61 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $569.40 | $730.00 | $8.98 – $313.71 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $82.50 | $375.00 | $109.36 – $250.41 | 15 |
| Ghs inf midline insertion CPT 36140 | $53.68 | $244.00 | $70.14 – $146.38 | 11 |
| Ghs inhibitor screen CPT 85335 | $8.36 | $38.00 | $7.55 – $14.03 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | $464.88 | $596.00 | $4.98 – $256.30 | 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.