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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61684 | $1,768.80 | $8,040.00 | $210.00 – $4,557.30 | 7 |
| Intracranial vessel surgery CPT 61686 | $2,786.08 | $12,664.00 | $210.00 – $7,182.38 | 7 |
| Intracranial vessel surgery CPT 61690 | $1,361.14 | $6,187.00 | $192.36 – $3,504.80 | 7 |
| Intracranial vessel surgery CPT 61692 | $2,265.56 | $10,298.00 | $210.00 – $5,839.64 | 7 |
| Intranasal biopsy 30100 CPT 30100 | $3,466.32 | $4,444.00 | $28.07 – $1,910.65 | 15 |
| Intranasal reconstruction CPT 30620 | $405.68 | $1,844.00 | $55.17 – $7,630.39 | 15 |
| Intraop colon lavage add-on CPT 44701 | $104.28 | $474.00 | $25.01 – $268.31 | 7 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $236.72 | $1,076.00 | $139.41 – $938.38 | 7 |
| Intraop hipec px 1st 60 min CPT 96547 | $315.26 | $1,433.00 | $1,235.31 – $1,235.31 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $66.00 | $300.00 | $8.53 – $656.86 | 15 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $3.59 – $113.57 | 11 |
| Intrapul surf admin endo tube CPT 94610 | $34.10 | $155.00 | $46.02 – $262.35 | 14 |
| Intrauterine transfusion ftl CPT 36460 | $210.98 | $959.00 | $53.67 – $1,187.28 | 15 |
| Intraventricular pacing CPT 93612 | $95.92 | $436.00 | $64.92 – $9,787.60 | 15 |
| Intrinsic factor antibody CPT 86340 | $79.56 | $102.00 | $9.58 – $33.33 | 15 |
| Intrm oph exam est patient CPT 92012 | $30.58 | $139.00 | $40.88 – $166.22 | 15 |
| Intro cath dialysis circuit CPT 36901 | $3,635.58 | $4,661.00 | $125.20 – $2,003.72 | 15 |
| Intro cath dialysis circuit w/pta CPT 36902 | $13,341.90 | $17,105.00 | $186.54 – $7,354.18 | 15 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $26,537.16 | $34,022.00 | $249.66 – $14,627.77 | 15 |
| Intro catheter aorta CPT 36200 | $4,967.04 | $6,368.00 | $109.54 – $218.16 | 11 |
| Intro cath svc/ivc CPT 36010 | $7,345.26 | $9,417.00 | $85.81 – $175.19 | 11 |
| Intro long gi tube CPT 44500 | $2,194.14 | $2,813.00 | $15.35 – $1,209.32 | 15 |
| Intro long gi tube w/mult fluo CPT 74340 | $752.70 | $965.00 | $10.50 – $40.33 | 7 |
| Intro windpipe wire/tube CPT 31730 | $91.74 | $417.00 | $118.43 – $2,224.33 | 15 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $53.90 | $245.00 | $69.99 – $138.98 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $43.12 | $196.00 | $55.73 – $110.58 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $543.66 | $697.00 | $75.60 – $299.53 | 15 |
| Io anal gast n-stim init CPT 95980 | $27.50 | $125.00 | $35.97 – $71.38 | 4 |
| Io anal gast n-stim subsq CPT 95981 | $10.78 | $49.00 | $14.30 – $76.62 | 12 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $152.34 – $2,832.11 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $29.41 – $269.04 | 11 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.77 – $476.65 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | $22.66 | $103.00 | $22.51 – $57.55 | 12 |
| Ionm in operatng room 15 min CPT 95940 | $19.80 | $90.00 | $26.13 – $50.75 | 4 |
| Ionm remote/>1 pt or per hr CPT 95941 | $161.92 | $736.00 | $26.13 – $129.69 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.37 – $0.63 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.14 – $0.21 | 8 |
| Io radiation tx management CPT 77469 | $199.98 | $909.00 | $261.43 – $507.98 | 4 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $100.24 – $9,860.34 | 11 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $285.08 – $9,860.34 | 10 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.29 – $0.51 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $133.27 – $259.53 | 15 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $64.68 | $294.00 | $48.00 – $286.00 | 10 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $89.98 | $409.00 | $78.40 – $416.00 | 10 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $120.34 | $547.00 | $78.40 – $502.00 | 10 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $46.20 | $210.00 | $48.00 – $186.00 | 10 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.03 – $3.29 | 4 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.37 – $0.56 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.32 – $4.28 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $47.41 – $92.34 | 15 |
