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 |
|---|---|---|---|---|
| Grfg autol fat lipo 50 cc/< CPT 15771 | $317.68 | $1,444.00 | $41.66 – $4,722.15 | 15 |
| Grfg autol fat lipo ea addl CPT 15772 | $91.74 | $417.00 | $119.20 – $234.39 | 10 |
| Grfg autol soft tiss dir exc CPT 15769 | $297.44 | $1,352.00 | $39.07 – $4,722.15 | 15 |
| Ground mileage HCPCS A0425 | not published | not published | $0.15 – $9.70 | 12 |
| Group behave couns 2-10 HCPCS G0473 | $7.04 | $32.00 | $9.40 – $38.43 | 11 |
| Group health education CPT 99078 | not published | not published | $11.00 – $60.00 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $9.46 | $43.00 | $12.65 – $15.72 | 6 |
| Group train without patient HCPCS G0543 | $6.60 | $30.00 | $8.86 – $20.49 | 6 |
| Growth hormone antibody CPT 86277 | $10.56 | $48.00 | $8.00 – $17.16 | 15 |
| Growth hormone panel CPT 80428 | $44.00 | $200.00 | $42.39 – $147.46 | 15 |
| Growth hormone panel CPT 80430 | $85.36 | $388.00 | $49.87 – $173.47 | 15 |
| Growth stimulation gene 2 CPT 83006 | $49.72 | $226.00 | $23.94 – $82.40 | 15 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $4.31 – $38.43 | 11 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $3.76 – $38.43 | 11 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,189.10 | $5,405.00 | $138.96 – $3,064.19 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | $795.30 | $3,615.00 | $92.99 – $2,048.25 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | $1,021.90 | $4,645.00 | $119.49 – $2,632.72 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | $1,118.04 | $5,082.00 | $130.70 – $2,880.78 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | $748.00 | $3,400.00 | $84.91 – $1,839.75 | 7 |
| Gstrst open wo constj tube CPT 43830 | $435.38 | $1,979.00 | $50.06 – $2,446.86 | 15 |
| G-tube reposition CPT 43761 | $569.40 | $730.00 | $83.66 – $313.71 | 15 |
| Gu dilat ureter/urethra s&i CPT 74485 | $6,591.00 | $8,450.00 | $28.31 – $2,642.30 | 15 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,646.58 | $2,111.00 | $11.69 – $907.53 | 15 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $344.43 – $728.26 | 11 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $118.38 | $538.07 | $6.90 – $6.90 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | not published | $99.73 – $99.73 | 1 |
| Guid loc target vol rad tx CPT 77387 | $42.68 | $194.00 | $16.52 – $143.96 | 8 |
| Gum graft CPT 41870 | not published | not published | $248.81 – $1,910.65 | 12 |
| Gw stiffened micro access kit HCPCS C1894 | $468.00 | $1,040.00 | $103.48 – $103.48 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | $268.40 | $1,220.00 | $35.10 – $4,939.24 | 15 |
| Hair analysis HCPCS P2031 | $3.08 | $14.00 | $3.27 – $5.40 | 11 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $63.74 – $789.56 | 12 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $157.30 | $715.00 | $205.56 – $515.34 | 12 |
| Hair trnspl >15 punch grafts CPT 15776 | $215.38 | $979.00 | $241.17 – $552.83 | 12 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $26.21 – $55.42 | 11 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $1,361.57 – $2,878.85 | 11 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $1,516.95 – $3,207.41 | 11 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $1,918.84 – $4,057.17 | 11 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $4.42 – $7.24 | 8 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.23 | $5.60 | $0.79 – $6.00 | 9 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $130.67 – $276.27 | 11 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $17.13 – $36.22 | 11 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $4.31 – $8.34 | 4 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $58.30 – $123.29 | 11 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $975.93 – $2,063.49 | 11 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,001.86 – $2,118.31 | 11 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $244.08 – $819.00 | 11 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $994.10 – $2,101.91 | 11 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $87.36 | $112.00 | $19.04 – $42.94 | 12 |
| Hand tendon/muscle transfer CPT 26494 | $516.78 | $2,349.00 | $7.91 – $4,185.10 | 15 |
