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 |
|---|---|---|---|---|
| Ant instr 2-3 vert segm 22845 CPT 22845 | $446.82 | $2,031.00 | $115.29 – $1,152.76 | 7 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $465.52 | $2,116.00 | $149.53 – $1,199.87 | 7 |
| Antinuclear antibodies CPT 86038 | $63.96 | $82.00 | $7.68 – $24.00 | 15 |
| Antinuclear antibodies titer CPT 86039 | $58.50 | $75.00 | $7.10 – $24.00 | 15 |
| Antiphosphatidylserine antibody CPT 86148 | $85.02 | $109.00 | $10.60 – $17.52 | 12 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $14.36 – $27.12 | 8 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $14.36 – $27.12 | 6 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $14.36 – $27.12 | 6 |
| Antistreptolysin o screen CPT 86063 | $3.96 | $18.00 | $2.83 – $11.20 | 15 |
| Antistreptolysin o titer CPT 86060 | $39.00 | $50.00 | $4.37 – $11.20 | 15 |
| Antithrombin iii activity CPT 85300 | $62.40 | $80.00 | $7.53 – $15.04 | 15 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $1.77 – $5.78 | 15 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $143.31 – $188.86 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $3,642.53 – $7,093.55 | 15 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $723.98 – $1,409.89 | 15 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $538.12 | $2,446.00 | $69.83 – $6,367.34 | 15 |
| Ant sgm img ir flrscn angrph CPT 92287 | $21.34 | $97.00 | $23.88 – $166.26 | 12 |
| Ant sgm img i&r speclr mic CPT 92286 | $12.98 | $59.00 | $14.44 – $166.26 | 15 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $140.51 – $3,271.15 | 4 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $154.79 – $3,604.04 | 4 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $573.63 – $1,212.88 | 11 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $467.22 | $599.00 | $21.29 – $137.16 | 15 |
| Aortic circulation assist 33971 CPT 33971 | $430.54 | $1,957.00 | $39.37 – $1,113.39 | 7 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $332.64 – $549.36 | 12 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $891.12 – $1,471.71 | 12 |
| Aortic hemiarch graft 33866 CPT 33866 | $556.82 | $2,531.00 | $721.28 – $1,438.60 | 4 |
| Aortic suspension CPT 33800 | $601.70 | $2,735.00 | $54.72 – $1,552.74 | 7 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $132.00 – $724.27 | 15 |
| Apc gene full sequence CPT 81201 | not published | not published | $514.80 – $1,463.50 | 15 |
| Apc gene known fam variants CPT 81202 | not published | not published | $165.22 – $305.20 | 15 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $9.34 – $76.62 | 12 |
| Apheresis immunoads slctv CPT 36516 | $53.90 | $245.00 | $68.55 – $6,043.22 | 15 |
| Apheresis plasma CPT 36514 | $57.20 | $260.00 | $75.53 – $2,114.45 | 15 |
| Apheresis platelets CPT 36513 | $66.22 | $301.00 | $85.76 – $563.90 | 15 |
| Apheresis rbc CPT 36512 | $64.68 | $294.00 | $75.00 – $2,114.45 | 15 |
| Apheresis wbc CPT 36511 | $68.20 | $310.00 | $75.00 – $2,114.45 | 15 |
| Apl(pml-rara) quant - sendout CPT 81315 | $136.84 | $622.00 | $136.83 – $362.02 | 15 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $35.41 – $45.31 | 4 |
| Appendectomy CPT 44950 | $397.98 | $1,809.00 | $46.62 – $8,048.42 | 15 |
| Appendectomy add-on 44955 CPT 44955 | $51.26 | $233.00 | $66.71 – $132.30 | 7 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $543.18 | $2,469.00 | $63.56 – $1,398.67 | 7 |
| Appendico-vesicostomy CPT 50845 | $773.96 | $3,518.00 | $81.53 – $1,991.48 | 7 |
| Appendix Removal (Laparoscopic) CPT 44970 | $374.22 | $1,701.00 | $43.87 – $7,525.52 | 15 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $137.28 | $624.00 | $178.84 – $2,359.45 | 15 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $34.32 | $156.00 | $44.52 – $87.95 | 10 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $3,210.48 | $4,116.00 | $20.16 – $39.65 | 10 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $8,566.74 | $10,983.00 | $156.86 – $4,722.15 | 15 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $6,424.86 | $8,237.00 | $35.55 – $70.36 | 10 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $3,210.48 | $4,116.00 | $13.59 – $26.76 | 10 |
| Appl bdy cst sho to hip 1thi CPT 29044 | $104.50 | $475.00 | $10.36 – $265.44 | 15 |
| Appl bdy cst sho to hip b th CPT 29046 | $117.04 | $532.00 | $29.77 – $342.56 | 15 |
