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 |
|---|---|---|---|---|
| Implant eye drug system CPT 67027 | $511.28 | $2,324.00 | $68.59 – $19,818.52 | 15 |
| Implant hormone pellet(s) 11980 CPT 11980 | $34.10 | $155.00 | $44.97 – $514.71 | 12 |
| Implant nerve end CPT 64787 | $144.76 | $658.00 | $188.00 – $370.29 | 7 |
| Implant neuroelectrde addl CPT 61864 | $174.68 | $794.00 | $47.11 – $449.85 | 7 |
| Implant neuroelectrde addl CPT 61868 | $307.56 | $1,398.00 | $79.10 – $794.69 | 7 |
| Implant neuroelectrode CPT 61863 | $941.60 | $4,280.00 | $133.36 – $2,423.51 | 7 |
| Implant neuroelectrode CPT 61867 | $1,421.20 | $6,460.00 | $200.90 – $3,662.13 | 7 |
| Implant neuroelectrodes CPT 63655 | $524.92 | $2,386.00 | $74.77 – $27,660.31 | 15 |
| Implant neuroelectrodes CPT 64553 | $280.72 | $1,276.00 | $36.21 – $16,084.98 | 12 |
| Implant neuroelectrodes CPT 64555 | $201.52 | $916.00 | $26.44 – $8,465.24 | 15 |
| Implant neuroelectrodes CPT 64561 | $187.00 | $850.00 | $24.66 – $8,465.24 | 15 |
| Implant neuroelectrodes CPT 61850 | $618.20 | $2,810.00 | $87.60 – $1,590.24 | 7 |
| Implant neuroelectrodes CPT 61860 | $976.58 | $4,439.00 | $112.88 – $2,514.64 | 7 |
| Implant neurostim arrays CPT 61886 | $551.10 | $2,505.00 | $78.64 – $39,306.74 | 15 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $65.77 – $996.38 | 11 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $505.11 – $1,187.28 | 6 |
| Implant single ventricular device 33975 CPT 33975 | $790.90 | $3,595.00 | $210.00 – $2,041.50 | 7 |
| Implant spinal canal cath CPT 62351 | $570.02 | $2,591.00 | $81.24 – $9,214.43 | 14 |
| Implant spine infusion pump CPT 62361 | $272.80 | $1,240.00 | $35.32 – $22,797.18 | 15 |
| Implant spine infusion pump CPT 62362 | $239.58 | $1,089.00 | $31.36 – $22,797.18 | 15 |
| Implant tcat pulm vlv perq CPT 33477 | $787.60 | $3,580.00 | $1,039.78 – $2,052.37 | 7 |
| Implant ureter in bowel CPT 50800 | $569.36 | $2,588.00 | $60.01 – $1,465.53 | 7 |
| Implant ureth bulk agent HCPCS L8606 | not published | not published | $134.87 – $285.18 | 11 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $921.05 – $1,947.45 | 11 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $838.70 – $2,666.75 | 11 |
| Impl neurostim electr perc CPT 63650 | $256.30 | $1,165.00 | $33.88 – $8,465.24 | 15 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $131.78 | $599.00 | $171.95 – $338.72 | 7 |
| Implnt spinl canal catheter 62350 CPT 62350 | $248.16 | $1,128.00 | $32.46 – $8,260.37 | 15 |
| Impl oi implt sk tc esp<100 CPT 69716 | $381.48 | $1,734.00 | $35.46 – $16,596.43 | 15 |
| Impl oi implt sk tc esp>=100 CPT 69729 | $413.38 | $1,879.00 | $38.45 – $16,596.43 | 12 |
| Impl oi implt skull perq esp CPT 69714 | $484.88 | $2,204.00 | $28.31 – $16,596.43 | 15 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $706.11 – $1,161.19 | 4 |
| Implt brain chemotx add-on 61517 CPT 61517 | $54.12 | $246.00 | $68.84 – $138.80 | 7 |
| Impltj ntrstrml crnl rng seg CPT 65785 | $268.84 | $1,222.00 | $35.99 – $5,188.94 | 15 |
| Impltj tot rplcmt hrt sys CPT 33927 | $1,541.10 | $7,005.00 | $354.87 – $3,991.45 | 7 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $145.29 – $397.73 | 3 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $5,089.44 – $10,760.99 | 11 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $384.27 – $576.46 | 11 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $1.38 – $2.91 | 11 |
| Impres&prep auricular prosth CPT 21086 | $804.10 | $3,655.00 | $104.70 – $4,183.11 | 15 |
| Impres&prep def obt prosth CPT 21080 | $826.10 | $3,755.00 | $107.71 – $4,183.11 | 15 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $84.55 – $5,426.24 | 15 |
| Impres&prep intrm obt prosth CPT 21079 | $734.58 | $3,339.00 | $95.47 – $4,183.11 | 15 |
| Impres&prep mndbl res prosth CPT 21081 | $757.24 | $3,442.00 | $98.86 – $7,630.39 | 15 |
| Impres&prep nasal prosth CPT 21087 | $804.10 | $3,655.00 | $104.70 – $7,630.39 | 15 |
| Impres&prep oral surg splint CPT 21085 | $302.72 | $1,376.00 | $39.57 – $1,187.28 | 15 |
| Impres&prep orbital prosth CPT 21077 | $1,090.10 | $4,955.00 | $142.06 – $7,630.39 | 14 |
| Impres&prep paltl aug prosth CPT 21082 | $701.58 | $3,189.00 | $91.18 – $4,183.11 | 15 |
| Impres&prep paltl lft prosth CPT 21083 | $647.68 | $2,944.00 | $84.29 – $4,183.11 | 15 |
| Impres&prep sp aid prosth CPT 21084 | $748.66 | $3,403.00 | $97.53 – $4,183.11 | 15 |
