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 |
|---|---|---|---|---|
| Ghs inj neurolytic intercostal nerve CPT 64620 | $110.22 | $501.00 | $14.49 – $1,148.35 | 15 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $74.14 | $337.00 | $9.72 – $1,148.35 | 15 |
| Ghs inj tendon origin/insertion CPT 20551 | $23.76 | $108.00 | $10.08 – $380.75 | 15 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,562.34 | $2,003.00 | $49.66 – $107.62 | 11 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,083.38 | $2,671.00 | $106.47 – $1,148.35 | 15 |
| Ghs insertion of needle - bone CPT 36680 | $933.66 | $1,197.00 | $47.91 – $514.71 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,169.22 | $1,499.00 | $19.56 – $515.34 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,432.86 | $1,837.00 | $22.81 – $789.56 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $4,280.64 | $5,488.00 | $26.49 – $2,359.45 | 15 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $5.94 | $27.00 | $7.39 – $14.46 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $569.40 | $730.00 | $108.98 – $1,187.28 | 15 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $14.95 – $59.51 | 15 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $204.38 | $929.00 | $363.03 – $576.00 | 2 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $204.38 | $929.00 | $363.03 – $576.00 | 3 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $297.00 | $1,350.00 | $363.03 – $576.00 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $776.10 | $995.00 | $200.22 – $1,293.82 | 12 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $933.66 | $1,197.00 | $12.51 – $514.71 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $935.22 | $1,199.00 | $12.33 – $515.34 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $935.22 | $1,199.00 | $11.82 – $515.34 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $935.22 | $1,199.00 | $13.79 – $515.34 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,169.22 | $1,499.00 | $16.23 – $515.34 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,169.22 | $1,499.00 | $15.93 – $515.34 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,169.22 | $1,499.00 | $17.50 – $515.34 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,169.22 | $1,499.00 | $16.70 – $515.34 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,790.88 | $2,296.00 | $17.42 – $789.56 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,169.22 | $1,499.00 | $17.88 – $515.34 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,790.88 | $2,296.00 | $22.19 – $789.56 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,169.22 | $1,499.00 | $24.45 – $515.34 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,790.88 | $2,296.00 | $25.66 – $789.56 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,169.22 | $1,499.00 | $31.10 – $607.39 | 15 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $4,280.64 | $5,488.00 | $19.32 – $2,359.45 | 15 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,169.22 | $1,499.00 | $19.32 – $663.61 | 15 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $5.72 | $26.00 | $5.46 – $12.80 | 15 |
| Ghs low level laser therapy CPT 97039 | $4.84 | $22.00 | $9.72 – $21.38 | 3 |
| Ghs mbp CPT 83873 | $11.44 | $52.00 | $10.94 – $24.00 | 15 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $509.34 | $653.00 | $19.60 – $38.13 | 11 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $509.34 | $653.00 | $67.24 – $132.27 | 8 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $509.34 | $653.00 | $60.95 – $119.57 | 8 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $268.32 | $344.00 | $9.28 – $25.20 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $210.60 | $270.00 | $48.39 – $94.56 | 8 |
| Ghs musc test done w/n test comp CPT 95886 | $27.50 | $125.00 | $36.50 – $70.62 | 8 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $11.22 | $51.00 | $14.51 – $42.67 | 8 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $22.44 | $102.00 | $29.84 – $57.80 | 8 |
| Ghs myocardial strain img spckl track CPT 93356 | $962.52 | $1,234.00 | $9.35 – $18.26 | 7 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,432.86 | $1,837.00 | $8.95 – $789.56 | 15 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,083.38 | $2,671.00 | $20.28 – $1,148.35 | 15 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,620.84 | $2,078.00 | $45.68 – $893.26 | 15 |
| Ghs nerve block axillary nerve CPT 64417 | $2,083.38 | $2,671.00 | $22.05 – $1,148.35 | 15 |
