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 |
|---|---|---|---|---|
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $16.81 – $66.82 | 12 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $7.13 – $25.21 | 12 |
| I131 max 100uci HCPCS A9531 | not published | not published | $2.73 – $51.83 | 3 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $71.06 – $117.78 | 4 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $42.40 – $67.58 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $8.80 | $40.00 | $8.86 – $14.63 | 12 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $11.88 | $54.00 | $8.23 – $28.62 | 15 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $5.58 – $49.36 | 15 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $25.36 – $43.58 | 8 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $1,616.12 | $7,346.00 | $1,616.05 – $2,668.93 | 12 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.87 – $4.31 | 8 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $159.17 – $310.61 | 12 |
| Icatibant injection HCPCS J1744 | $1,078.00 | $4,900.01 | $84.58 – $126.89 | 12 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | not published | $25,458.44 – $25,458.44 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $9,362.92 | $42,558.75 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | not published | $5,558.59 – $5,558.59 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | $28.60 | $130.00 | $37.78 – $401.66 | 12 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $6.83 – $50.63 | 15 |
| Icut allergy test drug/bug CPT 95024 | $0.66 | $3.00 | $0.76 – $76.62 | 15 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $3.98 – $31.59 | 15 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $591.80 | $2,690.00 | $77.04 – $1,517.43 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $238.70 | $1,085.00 | $31.50 – $4,183.11 | 15 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $34.95 – $61.07 | 8 |
| I&d/bursa/foot 28001 CPT 28001 | $79.86 | $363.00 | $23.19 – $2,089.89 | 15 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $393,279.84 – $765,883.53 | 14 |
| Identify sperm tissue CPT 89264 | $71.72 | $326.00 | $32.25 – $68.92 | 10 |
| Idet 1 or more levels CPT 22527 | $97.90 | $445.00 | $123.84 – $242.13 | 4 |
| Idet single level CPT 22526 | $211.86 | $963.00 | $26.74 – $521.09 | 4 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $418.22 | $1,901.00 | $6.53 – $4,185.10 | 15 |
| Idh1 common variants CPT 81120 | $127.60 | $580.00 | $127.55 – $210.64 | 12 |
| Idh2 common variants CPT 81121 | $195.36 | $888.00 | $195.22 – $322.41 | 12 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $272.80 | $1,240.00 | $32.26 – $3,537.31 | 15 |
| I&d lacrimal gland CPT 68400 | $80.08 | $364.00 | $10.66 – $1,249.28 | 15 |
| I&d lacrimal sac CPT 68420 | $100.98 | $459.00 | $13.51 – $3,009.20 | 15 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $508.00 – $938.32 | 11 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $134.64 | $612.00 | $17.58 – $3,691.65 | 15 |
| Idursulfase injection HCPCS J1743 | not published | not published | $405.85 – $790.36 | 15 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $197.56 | $898.00 | $26.17 – $3,691.65 | 15 |
| I&d vag hemtma obst/postpart CPT 57022 | $111.98 | $509.00 | $14.83 – $3,691.65 | 15 |
| Ifnl3 gene CPT 81283 | $48.40 | $220.00 | $48.42 – $79.97 | 12 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $22.17 – $33.25 | 8 |
| Igh@/bcl2 translocation alys CPT 81278 | $136.84 | $622.00 | $136.83 – $225.97 | 12 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $45.24 – $76.03 | 15 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $130.67 – $344.86 | 15 |
| Igh@ var region somatic mutation analy CPT 81263 | $194.48 | $884.00 | $194.38 – $513.01 | 15 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $114.00 – $260.11 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $249.60 | $320.00 | $17.93 – $51.11 | 8 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $841.62 | $1,079.00 | $30.85 – $463.99 | 15 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $400.92 | $514.00 | $28.07 – $221.03 | 15 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.99 – $33.46 | 5 |
| Ikbkap gene CPT 81260 | $25.96 | $118.00 | $25.95 – $190.94 | 15 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $641.30 | $2,915.00 | $75.34 – $1,652.76 | 7 |
| Iliac bone graft microvasc CPT 20956 | $1,628.44 | $7,402.00 | $210.00 – $4,185.95 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $8.14 | $37.00 | $10.73 – $15.60 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | $10,006.62 | $12,829.00 | $26.71 – $288.65 | 11 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $148.24 – $224.87 | 8 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.44 – $3.88 | 4 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $550.22 | $2,501.00 | $50.06 – $1,415.64 | 7 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $41.43 – $80.69 | 15 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $14.17 – $76.62 | 15 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $10.12 | $46.00 | $10.68 – $50.63 | 15 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $32.97 – $76.62 | 15 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $17.35 – $33.37 | 4 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $32.24 – $62.04 | 4 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $38.74 – $74.57 | 4 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $59.32 – $125.44 | 11 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $77.19 – $163.22 | 11 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $49.49 – $74.24 | 11 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $58.41 – $123.51 | 11 |
| Immt breast prosthesis 19340 CPT 19340 | $470.58 | $2,139.00 | $61.66 – $8,411.79 | 15 |
| Immune complex assay CPT 86332 | $16.28 | $74.00 | $15.49 – $48.00 | 15 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $34.73 – $67.63 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $59.36 – $115.61 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $35.15 – $68.45 | 15 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $10.50 – $173.25 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $109.20 | $140.00 | $13.74 – $36.82 | 15 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $109.20 | $140.00 | $13.74 – $36.82 | 15 |
| Immunoassay tumor qual CPT 86294 | $16.72 | $76.00 | $16.87 – $27.87 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $7.92 | $36.00 | $7.62 – $13.06 | 15 |
| Immunodiffusion nes CPT 86329 | $9.24 | $42.00 | $8.81 – $27.20 | 15 |
| Immunoelectrophoresis assay CPT 86327 | $19.80 | $90.00 | $49.52 – $49.52 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $117.78 | $151.00 | $11.36 – $28.00 | 15 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $17.38 | $79.00 | $7.99 – $31.42 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $21.56 | $98.00 | $10.71 – $221.03 | 15 |
| Immunoglobulin assay CPT 86023 | $8.36 | $38.00 | $7.92 – $24.32 | 15 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $11.55 – $23.97 | 7 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $148.45 – $2,144.56 | 14 |
| Impedence cardiogram CPT 93701 | not published | not published | $5.91 – $166.26 | 12 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $11,100.82 – $23,720.63 | 10 |
| Impl absrb msh/prsth dly cls CPT 15778 | $241.78 | $1,099.00 | $50.57 – $612.80 | 7 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $382.30 – $808.32 | 11 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $518.82 – $1,096.99 | 11 |
| Implantation iris prosthesis CPT 66683 | $471.90 | $2,145.00 | $63.20 – $21,174.95 | 12 |
| Implant biventricular device 33976 CPT 33976 | $953.92 | $4,336.00 | $210.00 – $2,466.96 | 7 |
| Implant brain electrodes CPT 61531 | $769.12 | $3,496.00 | $108.92 – $1,975.94 | 7 |
| Implant brain electrodes CPT 61533 | $954.80 | $4,340.00 | $135.07 – $2,457.52 | 7 |
| Implant brain electrodes CPT 61760 | $990.88 | $4,504.00 | $139.41 – $2,536.54 | 7 |
| Implant cochlear device CPT 69930 | $742.94 | $3,377.00 | $69.39 – $41,027.71 | 15 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $2,889.63 – $6,109.74 | 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.