| Appl bdy cst sho to hip head CPT 29040 | $108.46 | $493.00 | $63.46 – $342.56 | 15 |
| Appl body cast sho to hips CPT 29035 | $89.76 | $408.00 | $7.41 – $342.56 | 15 |
| Appl cast figure-of-eight CPT 29049 | $43.56 | $198.00 | $32.50 – $342.56 | 15 |
| Appl cast plaster velpeau CPT 29058 | $58.52 | $266.00 | $35.97 – $342.56 | 15 |
| Appl cast shoulder spica CPT 29055 | $86.02 | $391.00 | $7.50 – $342.56 | 15 |
| Appl halo cranial 6+pins CPT 20664 | $556.16 | $2,528.00 | $72.00 – $1,425.60 | 4 |
| Appl halo type body cast CPT 29000 | $123.64 | $562.00 | $30.11 – $342.56 | 15 |
| Appl hip spica cast1&1/2 CPT 29325 | $621.66 | $797.00 | $15.30 – $342.56 | 15 |
| Appl hip spica cast 1 leg CPT 29305 | $98.78 | $449.00 | $25.50 – $342.56 | 15 |
| Application clubfoot cast CPT 29450 | $69.30 | $315.00 | $35.48 – $203.53 | 15 |
| Application finger splntstatic 29130 CPT 29130 | $301.86 | $387.00 | $23.53 – $166.26 | 12 |
| Application halo femoral CPT 20663 | $300.96 | $1,368.00 | $21.00 – $4,185.10 | 15 |
| Application halo pelvic CPT 20662 | $326.70 | $1,485.00 | $21.00 – $2,064.31 | 15 |
| Application long leg splint 29505 CPT 29505 | $368.94 | $473.00 | $38.85 – $203.53 | 15 |
| Application lower leg splint 29515 CPT 29515 | $368.94 | $473.00 | $30.80 – $203.53 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $368.94 | $473.00 | $11.54 – $203.53 | 15 |
| Application of body cast CPT 29010 | $100.10 | $455.00 | $8.59 – $342.56 | 15 |
| Application of body cast CPT 29015 | $112.42 | $511.00 | $117.05 – $342.56 | 15 |
| Application of cylinder cast 29365 CPT 29365 | $54.12 | $246.00 | $33.32 – $342.56 | 15 |
| Application of forearm cast 29075 CPT 29075 | $621.66 | $797.00 | $47.78 – $342.56 | 15 |
| Application of long arm cast 29065 CPT 29065 | $621.66 | $797.00 | $7.79 – $342.56 | 15 |
| Application of long leg cast CPT 29355 | $65.56 | $298.00 | $12.03 – $342.56 | 15 |
| Application of long leg cast 29345 CPT 29345 | $621.66 | $797.00 | $17.50 – $342.56 | 15 |
| Application of paste boot 29580 CPT 29580 | $368.94 | $473.00 | $21.31 – $203.53 | 12 |
| Application short leg cast 29405 CPT 29405 | $621.66 | $797.00 | $47.88 – $342.56 | 15 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $4,280.64 | $5,488.00 | $75.85 – $2,359.45 | 15 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $4,280.64 | $5,488.00 | $67.94 – $2,359.45 | 15 |
| Appl long leg cast brace CPT 29358 | $64.02 | $291.00 | $64.58 – $342.56 | 15 |
| Appl mltpln uni ext fixj sys CPT 20692 | $702.90 | $3,195.00 | $23.86 – $16,596.43 | 15 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $27.30 | $35.00 | $4.24 – $8.89 | 12 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $49.92 | $64.00 | $8.15 – $18.53 | 12 |
| Appl modality 1+lllt po pain CPT 97037 | $114.66 | $147.00 | $23.69 – $50.63 | 10 |
| Appl multlay comprs arm/hand CPT 29584 | $9.68 | $44.00 | $12.67 – $203.53 | 15 |
| Appl patllr tdn bearing cast CPT 29435 | $53.68 | $244.00 | $62.49 – $342.56 | 15 |
| Appl unipln uni ext fixj sys CPT 20690 | $371.80 | $1,690.00 | $48.65 – $9,214.43 | 15 |
| Apply finger cast 29086 CPT 29086 | $30.58 | $139.00 | $35.27 – $203.53 | 15 |
| Apply forearm splintdynamic 29126 CPT 29126 | $301.86 | $387.00 | $27.30 – $166.26 | 15 |
| Apply halo w/removal cranial CPT 20661 | $321.86 | $1,463.00 | $42.74 – $838.17 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | $42.02 | $191.00 | $16.01 – $203.53 | 15 |
| Apply interstit radiat compl CPT 77778 | $287.54 | $1,307.00 | $152.25 – $894.92 | 15 |
| Apply intrcav radiat compl CPT 77763 | $284.46 | $1,293.00 | $127.05 – $894.92 | 15 |
| Apply intrcav radiat interm CPT 77762 | $188.76 | $858.00 | $127.05 – $746.15 | 15 |
| Apply intrcav radiat simple CPT 77761 | $126.28 | $574.00 | $127.05 – $746.15 | 15 |
| Apply of finger splint 29131 CPT 29131 | $21.56 | $98.00 | $28.17 – $76.62 | 15 |
| Apply rem fixation device CPT 20660 | $148.94 | $677.00 | $165.74 – $2,064.31 | 14 |
| Apply rigid leg cast 29445 CPT 29445 | $621.66 | $797.00 | $80.55 – $342.56 | 15 |
| Apply r&l pulm art bands CPT 33620 | $1,001.88 | $4,554.00 | $91.07 – $2,589.62 | 7 |
| Apply short leg castambul type 29425 CPT 29425 | $33.66 | $153.00 | $31.50 – $342.56 | 15 |
| Apply srs headframe add-on CPT 61800 | $92.40 | $420.00 | $119.44 – $239.96 | 4 |
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.