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 |
|---|---|---|---|---|
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $175.78 | $799.00 | $231.66 – $894.92 | 15 |
| Hdr rdncl skn surf brachytx CPT 77767 | $34.32 | $156.00 | $45.31 – $339.21 | 12 |
| Hdr rdncl skn surf brachytx CPT 77768 | $45.76 | $208.00 | $60.46 – $339.21 | 12 |
| Head CT scan (with and without contrast) CPT 70470 | $1,887.60 | $2,420.00 | $49.47 – $229.62 | 15 |
| Head CT scan (with contrast) CPT 70460 | $1,510.08 | $1,936.00 | $43.96 – $229.62 | 15 |
| Head CT scan (without contrast) CPT 70450 | $902.46 | $1,157.00 | $32.93 – $137.16 | 15 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $448.51 – $740.73 | 12 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,072.50 – $1,771.25 | 12 |
| Heart first pass add-on CPT 78496 | $13.86 | $63.00 | $15.24 – $74.10 | 8 |
| Heart first pass multiple CPT 78483 | $41.80 | $190.00 | $43.05 – $694.29 | 15 |
| Heart image spect CPT 78494 | $34.10 | $155.00 | $45.24 – $518.31 | 15 |
| Heart infarct image CPT 78466 | $19.58 | $89.00 | $26.11 – $518.31 | 15 |
| Heart infarct image (ef) CPT 78468 | $23.10 | $105.00 | $30.51 – $694.29 | 12 |
| Heart revascularize (tmr) CPT 33140 | $944.46 | $4,293.00 | $85.83 – $2,435.48 | 7 |
| Heart tmr w/other procedure 33141 CPT 33141 | $80.08 | $364.00 | $24.12 – $206.55 | 7 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $56.79 – $120.09 | 11 |
| Heavy metal qual any number CPT 83015 | $13.64 | $62.00 | $6.50 – $22.82 | 15 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $283.14 | $363.00 | $6.35 – $113.57 | 15 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $46.27 – $97.83 | 11 |
| Heinz bodies direct CPT 85441 | $2.64 | $12.00 | $2.67 – $4.80 | 15 |
| Heinz bodies induced CPT 85445 | $4.40 | $20.00 | $3.08 – $10.45 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $11.00 | $50.00 | $6.21 – $32.08 | 15 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $374.44 – $2,321.91 | 8 |
| Hemagglutination inhibition CPT 86280 | $5.28 | $24.00 | $4.44 – $11.20 | 15 |
| Hematocrit CPT 85014 | $12.48 | $16.00 | $1.56 – $5.17 | 15 |
| Hematopoietic nuclear tx CPT 79403 | $55.44 | $252.00 | $81.11 – $289.10 | 15 |
| Hemicrt intrclry algrft prtl CPT 20933 | $424.82 | $1,931.00 | $554.46 – $1,094.39 | 4 |
| Hemiepiphyseal arrest CPT 24470 | $421.08 | $1,914.00 | $27.00 – $4,185.10 | 15 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $24.82 – $48.34 | 15 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $2,560.00 – $6,661.25 | 11 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $3,127.13 – $6,611.92 | 11 |
| Hemodialysis access study CPT 90940 | not published | not published | $21.66 – $103.63 | 3 |
| Hemodialysis one evaluation CPT 90935 | $43.56 | $198.00 | $56.00 – $902.54 | 12 |
| Hemodialysis repeated eval CPT 90937 | $62.92 | $286.00 | $56.00 – $162.13 | 4 |
| Hemoglobin CPT 85018 | $12.48 | $16.00 | $1.56 – $5.17 | 15 |
| Hemoglobin copper sulfate CPT 83026 | $2.64 | $12.00 | $1.50 – $4.37 | 12 |
| Hemoglobin fetal qualitative CPT 83033 | $5.28 | $24.00 | $3.79 – $10.45 | 15 |
| Hemoglobin f (fetal) chemical CPT 83030 | $7.04 | $32.00 | $5.00 – $11.71 | 15 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $43.68 | $56.00 | $3.00 – $8.94 | 15 |
| Hemoglobin-oxygen affinity CPT 82820 | $8.80 | $40.00 | $4.89 – $14.54 | 12 |
| Hemoglobin plasma CPT 83051 | $4.84 | $22.00 | $3.50 – $7.97 | 15 |
| Hemoglobin thermolabile CPT 83065 | $6.16 | $28.00 | $4.38 – $9.81 | 12 |
| Hemoglobin urine CPT 83069 | $2.64 | $12.00 | $1.36 – $4.31 | 12 |
| Hemolysin acid CPT 85475 | $5.72 | $26.00 | $5.85 – $17.46 | 15 |
| Hemolysins/agglutinins auto CPT 86940 | $5.72 | $26.00 | $5.21 – $12.54 | 15 |
| Hemolysins and agglutinins incubated CPT 86941 | $7.92 | $36.00 | $7.70 – $21.84 | 15 |
| Hemoperfusion CPT 90997 | $54.34 | $247.00 | $71.79 – $139.68 | 4 |
