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 |
|---|---|---|---|---|
| Insj perq vad r hrt venous CPT 33995 | $214.06 | $973.00 | $279.43 – $555.13 | 4 |
| Insj phrnc nrv stim sys CPT 33276 | $351.78 | $1,599.00 | $32.08 – $58,044.45 | 12 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $239.68 – $568.61 | 4 |
| Insj rx elut implt lac canal CPT 68841 | $19.80 | $90.00 | $26.24 – $3,009.20 | 15 |
| Insj stablj dev w/dcmprn CPT 22867 | $658.90 | $2,995.00 | $86.46 – $23,720.63 | 12 |
| Insj stablj dev w/dcmprn CPT 22868 | $148.94 | $677.00 | $192.52 – $384.84 | 4 |
| Insj stablj dev without dcmprn CPT 22869 | $266.64 | $1,212.00 | $35.52 – $16,596.43 | 12 |
| Insj stablj dev without dcmprn CPT 22870 | $72.16 | $328.00 | $95.68 – $186.96 | 4 |
| Ins left heart vent thor inscn ecmo CPT 33988 | $467.94 | $2,127.00 | $606.64 – $1,208.83 | 7 |
| Ins lv lead exist pm/icd CPT 33224 | $309.32 | $1,406.00 | $397.71 – $13,498.84 | 15 |
| Ins mark abd/pel for right perq CPT 49411 | $114.18 | $519.00 | $149.14 – $1,764.87 | 15 |
| Ins mark thor for right perq CPT 32553 | $107.58 | $489.00 | $140.66 – $1,764.87 | 15 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $44.71 – $94.52 | 11 |
| Ins picad w subq port 5yr> CPT 36571 | $7,365.54 | $9,443.00 | $25.03 – $4,059.84 | 15 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,446.90 | $1,855.00 | $65.12 – $797.47 | 15 |
| Ins pm gen exist dual lead CPT 33230 | $226.82 | $1,031.00 | $20.78 – $28,952.50 | 15 |
| Ins pm gen w/exist mlt leads CPT 33221 | $216.48 | $984.00 | $19.87 – $24,599.17 | 15 |
| Ins pq tunnld ip cath w/img CPT 49418 | $122.32 | $556.00 | $160.15 – $4,552.00 | 15 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $498.10 – $1,053.80 | 2 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $166.08 – $16,084.98 | 11 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $210.10 | $955.00 | $27.67 – $39,306.74 | 15 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $289.30 | $1,315.00 | $26.49 – $24,599.17 | 12 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $204.82 | $931.00 | $18.81 – $13,498.84 | 15 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $196.90 | $895.00 | $17.96 – $10,674.88 | 15 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $275.88 | $1,254.00 | $25.23 – $13,498.84 | 15 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $182.16 | $828.00 | $24.00 – $27,660.31 | 15 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $202.40 | $920.00 | $263.24 – $36,668.63 | 12 |
| Insrt/redo neurostim 1 array CPT 61885 | $330.66 | $1,503.00 | $47.20 – $27,660.31 | 15 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | $780.12 | $3,546.00 | $114.08 – $2,032.62 | 7 |
| Ins subq extnsn pertneal cath CPT 49435 | $73.04 | $332.00 | $14.19 – $186.56 | 7 |
| Install spinal shunt CPT 63740 | $618.86 | $2,813.00 | $87.84 – $1,589.98 | 7 |
| Install spinal shunt 63741 CPT 63741 | $420.86 | $1,913.00 | $60.88 – $8,260.37 | 14 |
| Inst fibrinolysis agent ini day CPT 32561 | $41.14 | $187.00 | $54.19 – $797.47 | 14 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $36.74 | $167.00 | $48.46 – $797.47 | 14 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,281.94 – $2,015.43 | 8 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $27.06 | $123.00 | $35.22 – $860.94 | 15 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.49 – $1.04 | 11 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,358.47 – $2,902.84 | 10 |
| Instll rx agnt into rnal tub CPT 50391 | $59.84 | $272.00 | $79.22 – $313.71 | 15 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | $133.32 | $606.00 | $176.50 – $412.28 | 7 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $5.58 – $8.50 | 12 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $12,649.26 | $16,217.00 | $28.55 – $6,972.61 | 15 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $12,649.26 | $16,217.00 | $25.72 – $6,972.61 | 15 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $7,365.54 | $9,443.00 | $20.76 – $4,059.84 | 15 |
| Ins tun intraperit dia cath CPT 49421 | $139.26 | $633.00 | $180.58 – $4,552.00 | 15 |
| Inst via cath agent pleurds CPT 32560 | $46.42 | $211.00 | $60.90 – $1,187.28 | 15 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.38 – $4.58 | 8 |
| Insulin suppression panel CPT 80432 | $109.12 | $496.00 | $85.86 – $298.66 | 15 |
