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 |
|---|---|---|---|---|
| Infec agen detec ampli probe HCPCS U0005 | $16.50 | $75.00 | $24.40 – $24.40 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $86.24 | $392.00 | $86.03 – $233.10 | 15 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $10.12 | $46.00 | $5.69 – $16.35 | 12 |
| Infect ag eia influenza a or b ea CPT 87400 | $74.10 | $95.00 | $6.09 – $15.40 | 15 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $169.92 – $452.96 | 15 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $169.92 – $452.96 | 15 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $84.92 | $386.00 | $84.96 – $231.86 | 15 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $169.84 | $772.00 | $169.92 – $455.39 | 15 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $21.56 | $98.00 | $21.63 – $41.95 | 15 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $23.32 | $106.00 | $9.05 – $38.47 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $87.36 | $112.00 | $10.78 – $18.16 | 15 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $7.92 | $36.00 | $6.09 – $13.06 | 15 |
| Infect ag if hep delta agent CPT 87380 | $12.32 | $56.00 | $9.82 – $36.30 | 15 |
| Infect ag if influenza a CPT 87276 | $10.56 | $48.00 | $10.34 – $17.52 | 12 |
| Infect ag if influenza b CPT 87275 | $7.92 | $36.00 | $8.09 – $19.49 | 15 |
| Infect ag if legionella pneumophila CPT 87278 | $10.12 | $46.00 | $10.30 – $17.00 | 12 |
| Infect ag if nos ea CPT 87299 | $10.56 | $48.00 | $10.34 – $17.55 | 12 |
| Infect ag if pneumocystis carinii CPT 87281 | $7.92 | $36.00 | $7.91 – $19.49 | 15 |
| Infect ag if varicella zoster CPT 87290 | $8.80 | $40.00 | $8.86 – $14.63 | 12 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | $35.20 | $160.00 | $20.80 – $63.38 | 15 |
| Infect ag na hep b amp CPT 87516 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Infect ag na herpes simplex quant CPT 87530 | $28.16 | $128.00 | $20.80 – $46.70 | 12 |
| Infect ag na hpv high-risk types CPT 87624 | $23.32 | $106.00 | $23.16 – $61.14 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $504.66 | $647.00 | $63.23 – $153.28 | 15 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $33.88 | $154.00 | $33.87 – $92.45 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $270.66 | $347.00 | $33.87 – $63.63 | 14 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $2,194.14 | $2,813.00 | $275.08 – $733.33 | 15 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $322.52 | $1,466.00 | $322.52 – $777.26 | 15 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $17.16 | $78.00 | $17.20 – $45.25 | 15 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $217.62 | $279.00 | $11.51 – $45.10 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $63.18 | $81.00 | $5.69 – $13.06 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $8.80 | $40.00 | $8.86 – $19.49 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $72.54 | $93.00 | $5.69 – $15.06 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $63.18 | $81.00 | $7.91 – $19.70 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $75.66 | $97.00 | $9.49 – $15.67 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $54.60 | $70.00 | $6.82 – $22.67 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $54.60 | $70.00 | $6.82 – $18.27 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $127.14 | $163.00 | $15.90 – $43.68 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $63.18 | $81.00 | $5.69 – $13.06 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $63.18 | $81.00 | $5.69 – $13.06 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $63.18 | $81.00 | $7.91 – $19.49 | 15 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $184.86 | $237.00 | $20.67 – $38.25 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $184.86 | $237.00 | $20.67 – $38.25 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $195.78 | $251.00 | $24.60 – $64.35 | 15 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $275.00 | $1,250.00 | $275.08 – $454.29 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $184.86 | $237.00 | $20.67 – $38.25 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $184.86 | $237.00 | $23.16 – $62.77 | 15 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $27.72 | $126.00 | $20.67 – $45.43 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $184.86 | $237.00 | $20.67 – $38.25 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $270.66 | $347.00 | $33.87 – $56.78 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $751.14 | $963.00 | $94.14 – $180.58 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $751.14 | $963.00 | $94.14 – $180.58 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $184.86 | $237.00 | $20.67 – $38.25 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $184.86 | $237.00 | $23.16 – $61.28 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $404.04 | $518.00 | $50.67 – $83.68 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $275.00 | $1,250.00 | $275.08 – $454.29 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $84.48 | $384.00 | $84.67 – $139.84 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $173.36 | $788.00 | $173.57 – $286.66 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $226.20 | $290.00 | $20.80 – $46.70 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $226.20 | $290.00 | $20.80 – $63.44 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $226.20 | $290.00 | $20.80 – $63.44 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $56.32 | $256.00 | $20.80 – $185.74 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $751.14 | $963.00 | $94.14 – $225.71 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $22.65 – $44.12 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $15.18 – $37.10 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $11.55 – $40.50 | 15 |
| Influenza dna amp prob addl CPT 87503 | $19.36 | $88.00 | $19.28 – $37.41 | 15 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $15.00 – $97.10 | 10 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $10.00 – $33.56 | 9 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $1,620.84 | $2,078.00 | $60.23 – $140.77 | 7 |
| Infratemporal approach/skull CPT 61591 | $1,895.96 | $8,618.00 | $210.00 – $4,888.01 | 7 |
| Infratemporal approach/skull CPT 61590 | $1,850.86 | $8,413.00 | $210.00 – $4,804.78 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $2,430.48 | $3,116.00 | $65.56 – $153.03 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $1,620.84 | $2,078.00 | $62.48 – $145.93 | 7 |
| Infuse radioactive materials CPT 77750 | $164.12 | $746.00 | $51.45 – $339.21 | 15 |
| Ingest challenge ea addl 60 min CPT 95079 | $41.80 | $190.00 | $55.59 – $107.81 | 11 |
| Ingest challenge ini 120 min CPT 95076 | $45.32 | $206.00 | $60.33 – $684.40 | 15 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $32.76 – $262.35 | 15 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $880.00 – $2,275.48 | 11 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $720.00 – $1,680.24 | 11 |
| Initial care training 30 m HCPCS G0539 | $28.60 | $130.00 | $38.31 – $88.37 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $798.99 – $1,689.39 | 11 |
| Initial foot exam pt lops HCPCS G0245 | $24.20 | $110.00 | $32.71 – $166.22 | 11 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $207.24 | $942.00 | $264.58 – $892.00 | 8 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $81.84 | $372.00 | $70.00 – $324.00 | 10 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $111.76 | $508.00 | $93.00 – $381.15 | 10 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $49.50 | $225.00 | $45.00 – $228.00 | 10 |
| Init nb em per day non-fac CPT 99461 | $37.18 | $169.00 | $49.87 – $229.00 | 8 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $79.20 | $360.00 | $32.00 – $382.20 | 5 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $23.54 | $107.00 | $31.41 – $119.31 | 14 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $4.38 – $8.54 | 15 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.26 – $10.24 | 15 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.16 – $0.31 | 15 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.05 – $0.07 | 8 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.04 – $0.08 | 8 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.07 | 8 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,827.83 – $5,925.21 | 8 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $66.65 – $99.98 | 11 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $7.73 – $13.23 | 12 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $46,089.00 – $89,754.94 | 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.