| Iron CPT 83540 | $34.32 | $44.00 | $4.12 – $13.52 | 15 |
| Iron binding capacity CPT 83550 | $46.02 | $59.00 | $5.00 – $9.53 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $13.10 – $25.51 | 15 |
| Iron stain peripheral blood CPT 85536 | $4.40 | $20.00 | $4.54 – $11.46 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $242.78 | $1,103.55 | $0.21 – $0.77 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $22.56 – $50.63 | 12 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $139.62 | $179.00 | $24.45 – $76.62 | 15 |
| Irrigation sphenoid sinus CPT 31002 | $113.52 | $516.00 | $15.49 – $1,910.65 | 15 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.13 – $4.50 | 11 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.62 – $7.65 | 11 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $15.62 | $71.00 | $20.91 – $76.62 | 15 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $60.21 – $117.25 | 15 |
| Island pedicle flap graft CPT 15740 | $520.30 | $2,365.00 | $68.52 – $2,359.45 | 15 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $142.91 – $839.06 | 11 |
| Ivc venogram s&i CPT 75825 | $10,126.74 | $12,983.00 | $15.75 – $4,059.84 | 15 |
| IV Fluids (each additional hour) CPT 96361 | $108.42 | $139.00 | $10.00 – $59.51 | 15 |
| IV Fluids (first hour) CPT 96360 | $492.96 | $632.00 | $26.23 – $271.76 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $151.98 – $216.35 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $108.42 | $139.00 | $16.03 – $52.00 | 9 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $32.09 – $518.31 | 12 |
| IV Medicine Infusion (additional drug) CPT 96367 | $166.92 | $214.00 | $23.04 – $91.80 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $108.42 | $139.00 | $16.58 – $59.51 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $492.96 | $632.00 | $50.54 – $271.76 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | $65.56 | $298.00 | $85.39 – $514.71 | 12 |
| IV Push Injection (each additional drug) CPT 96375 | $108.42 | $139.00 | $12.43 – $59.51 | 15 |
| IV Push Injection (first drug) CPT 96374 | $492.96 | $632.00 | $29.67 – $271.76 | 15 |
| Ivp w/nephrotomography CPT 74415 | $572.52 | $734.00 | $18.84 – $229.62 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $14.08 | $64.00 | $19.05 – $229.62 | 15 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $100.76 – $196.22 | 15 |
| Jak2 targeted sequence analysis CPT 81279 | $122.32 | $556.00 | $122.23 – $237.06 | 15 |
| Jaw arthroscopy/surgery CPT 29800 | $332.42 | $1,511.00 | $43.64 – $4,185.10 | 15 |
| Jaw arthroscopy/surgery CPT 29804 | $368.50 | $1,675.00 | $48.70 – $4,185.10 | 15 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $283.14 | $363.00 | $9.41 – $113.57 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $342.42 | $439.00 | $9.70 – $137.16 | 15 |
| Jejunstmy tube plcmt CPT 44372 | $146.08 | $664.00 | $192.34 – $2,446.86 | 15 |
| John cunningham antibody CPT 86711 | $88.92 | $114.00 | $11.14 – $25.33 | 15 |
| J-tube placement CPT 44015 | $86.46 | $393.00 | $112.36 – $223.66 | 7 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $720.42 – $1,523.22 | 11 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $653.98 – $1,382.74 | 11 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,081.10 – $2,285.86 | 11 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $625.45 – $1,322.44 | 11 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $763.46 – $1,614.24 | 11 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $746.52 – $1,578.43 | 11 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $586.14 – $1,239.32 | 11 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,235.22 – $2,611.72 | 11 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,041.76 – $2,202.66 | 11 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $106.08 – $224.29 | 11 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $613.34 – $1,296.81 | 11 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $2,484.20 – $5,252.52 | 11 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $572.15 – $1,209.75 | 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.