| Insulin tolerance panel CPT 80434 | $188.32 | $856.00 | $64.29 – $310.68 | 15 |
| Insulin tolerance panel CPT 80435 | $68.20 | $310.00 | $65.46 – $227.68 | 15 |
| Insulin total CPT 83525 | $60.06 | $77.00 | $7.55 – $17.60 | 15 |
| Ins vag brachytx device CPT 57156 | $94.38 | $429.00 | $85.47 – $1,187.28 | 15 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,454.95 – $2,182.27 | 8 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $65.20 – $75.69 | 2 |
| Intens behave ther cardio dx HCPCS G0446 | $18.70 | $85.00 | $17.98 – $38.43 | 11 |
| Intens cardiac rehab no exer HCPCS G0423 | $79.86 | $363.00 | $76.00 – $162.41 | 11 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $79.86 | $363.00 | $76.00 – $162.41 | 11 |
| Intercalary algrft compl CPT 20934 | $462.88 | $2,104.00 | $603.98 – $1,192.25 | 4 |
| Interdental fixation CPT 21110 | $427.24 | $1,942.00 | $57.75 – $1,910.65 | 12 |
| Interdental wirg oth/thn fx CPT 21497 | $356.62 | $1,621.00 | $47.77 – $1,910.65 | 12 |
| Interdiscal perq aspir dx CPT 62267 | $1,646.58 | $2,111.00 | $102.70 – $1,187.28 | 15 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $28.87 – $52.89 | 4 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $31.34 – $48.13 | 4 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $4.34 – $15.12 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $39.15 | 4 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $41.76 – $73.42 | 12 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,600.80 – $2,401.42 | 12 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $710.56 – $909.10 | 4 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $8,304.94 – $10,625.45 | 4 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.01 – $15.54 | 8 |
| Intermediate visual field xm CPT 92082 | $12.54 | $57.00 | $16.90 – $76.62 | 15 |
| Internal nerve revision 64727 CPT 64727 | $109.56 | $498.00 | $145.30 – $283.12 | 7 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $203.74 – $430.79 | 11 |
| Interrogate subq defib CPT 93261 | $21.78 | $99.00 | $22.51 – $52.92 | 12 |
| Interrogation vad in person CPT 93750 | $24.64 | $112.00 | $32.03 – $118.40 | 15 |
| Interrog dev eval icpms ip CPT 93290 | $12.54 | $57.00 | $11.31 – $48.10 | 15 |
| Interrog dev eval scrms ip CPT 93291 | $10.78 | $49.00 | $14.44 – $31.59 | 15 |
| Interrog device eval heart CPT 93289 | $22.00 | $100.00 | $18.33 – $55.47 | 15 |
| Interrog evl pm/ldls pm ip CPT 93288 | $12.54 | $57.00 | $14.87 – $48.10 | 15 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $32.74 – $118.40 | 12 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $76.11 – $386.84 | 12 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $17.56 – $118.40 | 12 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $10,940.60 – $23,132.54 | 11 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $9,909.84 – $20,953.15 | 11 |
| Interstitial brachy inter CPT 77799 | not published | $0.01 | $66.10 – $141.24 | 10 |
| Interthoracoscplr amputation CPT 23900 | $858.44 | $3,902.00 | $112.31 – $2,204.18 | 7 |
| Intestinal stricturoplasty CPT 44615 | $661.54 | $3,007.00 | $77.32 – $1,697.77 | 7 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $4,791.60 – $4,791.60 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | $210.54 | $957.00 | $24.98 – $3,537.31 | 15 |
| Int hrhc lig 2+hroid without img CPT 46946 | $234.74 | $1,067.00 | $27.94 – $3,537.31 | 15 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $798.99 – $1,689.39 | 11 |
| Intra-atrial pacing CPT 93610 | $97.02 | $441.00 | $55.49 – $9,787.60 | 15 |
| Intra-atrial recording CPT 93602 | $68.86 | $313.00 | $44.01 – $9,787.60 | 15 |
| Intracard echo interv w/s&i CPT 93662 | $66.44 | $302.00 | $29.39 – $260.66 | 4 |
| Intracran angioplsty w/stent CPT 61635 | $922.02 | $4,191.00 | $1,184.50 – $2,358.58 | 4 |
| Intracranial angioplasty CPT 61630 | $842.38 | $3,829.00 | $1,090.17 – $2,170.65 | 4 |
| Intracranial complete study CPT 93886 | $27.72 | $126.00 | $37.52 – $311.79 | 15 |
| Intracranial limited study CPT 93888 | $22.00 | $100.00 | $20.14 – $137.16 | 15 |
| Intracranial vessel surgery CPT 61680 | $1,406.02 | $6,391.00 | $200.04 – $3,644.45 | 7 |
| Intracranial vessel surgery CPT 61682 | $2,569.60 | $11,680.00 | $210.00 – $6,673.05 | 7 |
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.