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 |
|---|---|---|---|---|
| Homocysteine CPT 83090 | $94.38 | $121.00 | $11.83 – $29.84 | 15 |
| Homogenization tissue CPT 87176 | $3.96 | $18.00 | $3.74 – $11.60 | 15 |
| Homovanillic acid (hva) CPT 83150 | $14.96 | $68.00 | $7.50 – $24.43 | 15 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $30.78 – $65.09 | 11 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $24.37 – $24.37 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $17.98 – $38.43 | 10 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | not published | not published | $55.84 – $119.31 | 10 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $17.98 – $38.43 | 10 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $666.83 – $1,409.94 | 11 |
| Hospice care supervision CPT 99377 | $34.98 | $159.00 | $44.12 – $175.00 | 5 |
| Hospice care supervision CPT 99378 | $54.56 | $248.00 | $69.01 – $262.00 | 5 |
| Hpa-15 genotyping CPT 81112 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-1 genotyping CPT 81105 | $80.52 | $366.00 | $80.66 – $193.14 | 15 |
| Hpa-2 genotyping CPT 81106 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-3 genotyping CPT 81107 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-4 genotyping CPT 81108 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-5 genotyping CPT 81109 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-6 genotyping CPT 81110 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpa-9 genotyping CPT 81111 | $80.52 | $366.00 | $80.66 – $133.22 | 12 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $23.16 – $61.14 | 14 |
| Hpv low-risk types CPT 87623 | $23.32 | $106.00 | $23.16 – $61.14 | 15 |
| Hpv types 16 & 18 only CPT 87625 | $26.84 | $122.00 | $26.76 – $61.14 | 15 |
| H pylori ag ia CPT 87339 | $10.56 | $48.00 | $10.56 – $19.49 | 15 |
| H pylori (c-13) blood CPT 83009 | $44.44 | $202.00 | $44.46 – $77.65 | 15 |
| H pylori (c-13) breath CPT 83013 | $44.44 | $202.00 | $40.85 – $96.16 | 15 |
| H pylori drug admin CPT 83014 | $5.28 | $24.00 | $5.00 – $8.57 | 12 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $577.19 – $1,421.31 | 12 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $428.40 – $428.40 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | $385.88 | $1,754.00 | $386.03 – $637.54 | 12 |
| Hrdtry perph neurphy panel CPT 81448 | $385.88 | $1,754.00 | $386.03 – $637.54 | 12 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | $78.32 | $356.00 | $1,104.18 – $2,359.45 | 10 |
| Hsv dna dir probe CPT 87528 | $13.20 | $60.00 | $10.34 – $21.85 | 12 |
| Htt gene charac alleles CPT 81274 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Htt gene detc abnor alleles CPT 81271 | $320.58 | $412.00 | $90.42 – $149.33 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $13.64 | $62.00 | $13.74 – $38.16 | 15 |
| Human ig IV CPT 90283 | not published | not published | $10.50 – $81.87 | 8 |
| Human ig sc CPT 90284 | not published | not published | $14.89 – $16.99 | 4 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $0.92 – $3.21 | 12 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $29.77 – $56.92 | 8 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.47 – $0.71 | 8 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.34 – $0.51 | 8 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $13.12 | $59.64 | $4.08 – $7.34 | 8 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $16.42 – $34.73 | 11 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $12.11 – $25.62 | 11 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $5.70 – $12.04 | 11 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $4.71 – $9.97 | 11 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $8.82 – $18.65 | 11 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.47 – $1.55 | 4 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $18.53 | $84.25 | $20.00 – $30.00 | 8 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.68 – $7.65 | 4 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $5.24 – $11.07 | 11 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $28.30 – $59.83 | 11 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $17.13 – $36.22 | 11 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $11.71 – $24.74 | 11 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $4.94 – $10.45 | 11 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $3.37 – $7.12 | 11 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.08 – $0.17 | 8 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $3.74 | $16.98 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $67.21 – $108.84 | 4 |
| Hydromorphone injection HCPCS J1170 | $3.20 | $14.53 | $1.22 – $1.22 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.01 | 14 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $0.45 – $0.57 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $12.31 – $23.95 | 8 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.10 – $0.19 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $11.88 | $54.00 | $7.00 – $19.51 | 15 |
| Hymenotomy CPT 56442 | $29.48 | $134.00 | $36.11 – $4,101.16 | 15 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $7.19 – $24.68 | 15 |
| Hyoid myotomy & suspension CPT 21685 | $606.10 | $2,755.00 | $80.31 – $7,630.39 | 15 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $34.13 – $72.58 | 4 |
| Hyperbaric oxygen therapy CPT 99183 | $65.34 | $297.00 | $85.76 – $168.22 | 8 |
| #hypersens-actinomyces ab CPT 86602 | $6.60 | $30.00 | $6.21 – $11.10 | 12 |
| Hyperthermia ext gen deep CPT 77605 | $61.38 | $279.00 | $80.85 – $894.92 | 12 |
| Hyperthermia ext gen supfc CPT 77600 | $44.00 | $200.00 | $58.45 – $339.21 | 15 |
| Hyperthermia gen intrcv prb CPT 77620 | $51.26 | $233.00 | $66.49 – $746.15 | 12 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | $42.90 | $195.00 | $56.84 – $746.15 | 15 |
| Hyperthermia ntrstl prb>5 CPT 77615 | $60.28 | $274.00 | $79.76 – $746.15 | 15 |
| Hypnotherapy CPT 90880 | $53.02 | $241.00 | $55.84 – $139.56 | 12 |
| Hypothermia ill neonate CPT 99184 | $131.34 | $597.00 | $174.83 – $340.64 | 4 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.36 – $26.02 | 15 |
| Hysterectomy/bladder repair CPT 51925 | $662.20 | $3,010.00 | $70.22 – $1,719.79 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | $612.92 | $2,786.00 | $97.11 – $1,587.52 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | $654.06 | $2,973.00 | $103.80 – $1,698.55 | 7 |
| Hysteroplasty 58540 CPT 58540 | $566.28 | $2,574.00 | $89.85 – $1,469.78 | 7 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $171.38 | $779.00 | $44.25 – $445.07 | 7 |
| Hysterosalpingography s&i CPT 74740 | $11.22 | $51.00 | $14.93 – $311.79 | 15 |
| Hysteroscopy ablation CPT 58563 | $151.36 | $688.00 | $199.20 – $6,367.34 | 15 |
| Hysteroscopy biopsy CPT 58558 | $142.78 | $649.00 | $187.47 – $4,101.16 | 15 |
| Hysteroscopy dx sep proc CPT 58555 | $93.94 | $427.00 | $122.76 – $4,101.16 | 15 |
| Hysteroscopy lysis CPT 58559 | $174.68 | $794.00 | $230.07 – $6,367.34 | 15 |
| Hysteroscopy remove fb CPT 58562 | $136.40 | $620.00 | $179.62 – $4,101.16 | 15 |
| Hysteroscopy remove myoma CPT 58561 | $220.22 | $1,001.00 | $289.90 – $6,367.34 | 15 |
| Hysteroscopy resect septum CPT 58560 | $192.50 | $875.00 | $70.94 – $6,367.34 | 14 |
| Hysterotomy abdominal 59100 CPT 59100 | $529.32 | $2,406.00 | $86.10 – $6,367.34 | 15 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $69.52 | $316.00 | $15.00 – $366.46 | 9 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1,507.56 – $7,815.86 | 12 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,008.54 – $2,517.36 | 12 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $85.42 – $142.57 | 4 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $33.66 – $55.79 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $132.92 – $174.33 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $830.42 – $1,157.48 | 2 |
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.