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 |
|---|---|---|---|---|
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $804.48 – $1,700.99 | 11 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $913.59 – $1,931.68 | 11 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $192.32 – $406.64 | 11 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $342.42 | $439.00 | $8.85 – $137.16 | 15 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $427.44 | $548.00 | $11.63 – $137.16 | 15 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $283.14 | $363.00 | $7.45 – $113.57 | 15 |
| Hip arthr0 w/debridement CPT 29862 | $505.34 | $2,297.00 | $63.95 – $9,214.43 | 15 |
| Hip arthr0 w/synovectomy CPT 29863 | $507.76 | $2,308.00 | $66.60 – $4,185.10 | 12 |
| Hip arthro acetabuloplasty CPT 29915 | $630.30 | $2,865.00 | $82.88 – $9,214.43 | 15 |
| Hip arthroscopy dx CPT 29860 | $411.40 | $1,870.00 | $53.71 – $9,214.43 | 15 |
| Hip arthro w/fb removal CPT 29861 | $433.62 | $1,971.00 | $58.39 – $9,214.43 | 15 |
| Hip arthro w/femoroplasty CPT 29914 | $618.42 | $2,811.00 | $80.89 – $9,214.43 | 15 |
| Hip arthro w/labral repair CPT 29916 | $631.18 | $2,869.00 | $82.55 – $9,214.43 | 15 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $3,210.40 – $6,787.99 | 11 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $139.10 – $312.09 | 11 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $156.34 – $330.55 | 11 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $276.63 – $584.89 | 11 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $2,877.67 – $6,084.48 | 11 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $2,614.50 – $5,528.02 | 11 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $2,851.70 – $6,029.55 | 11 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $839.18 – $1,774.33 | 11 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $963.05 – $2,036.23 | 11 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $199.29 – $421.38 | 11 |
| Hip X-ray CPT 73502 | $354.12 | $454.00 | $8.85 – $113.57 | 15 |
| Histamine CPT 83088 | $156.00 | $200.00 | $13.00 – $32.19 | 15 |
| Histochemical stains add-on CPT 88314 | $12.10 | $55.00 | $8.59 – $22.07 | 8 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $5.31 – $50.63 | 15 |
| Hiv-1 ag ia CPT 87390 | $15.84 | $72.00 | $10.50 – $26.23 | 15 |
| Hiv-1 dna dir probe CPT 87534 | $14.52 | $66.00 | $10.34 – $23.89 | 12 |
| Hiv-2 ag ia CPT 87391 | $14.52 | $66.00 | $10.50 – $23.87 | 15 |
| HIV 2 pcr qual - sendout CPT 87537 | $14.52 | $66.00 | $10.34 – $23.89 | 12 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | $38.72 | $176.00 | $20.80 – $63.90 | 12 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $7.18 – $38.43 | 11 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $51.79 – $100.85 | 15 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $47.29 | $214.94 | $1.26 – $2.46 | 15 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $5.11 – $9.95 | 15 |
| Hizentra injection HCPCS J1559 | not published | not published | $10.26 – $19.98 | 15 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $337.20 – $712.96 | 11 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $120.26 – $271.38 | 11 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $276.66 – $584.96 | 11 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $86.58 – $183.09 | 11 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $254.67 – $538.46 | 11 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $208.90 – $441.69 | 11 |
| Hla class i high defin qual CPT 86832 | not published | not published | $133.14 – $352.89 | 15 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $121.04 – $355.12 | 15 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $42.36 – $69.97 | 15 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $32.64 – $69.97 | 15 |
| Hla class ii phenotype qual CPT 86831 | $54.12 | $246.00 | $54.04 – $116.19 | 15 |
| Hla class ii semiquant panel CPT 86835 | $212.96 | $968.00 | $213.16 – $542.26 | 15 |
| Hla class i phenotype qual CPT 86830 | $62.92 | $286.00 | $63.04 – $135.57 | 15 |
| Hla class i semiquant panel CPT 86834 | $235.84 | $1,072.00 | $235.99 – $600.35 | 15 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $262.69 – $440.93 | 15 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $228.07 – $603.44 | 15 |