| Ghs nerve block brachial plexus CPT 64415 | $2,083.38 | $2,671.00 | $36.75 – $1,148.35 | 15 |
| Ghs nerve block celiac plexus CPT 64530 | $2,083.38 | $2,671.00 | $56.70 – $1,148.35 | 15 |
| Ghs nerve block interscaline CPT 64510 | $46.86 | $213.00 | $57.23 – $1,148.35 | 15 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,083.38 | $2,671.00 | $56.70 – $1,148.35 | 15 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,620.84 | $2,078.00 | $24.68 – $893.26 | 15 |
| Ghs nerve block suprascapular CPT 64418 | $1,620.84 | $2,078.00 | $36.75 – $893.26 | 15 |
| Ghs ng placement w fluoro guidance CPT 43752 | $817.44 | $1,048.00 | $32.24 – $514.71 | 12 |
| Ghs o2 saturation CPT 82810 | $6.60 | $30.00 | $5.55 – $19.30 | 15 |
| Ghs o2 uptake rest & exercise CPT 94680 | $7.70 | $35.00 | $10.19 – $201.81 | 15 |
| Ghs o2 uptake rest & indirect CPT 94690 | $2.20 | $10.00 | $2.99 – $76.62 | 15 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $27.85 – $59.51 | 10 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,446.90 | $1,855.00 | $26.85 – $797.47 | 15 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,635.58 | $4,661.00 | $14.66 – $2,003.72 | 15 |
| Ghs optokenetic CPT 92544 | $8.80 | $40.00 | $2.89 – $201.81 | 15 |
| Ghs oscillating trac CPT 92545 | $8.14 | $37.00 | $2.89 – $401.66 | 15 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $14.08 | $64.00 | $15.27 – $36.45 | 14 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $21.34 | $97.00 | $15.27 – $55.26 | 14 |
| Ghs ot dds rom CPT 95851 | $4.84 | $22.00 | $6.35 – $12.84 | 11 |
| Ghs ot group caregiver training CPT 97552 | $42.90 | $55.00 | $8.86 – $41.86 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $28.09 – $65.62 | 12 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $41.57 – $97.09 | 12 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $53.90 – $103.75 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $1,531.92 | $1,964.00 | $0.76 – $844.06 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,562.34 | $2,003.00 | $49.00 – $95.73 | 11 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,562.34 | $2,003.00 | $42.18 – $82.37 | 11 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $15.18 | $69.00 | $6.53 – $26.93 | 8 |
| Ghs peritonsillar abscess i andd CPT 42700 | $543.66 | $697.00 | $11.15 – $299.53 | 15 |
| Ghs phenylketonurid CPT 84030 | $3.52 | $16.00 | $3.50 – $11.30 | 15 |
| Ghs picc line insert < 5 CPT 36568 | $3,635.58 | $4,661.00 | $74.01 – $2,003.72 | 15 |
| Ghs plngl fx pm cl CPT 26725 | $701.22 | $899.00 | $25.07 – $498.85 | 15 |
| Ghs plt ct-manual CPT 85032 | $2.64 | $12.00 | $2.85 – $4.80 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $74.80 | $340.00 | $100.73 – $1,312.29 | 15 |
| Ghs pos nystagmus CPT 92542 | $15.18 | $69.00 | $3.43 – $166.26 | 15 |
| Ghs ppd (tb intradermal) CPT 86580 | $128.70 | $165.00 | $4.24 – $31.59 | 15 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $6.16 | $28.00 | $6.14 – $16.00 | 15 |
| Ghs protein, misc fluid CPT 84160 | $3.52 | $16.00 | $1.24 – $11.44 | 15 |
| Ghs protoporphyrins fract CPT 84202 | $9.68 | $44.00 | $7.69 – $31.74 | 15 |
| Ghs pr without cont pulse ox CPT 94625 | $11.00 | $50.00 | $15.04 – $76.62 | 12 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $7.92 | $36.00 | $7.00 – $13.35 | 15 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $135.12 – $260.13 | 4 |
| Ghs quinidine CPT 80194 | $9.68 | $44.00 | $9.28 – $27.20 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $71.19 – $427.83 | 15 |
| Ghs removal intranasal foreign body CPT 30300 | $301.86 | $387.00 | $10.05 – $193.66 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $78.10 | $355.00 | $10.40 – $514.71 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,745.56 | $4,802.00 | $20.49 – $2,064.31 | 15 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $311.08 | $1,414.00 | $40.86 – $4,185.10 | 15 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $10.56 | $48.00 | $5.92 – $28.46 | 15 |
| Ghs reticulocyte count CPT 85044 | $22.62 | $29.00 | $2.73 – $6.40 | 15 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $73.32 | $94.00 | $5.69 – $15.16 | 12 |
| Ghs sedimentation rate CPT 85651 | $22.62 | $29.00 | $2.26 – $4.80 | 15 |
| Ghs semen analysis fert CPT 89320 | $7.92 | $36.00 | $7.33 – $13.42 | 12 |
| Ghs semen analysis, post-vas CPT 89300 | $6.60 | $30.00 | $3.91 – $10.73 | 12 |
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.