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, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $103.11 – $200.80 | 15 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $20.34 – $39.60 | 15 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $26.48 – $39.73 | 12 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $38.32 – $74.63 | 15 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $7.07 – $13.78 | 15 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $60.51 – $117.85 | 15 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $9.80 – $12.92 | 3 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $7.52 – $14.64 | 15 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.57 – $6.97 | 15 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.14 – $2.02 | 8 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $2.75 – $7.14 | 15 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $5,890.66 – $10,243.18 | 8 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $58.20 – $113.34 | 15 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.25 – $17.29 | 3 |
| Inj peritoneal venous shunt CPT 49427 | $24.20 | $110.00 | $31.22 – $61.57 | 7 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $8.82 – $17.17 | 15 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $23.47 – $36.28 | 12 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.60 – $5.06 | 15 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $86.53 – $116.33 | 4 |
| Inj proc ankle arthr CPT 27648 | $635.70 | $815.00 | $12.18 – $81.69 | 11 |
| Inj proc elbow arthro CPT 24220 | $599.82 | $769.00 | $8.00 – $104.98 | 11 |
| Inj proc for lymphang CPT 38790 | $1,564.68 | $2,006.00 | $66.15 – $129.32 | 8 |
| Inj proc lumbr disk ea lvl CPT 62290 | $96.58 | $439.00 | $126.99 – $247.61 | 11 |
| Inj proc myelogram lumbar CPT 62284 | $1,525.68 | $1,956.00 | $67.23 – $131.34 | 11 |
| Inj proc sialogram CPT 42550 | $37.84 | $172.00 | $36.23 – $96.60 | 11 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $0.59 – $1.16 | 8 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.33 – $2.00 | 8 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $20.54 – $26.82 | 4 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.64 – $3.20 | 15 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.30 – $0.58 | 15 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.55 – $1.07 | 15 |
| Inj retro urethrocysto CPT 51610 | $40.04 | $182.00 | $36.23 – $101.40 | 11 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $9.70 – $18.88 | 15 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $8,986.74 – $13,481.35 | 11 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $1.20 | 2 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $20.72 – $40.35 | 15 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $9.47 – $14.20 | 12 |
| Inj scleros sol mult veins CPT 36471 | $1,169.22 | $1,499.00 | $60.20 – $515.34 | 15 |
| Inj scleros sol sgl vein CPT 36470 | $935.22 | $1,199.00 | $9.82 – $515.34 | 15 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.66 – $1.09 | 11 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $392.14 – $588.27 | 12 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $31.82 – $47.73 | 12 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $12.97 – $25.25 | 15 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $0.83 – $1.36 | 12 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $47.76 – $93.01 | 15 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $246.18 | $1,119.00 | $22.26 – $515.34 | 11 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $17.37 – $26.31 | 8 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $56.99 – $110.98 | 15 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $13.16 – $25.62 | 15 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $253.30 – $493.29 | 15 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $29.84 – $58.11 | 15 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $24.17 – $47.07 | 15 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.39 – $2.71 | 15 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $27.36 – $53.27 | 15 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $260.91 – $508.11 | 15 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.05 – $1.05 | 9 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.96 – $1.87 | 14 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.04 | 8 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.26 – $1.37 | 4 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $8.89 – $17.31 | 14 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,430.48 | $3,116.00 | $60.23 – $140.77 | 7 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,620.84 | $2,078.00 | $54.14 – $126.62 | 7 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $2.55 – $3.37 | 4 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $91.72 – $178.63 | 15 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $41.72 – $81.24 | 15 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $112.87 – $219.81 | 15 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $4.21 – $8.20 | 15 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $141.87 – $276.28 | 14 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $13.23 – $25.77 | 15 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.16 – $0.25 | 4 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $7.39 – $14.38 | 15 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $2,741.35 – $5,338.58 | 15 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $3.96 – $7.70 | 15 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $3.41 – $6.63 | 15 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $12.08 – $52.10 | 11 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $2.30 – $34.00 | 11 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $1.75 – $47.33 | 11 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $18.22 – $35.48 | 15 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $6.19 | $28.14 | $6.43 – $8.39 | 3 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.38 – $8.33 | 3 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.13 – $0.19 | 5 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $0.45 – $1.57 | 8 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.13 – $4.15 | 15 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $31.69 – $61.72 | 15 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $337.90 – $658.04 | 15 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $268.97 – $354.45 | 4 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $56.40 – $75.81 | 4 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $26.05 – $55.07 | 11 |
| Inj w/fluor eval cv device CPT 36598 | $492.96 | $632.00 | $28.56 – $271.76 | 14 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $10.83 – $21.10 | 15 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $34.88 – $67.92 | 15 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $386.97 – $753.60 | 15 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $18.22 – $35.49 | 14 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $23.70 – $35.55 | 11 |
| Inner skull vessel surgery CPT 61702 | $2,495.46 | $11,343.00 | $210.00 – $6,431.72 | 7 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $1,960.41 – $3,817.74 | 15 |
| Inpatient consultation CPT 99251 | not published | not published | $34.38 – $34.38 | 2 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | not published | not published | $34.90 – $47.63 | 3 |
| Inpt/ed teleconsult30 HCPCS G0425 | $56.98 | $259.00 | $75.51 – $88.74 | 3 |
| Inpt/ed teleconsult50 HCPCS G0426 | $80.30 | $365.00 | $106.81 – $124.54 | 3 |
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.