| Hla i & ii typing lr CPT 81370 | $265.32 | $1,206.00 | $265.40 – $702.21 | 15 |
| Hla ii typing 1 loc hr CPT 81382 | $289.38 | $371.00 | $81.63 – $215.97 | 15 |
| Hla ii typing ag equiv lr CPT 81375 | $145.64 | $662.00 | $145.68 – $385.47 | 15 |
| Hla i low res one antigen equiv ea CPT 81374 | $173.94 | $223.00 | $49.06 – $127.04 | 15 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $116.99 – $309.52 | 15 |
| Hla i typing complete hr CPT 81379 | not published | not published | $221.35 – $585.65 | 15 |
| Hla i typing complete lr CPT 81372 | not published | not published | $241.09 – $439.91 | 15 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $112.20 | $510.00 | $103.22 – $185.19 | 15 |
| Hla i typing low res one locus ea CPT 81373 | $84.04 | $382.00 | $84.11 – $194.46 | 15 |
| Hla typing a b or c CPT 86813 | $38.28 | $174.00 | $36.86 – $125.60 | 15 |
| Hla typing dr/dq CPT 86816 | $19.80 | $90.00 | $17.71 – $56.00 | 15 |
| Hla x-match noncytotoxc addl CPT 86826 | $24.20 | $110.00 | $24.11 – $49.09 | 15 |
| Hla x-math non-cytotoxic CPT 86825 | $72.16 | $328.00 | $72.26 – $147.25 | 15 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $2.44 – $5.17 | 11 |
| Hlth bhv assmt/reassessment CPT 96156 | $56.10 | $255.00 | $41.87 – $142.65 | 15 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $40.70 | $185.00 | $17.98 – $101.14 | 15 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | $17.16 | $78.00 | $21.54 – $41.86 | 4 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | $47.52 | $216.00 | $59.88 – $116.43 | 4 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $5.94 | $27.00 | $7.77 – $38.43 | 15 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $38.50 | $175.00 | $41.16 – $207.24 | 15 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $3.38 – $7.14 | 11 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $151.60 – $320.54 | 11 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $99.39 – $210.15 | 11 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $216.10 – $456.91 | 11 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.11 – $0.28 | 4 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.27 – $0.40 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.20 – $0.31 | 8 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $74.84 – $158.24 | 11 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $93.54 – $197.77 | 11 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $32.49 – $69.84 | 11 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $1.59 – $3.38 | 11 |
| Home health care supervision CPT 99374 | $34.98 | $159.00 | $44.12 – $175.00 | 5 |
| Home health care supervision CPT 99375 | $54.56 | $248.00 | $69.01 – $262.00 | 5 |
| Home health care supervision HCPCS G0181 | not published | not published | $86.07 – $269.00 | 4 |
| Home health re-certification physician g0179 HCPCS G0179 | not published | not published | $34.30 – $103.00 | 4 |
| Home/res vst est high mdm 60 CPT 99350 | not published | not published | $20.80 – $409.50 | 5 |
| Home/res vst est mod mdm 40 CPT 99349 | not published | not published | $20.80 – $294.00 | 5 |
| Home/res vst est sf mdm 20 CPT 99347 | not published | not published | $20.80 – $126.00 | 5 |
| Home/res vst new high mdm 75 CPT 99345 | not published | not published | $20.80 – $549.00 | 5 |
| Home/res vst new low mdm 30 CPT 99342 | not published | not published | $20.80 – $197.00 | 5 |
| Home/res vst new mod mdm 60 CPT 99344 | not published | not published | $20.80 – $453.00 | 5 |
| Home/res vst new sf mdm 15 CPT 99341 | not published | not published | $20.80 – $137.00 | 5 |
| Home sleep test/type 2 porta HCPCS G0398 | not published | not published | $54.44 – $201.81 | 11 |
| Home sleep test/type 3 porta HCPCS G0399 | not published | not published | $37.51 – $201.81 | 11 |
| Home sleep test/type 4 porta HCPCS G0400 | not published | not published | $32.58 – $401.66 | 11 |
| Home vent mgmt supervision CPT 94005 | not published | not published | $74.11 – $143.40 | 4 |
| Home visit est patient 99348 CPT 99348 | not published | not published | $20.80 – $199.50 | 5 |
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.