| Hand tendon reconstruction CPT 26500 | $420.64 | $1,912.00 | $7.00 – $9,214.43 | 15 |
| Hand tendon reconstruction CPT 26502 | $462.44 | $2,102.00 | $7.73 – $4,185.10 | 15 |
| Hand X-ray CPT 73130 | $283.14 | $363.00 | $6.90 – $113.57 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $342.42 | $439.00 | $6.61 – $137.16 | 15 |
| Haptoglobin quantitative CPT 83010 | $66.30 | $85.00 | $7.99 – $19.20 | 15 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $104.33 – $220.59 | 11 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $75.04 – $158.66 | 11 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $74.31 – $157.11 | 11 |
| Harvest allogeneic stem cell CPT 38205 | $51.04 | $232.00 | $68.41 – $132.72 | 8 |
| Harvest auto stem cells CPT 38206 | $50.16 | $228.00 | $67.07 – $2,114.45 | 15 |
| Harvest cultured skin graft 15040 CPT 15040 | $77.88 | $354.00 | $100.92 – $2,359.45 | 12 |
| Harvest eye tissue alograft CPT 68371 | $249.04 | $1,132.00 | $33.44 – $3,009.20 | 12 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $207.24 | $942.00 | $56.33 – $536.52 | 7 |
| Harvest stem cell concentrte CPT 38215 | $30.58 | $139.00 | $38.33 – $563.90 | 12 |
| Harvest vein for bypass 35500 CPT 35500 | $192.28 | $874.00 | $248.77 – $497.90 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | $8.80 | $40.00 | $11.40 – $166.26 | 12 |
| Hast w/oxygen titrate CPT 94453 | $11.22 | $51.00 | $14.95 – $166.26 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,404.00 | $1,800.00 | $396.00 – $654.00 | 12 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $133.76 | $608.00 | $133.58 – $220.62 | 12 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $247.72 | $1,126.00 | $247.67 – $409.02 | 12 |
| Hbb full gene sequence CPT 81364 | $214.28 | $974.00 | $214.23 – $353.79 | 12 |
| Hbb gene com variants CPT 81361 | $115.28 | $524.00 | $115.38 – $190.54 | 12 |
| Hbb gene dup/del variants CPT 81363 | $474.24 | $608.00 | $133.58 – $220.62 | 12 |
| Hbb gene known fam variant CPT 81362 | $247.72 | $1,126.00 | $247.67 – $409.02 | 12 |
| Hb glycosylated a1c home dev CPT 83037 | $6.60 | $30.00 | $6.41 – $10.58 | 12 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $65.84 – $177.87 | 14 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $9.45 – $33.37 | 8 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $33.88 | $154.00 | $25.70 – $229.62 | 15 |
| Hcg free betachain test CPT 84704 | $10.12 | $46.00 | $10.09 – $25.95 | 15 |
| Hcg qualitative CPT 84703 | $39.78 | $51.00 | $4.77 – $16.42 | 15 |
| Hcg quantitative CPT 84702 | $78.78 | $101.00 | $9.57 – $26.27 | 15 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $12.60 – $57.89 | 8 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $9.45 – $34.94 | 8 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $18.90 – $112.60 | 8 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $18.90 – $88.63 | 8 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $11.48 – $80.29 | 3 |
| Hc metata joint dislocation anes CPT 28635 | $81.62 | $371.00 | $10.81 – $2,064.31 | 15 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $217.80 | $990.00 | $3.63 – $789.56 | 15 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $116.16 | $528.00 | $3.63 – $298.17 | 11 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $195.58 | $889.00 | $2.80 – $789.56 | 15 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $30.36 | $138.00 | $19.00 – $78.79 | 11 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $107.14 | $487.00 | $2.80 – $276.35 | 11 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $27.72 | $126.00 | $37.42 – $694.29 | 15 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | $0.01 | $49.60 – $518.31 | 11 |
| Hc nm kidney imaging with flow CPT 78701 | $822.90 | $1,055.00 | $18.84 – $518.31 | 15 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $26.62 | $121.00 | $34.98 – $694.29 | 15 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $45.10 | $205.00 | $59.69 – $2,124.30 | 15 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $80.96 | $368.00 | $104.83 – $208.43 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $63.80 | $290.00 | $83.94 – $894.92 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $124.74 | $567.00 | $163.46 – $894.92 | 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.