| Impres&prep surg obt prosth CPT 21076 | $444.84 | $2,022.00 | $57.69 – $1,910.65 | 14 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $31.46 – $61.26 | 15 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,647.78 – $6,263.15 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $749.41 – $4,294.16 | 12 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $2,518.99 – $6,884.15 | 3 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $579.84 – $3,384.12 | 11 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $561.40 – $2,147.08 | 12 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $519.73 – $903.21 | 12 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,391.16 – $3,947.40 | 11 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,252.90 – $2,185.88 | 4 |
| Inactivated je vacc im CPT 90738 | not published | not published | $15.00 – $523.95 | 9 |
| Inc deep opng b1 crtx thorax CPT 21510 | $279.84 | $1,272.00 | $36.69 – $720.86 | 7 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $369.82 | $1,681.00 | $48.55 – $9,214.43 | 15 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $322.30 | $1,465.00 | $20.16 – $4,185.10 | 15 |
| Incis 1 vertebral seg cerv CPT 22210 | $1,111.00 | $5,050.00 | $144.43 – $2,861.63 | 7 |
| Incis 1 vertebral seg lumbar CPT 22214 | $942.70 | $4,285.00 | $122.50 – $2,420.43 | 7 |
| Incis 1 vertebral seg thorac CPT 22212 | $944.02 | $4,291.00 | $122.50 – $2,419.81 | 7 |
| Incis addl spine segment CPT 22216 | $223.52 | $1,016.00 | $57.69 – $574.10 | 7 |
| Incise bile duct sphincter CPT 47460 | $784.30 | $3,565.00 | $91.84 – $2,021.08 | 7 |
| Incise diaphragm nerve CPT 64746 | $266.42 | $1,211.00 | $38.29 – $2,518.80 | 14 |
| Incise/drain eyelid lining CPT 68020 | $66.66 | $303.00 | $8.95 – $1,249.28 | 15 |
| Incise flexor carpi radialis CPT 25001 | $220.66 | $1,003.00 | $16.00 – $4,185.10 | 15 |
| Incise hand/finger tendon CPT 26460 | $276.32 | $1,256.00 | $20.83 – $2,064.31 | 15 |
| Incise hip/thigh nerve CPT 64763 | $320.76 | $1,458.00 | $45.97 – $2,518.80 | 14 |
| Incise hip/thigh nerve CPT 64766 | $395.34 | $1,797.00 | $56.69 – $2,518.80 | 15 |
| Incise inner ear CPT 69801 | $76.78 | $349.00 | $101.29 – $1,910.65 | 14 |
| Incise inner ear nerve CPT 69915 | $920.70 | $4,185.00 | $85.77 – $4,183.11 | 15 |
| Incise inner ear nerve CPT 69950 | $1,072.28 | $4,874.00 | $99.55 – $2,776.93 | 7 |
| Incise inner eye adhesions CPT 65860 | $150.92 | $686.00 | $20.16 – $707.62 | 15 |
| Incise inner eye adhesions CPT 65865 | $288.20 | $1,310.00 | $38.82 – $2,941.83 | 15 |
| Incise inner eye adhesions CPT 65870 | $359.04 | $1,632.00 | $48.22 – $2,941.83 | 14 |
| Incise inner eye adhesions CPT 65875 | $382.36 | $1,738.00 | $51.47 – $2,941.83 | 15 |
| Incise inner eye adhesions CPT 65880 | $401.72 | $1,826.00 | $54.07 – $5,188.94 | 15 |
| Incise inner eye strands CPT 67030 | $335.28 | $1,524.00 | $45.25 – $2,941.83 | 15 |
| Incise nerve back of head CPT 64744 | $317.46 | $1,443.00 | $45.30 – $2,518.80 | 15 |
| Incise perq finger tendon 26060 CPT 26060 | $159.94 | $727.00 | $9.64 – $2,064.31 | 15 |
| Incise skull/brain surgery CPT 61720 | $795.96 | $3,618.00 | $112.71 – $8,260.37 | 15 |
| Incise skull/brain surgery CPT 61735 | $997.70 | $4,535.00 | $141.18 – $2,568.43 | 7 |
| Incise skull for treatment CPT 61770 | $1,012.88 | $4,604.00 | $143.21 – $8,260.37 | 15 |
| Incise skull repair CPT 62121 | $957.22 | $4,351.00 | $138.81 – $2,488.58 | 7 |
| Incise skull/sutures CPT 61556 | $1,067.66 | $4,853.00 | $151.02 – $2,748.35 | 7 |
| Incise skull/sutures CPT 61557 | $1,054.90 | $4,795.00 | $149.37 – $2,715.23 | 7 |
| Incise sperm duct pouch CPT 55600 | $262.02 | $1,191.00 | $34.58 – $2,642.30 | 14 |
| Incise spinal cord tract(s) CPT 63170 | $997.26 | $4,533.00 | $141.13 – $2,566.35 | 7 |
| Incise spine accessory nerve CPT 63191 | $865.70 | $3,935.00 | $122.54 – $2,226.09 | 7 |
| Incise spine nrv >2 segmnts CPT 63190 | $769.78 | $3,499.00 | $110.71 – $1,976.53 | 7 |
| Incise spine nrv half segmnt CPT 63185 | $770.88 | $3,504.00 | $109.20 – $1,981.35 | 7 |
| Incise tear duct opening 68440 CPT 68440 | $60.50 | $275.00 | $8.15 – $385.58 | 15 |
| Incise tendon(s) & muscle(s) CPT 23406 | $459.80 | $2,090.00 | $59.14 – $9,214.43 | 15 |
| Incise thigh tendon & fascia CPT 27305 | $303.38 | $1,379.00 | $39.82 – $4,185.10 | 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.