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 glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.35 – $2.62 | 15 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.63 – $2.15 | 4 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $159.99 – $215.06 | 4 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.60 – $7.02 | 15 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $54.40 – $105.93 | 15 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $11.87 – $15.65 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $2,677,714.76 – $4,016,940.67 | 11 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $2.84 – $4.59 | 8 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $45.76 – $89.11 | 15 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $71.87 – $118.56 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $56.31 – $109.65 | 15 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $28.16 | $128.00 | $36.68 – $72.72 | 7 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $31.24 | $142.00 | $41.01 – $80.83 | 7 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $33.44 | $152.00 | $43.51 – $86.54 | 7 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $21.12 | $96.00 | $21.20 – $49.82 | 7 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $21.78 | $99.00 | $20.58 – $49.82 | 7 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.10 – $2.15 | 15 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $3.77 – $5.65 | 12 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $13.91 – $18.34 | 4 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $57.68 – $112.33 | 15 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $6.48 – $22.92 | 12 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $1.90 – $3.69 | 15 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $58.70 – $109.33 | 8 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.09 – $0.18 | 15 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $359.26 – $699.62 | 15 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $87.34 | $397.00 | $11.59 – $1,148.35 | 15 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $38.76 – $49.59 | 4 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.48 – $1.94 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $18.04 | $82.00 | $24.28 – $256.30 | 12 |
| Inj intralesional > 7 lsns CPT 11901 | $27.72 | $126.00 | $36.91 – $256.30 | 12 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $9.41 – $18.33 | 15 |
| Inj ivig privigen 500 mg HCPCS J1459 | $1,477.32 | $6,715.10 | $36.64 – $71.36 | 15 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.39 – $2.71 | 15 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $1.93 – $3.75 | 15 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.15 – $2.24 | 15 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.30 – $1.96 | 8 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $82.02 – $123.02 | 8 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $17.77 – $34.60 | 15 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $0.96 – $1.88 | 15 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $0.91 | 4 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $16.00 – $31.16 | 15 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $22.92 – $34.37 | 8 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $0.05 | 8 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.82 – $10.04 | 15 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $3.73 – $7.27 | 15 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $11.85 | $53.87 | $0.01 – $0.01 | 3 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $5.98 – $10.79 | 8 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $2,369,700.54 – $3,554,876.95 | 11 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $239.13 – $465.68 | 15 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $17.00 – $25.50 | 12 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $2,298.34 – $3,447.83 | 11 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,620.84 | $2,078.00 | $48.39 – $113.12 | 7 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $36.85 – $71.76 | 14 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $4.20 | 4 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $78.49 – $152.86 | 15 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $47.07 – $70.61 | 10 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $484.50 – $638.47 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $572.41 – $1,114.72 | 15 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $247.61 – $316.79 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $8.57 | $38.96 | $3.55 – $5.41 | 8 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $1.96 – $2.94 | 8 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $1.58 – $2.38 | 12 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.18 – $2.30 | 15 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.14 – $1.50 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.31 – $0.51 | 8 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $35.08 – $68.31 | 15 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $180.56 – $351.62 | 15 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $18.32 – $35.68 | 15 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $8.22 – $12.33 | 8 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $6.17 – $10.98 | 8 |
| Inj multihance HCPCS A9577 | not published | not published | $1.64 – $2.47 | 8 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.61 – $2.42 | 8 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.36 – $0.59 | 8 |
| Inj naloxone hydrochloride HCPCS J2310 | $25.41 | $115.50 | $8.70 – $11.35 | 3 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $498.38 – $970.56 | 15 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,562.34 | $2,003.00 | $53.21 – $860.94 | 15 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $1.52 – $2.36 | 12 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $19.43 – $29.14 | 11 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $68.38 – $133.17 | 15 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $92.40 | $420.00 | $120.20 – $2,359.45 | 15 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $73.04 | $332.00 | $94.28 – $2,359.45 | 15 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.40 – $0.60 | 11 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $29.92 | $136.00 | $34.33 – $66.85 | 14 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $28.02 – $1,546.69 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $38.70 – $58.30 | 8 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $32.40 – $63.09 | 15 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $52.07 – $76.92 | 3 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $0.95 – $1.42 | 11 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $286.15 – $557.26 | 15 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $5.95 | 4 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $2.91 – $5.68 | 15 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $1,781,707.19 – $2,672,806.00 | 11 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $15.97 – $31.11 | 15 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $135.47 – $197.59 | 4 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $42.75 – $83.25 | 15 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.63 – $8.74 | 4 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $54.10 – $105.36 | 14 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $409.65 – $797.76 | 15 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $72.53 – $141.24 | 15 |
| Inj, pedmark, 100 mg HCPCS J0208 | $92.40 | $420.00 | $69.13 – $103.70 | 12 |
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.