| Hemophilus influenza antibdy CPT 86684 | $10.56 | $48.00 | $6.21 – $34.32 | 15 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $273.68 | $1,244.00 | $32.50 – $3,537.31 | 15 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $119.68 | $544.00 | $15.70 – $1,175.98 | 15 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $241.12 | $1,096.00 | $28.52 – $3,537.31 | 15 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $52.07 – $101.40 | 15 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $52.07 – $101.40 | 15 |
| Heparin assay CPT 85520 | $69.42 | $89.00 | $6.53 – $14.27 | 15 |
| Heparin bolus from bag HCPCS J1644 | $12.13 | $55.13 | $0.20 – $0.31 | 8 |
| Heparin neutralization CPT 85525 | $7.92 | $36.00 | $7.53 – $26.21 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.53 | $6.97 | $0.02 – $0.03 | 8 |
| Heparin-protamine tolerance CPT 85530 | $8.80 | $40.00 | $8.64 – $18.54 | 15 |
| Hepatectomy removal of liver 47120 CPT 47120 | $1,439.68 | $6,544.00 | $149.10 – $3,713.01 | 7 |
| Hepatitis a antibody igm CPT 86709 | $59.28 | $76.00 | $7.44 – $24.32 | 15 |
| Hepatitis b core antibody igm CPT 86705 | $62.40 | $80.00 | $7.77 – $26.00 | 15 |
| Hepatitis b core antibody total CPT 86704 | $63.18 | $81.00 | $7.95 – $24.00 | 15 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $10.50 – $168.62 | 16 |
| Hepatitis b surface ag quan CPT 87467 | $133.38 | $171.00 | $12.04 – $27.60 | 14 |
| Hepatitis b surface antibody CPT 86706 | $56.94 | $73.00 | $7.08 – $21.09 | 15 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $15.00 – $163.60 | 9 |
| Hepatitis c antibody CPT 86803 | $74.88 | $96.00 | $9.42 – $30.40 | 15 |
| Hepatitis c rna dir probe CPT 87520 | $20.68 | $94.00 | $10.34 – $34.03 | 12 |
| Hepatitis d quantification CPT 87523 | $226.20 | $290.00 | $28.27 – $46.70 | 12 |
| Hepatitis g dna amp probe CPT 87526 | $25.96 | $118.00 | $20.67 – $42.79 | 12 |
| Hepatitis g dna dir probe CPT 87525 | $19.80 | $90.00 | $10.34 – $32.48 | 12 |
| Hepatitis g dna quant CPT 87527 | $27.72 | $126.00 | $20.80 – $45.52 | 12 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $15.00 – $85.80 | 9 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $15.00 – $327.60 | 10 |
| Hereditary colon ca dsordrs CPT 81435 | $860.64 | $3,912.00 | $497.17 – $1,669.06 | 15 |
| Hereditary colon ca dsordrs CPT 81436 | $385.88 | $1,754.00 | $619.26 – $619.26 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $373.09 – $1,421.31 | 12 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $394.63 – $651.72 | 12 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $428.40 – $428.40 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | $325.82 | $1,481.00 | $38.15 – $4,552.00 | 15 |
| Herpes simplex 1 ag if CPT 87274 | $7.92 | $36.00 | $7.91 – $13.06 | 12 |
| Herpes simplex 2 ag if CPT 87273 | $7.92 | $36.00 | $7.91 – $19.49 | 15 |
| Herpes simplex type 1 antibody igg CPT 86695 | $69.42 | $89.00 | $5.92 – $29.15 | 15 |
| Herpes simplex type 2 antibody igg CPT 86696 | $102.18 | $131.00 | $12.77 – $34.24 | 15 |
| Herpes simplex virus isolation CPT 87255 | $178.62 | $229.00 | $22.35 – $60.56 | 15 |
| Heterophile antibodies screening CPT 86308 | $27.30 | $35.00 | $3.29 – $11.44 | 15 |
| Heterophile antibodies titer CPT 86309 | $4.40 | $20.00 | $4.12 – $13.73 | 15 |
| Heterophile antibody absrbj CPT 86310 | $4.84 | $22.00 | $4.69 – $8.03 | 15 |
| Hexa gene CPT 81255 | not published | not published | $33.96 – $239.73 | 15 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $50.60 – $106.99 | 11 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $50.60 – $106.99 | 11 |
| Hgb methemoglobin qual CPT 83045 | $4.40 | $20.00 | $2.00 – $7.07 | 15 |
| Hhv-6 dna dir probe CPT 87531 | $38.28 | $174.00 | $10.34 – $63.22 | 12 |
| Hhv-6 dna quant CPT 87533 | $27.72 | $126.00 | $20.80 – $45.52 | 12 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $44.00 – $100.80 | 5 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $27.68 – $34.13 | 2 |
| Hi enrgy eswt plantar fascia CPT 28890 | $138.38 | $629.00 | $18.47 – $2,064.31 | 12 |
| High activity knee frame HCPCS L5930 | not published | not published | $2,044.54 – $4,322.93 | 11 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $4.25 – $8.98 | 11 |
| High inten beh couns std 30m HCPCS G0445 | $18.48 | $84.00 | $18.46 – $119.31 | 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.