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 |
|---|---|---|---|---|
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $4.34 – $8.46 | 15 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $25.86 – $50.35 | 15 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | $525.36 | $2,388.00 | $631.48 – $1,229.75 | 14 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $197.51 – $452.43 | 15 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.15 – $2.23 | 15 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.57 – $5.90 | 2 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.30 – $6.43 | 15 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $95.27 – $185.54 | 15 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $30.95 – $60.28 | 15 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $7.02 – $10.53 | 12 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $95.59 – $143.40 | 12 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $13.15 – $25.62 | 15 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,346.53 – $5,019.46 | 8 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.39 – $2.09 | 11 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.37 – $4.61 | 15 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $37.66 – $56.49 | 12 |
| Inj. asceniv HCPCS J1554 | not published | not published | $360.76 – $702.55 | 15 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $40.18 – $78.25 | 15 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $20.46 | $93.00 | $22.99 – $44.76 | 14 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $76.94 – $149.84 | 15 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $58.67 – $114.26 | 15 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $59.31 | 2 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $122.16 – $237.90 | 15 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.83 – $52.23 | 4 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,143,968.93 – $3,216,248.47 | 11 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $28.94 – $56.35 | 15 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $154.30 – $300.50 | 15 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.16 – $0.24 | 8 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $19.05 – $28.57 | 11 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.57 – $46.72 | 12 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $11.99 – $46.72 | 12 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $1.44 – $2.19 | 8 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $100.15 | 4 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $307.23 – $598.30 | 15 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,228.90 – $2,393.20 | 15 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $251.54 – $489.86 | 15 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $435.06 – $919.87 | 11 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $0.90 – $2.11 | 15 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.37 – $0.56 | 11 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $45.16 – $169.20 | 15 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $1.01 – $1.29 | 4 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $188.70 – $283.07 | 12 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.23 – $1.88 | 8 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $0.66 – $1.29 | 15 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $0.73 – $1.42 | 15 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $5.54 – $8.31 | 8 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $4.79 – $7.18 | 8 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $1.74 – $3.40 | 15 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $6.63 – $12.92 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $113.08 – $149.02 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $11.91 – $23.20 | 15 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $62.86 – $168.74 | 15 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $65.25 – $127.06 | 15 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.09 – $3.49 | 12 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $1.62 – $3.41 | 8 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $668.46 | $857.00 | $21.00 – $63.64 | 11 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.31 – $117.70 | 4 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $758.67 – $1,477.46 | 15 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $400.73 – $601.15 | 12 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.40 – $20.10 | 8 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $12.78 – $24.89 | 15 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.74 – $7.11 | 8 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $6.54 – $12.74 | 15 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.57 – $1.11 | 15 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.84 – $2.19 | 15 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.06 – $5.96 | 15 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.06 – $0.09 | 8 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.04 – $0.08 | 8 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.03 – $0.06 | 15 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.26 – $4.40 | 15 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $0.73 – $2.69 | 8 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $2,415,633.94 – $3,623,783.37 | 11 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $20.01 – $30.02 | 11 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.33 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,130.96 | $2,732.00 | $84.00 – $226.39 | 11 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $38.12 – $57.19 | 10 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $3.01 – $5.86 | 15 |
| Inj dupuytren cord w/enzyme CPT 20527 | $40.70 | $185.00 | $7.19 – $380.75 | 15 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $4.86 – $9.46 | 15 |
| Inj dx for sinogram CPT 20501 | $2,599.74 | $3,333.00 | $7.00 – $57.49 | 11 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $294.03 – $294.03 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $50.82 | $231.00 | $67.12 – $893.26 | 12 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $712.92 | $914.00 | $18.22 – $107.48 | 11 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $37.81 – $73.64 | 15 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $349.91 – $681.42 | 15 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $14.39 – $21.59 | 11 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $764.26 – $874.31 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $34.98 | $159.00 | $12.00 – $380.75 | 15 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $159.99 – $215.06 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.37 – $3.75 | 3 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $50.74 – $98.82 | 15 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.53 | 2 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.35 – $0.53 | 8 |
| Injection during cath supravalvular aortography CPT 93567 | $24.86 | $113.00 | $29.56 – $58.77 | 7 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $13.69 – $26.65 | 15 |
| Injection epidural blood patch or clot CPT 62273 | $1,620.84 | $2,078.00 | $50.40 – $893.26 | 15 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.07 – $0.70 | 4 |
| Injection eye drug CPT 67028 | $56.10 | $255.00 | $74.17 – $427.83 | 15 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $1.16 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $584.22 | $749.00 | $3.23 – $115.72 | 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.