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 |
|---|---|---|---|---|
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,058.27 – $2,237.55 | 11 |
| Keratomileusis CPT 65760 | not published | not published | $931.42 – $2,102.28 | 4 |
| Keratophakia CPT 65765 | not published | not published | $1,350.68 – $3,048.27 | 4 |
| Keratoprosthesis CPT 65770 | $850.08 | $3,864.00 | $113.92 – $18,431.24 | 15 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $577.50 – $913.23 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $13.88 – $23.41 | 4 |
| Ketogenic steroids fract CPT 83582 | $10.12 | $46.00 | $9.01 – $28.80 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.68 | $56.00 | $5.00 – $8.91 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $5.03 | $22.86 | $0.21 – $0.75 | 15 |
| Kidney endoscopy CPT 50551 | $179.74 | $817.00 | $236.42 – $6,557.17 | 15 |
| Kidney endoscopy CPT 50553 | $192.06 | $873.00 | $238.35 – $6,557.17 | 15 |
| Kidney endoscopy CPT 50570 | $300.08 | $1,364.00 | $341.25 – $4,448.70 | 15 |
| Kidney endoscopy CPT 50575 | $435.82 | $1,981.00 | $572.78 – $6,557.17 | 15 |
| Kidney endoscopy & biopsy CPT 50555 | $209.00 | $950.00 | $274.41 – $11,927.55 | 15 |
| Kidney endoscopy & biopsy CPT 50574 | $345.18 | $1,569.00 | $341.25 – $4,448.70 | 15 |
| Kidney endoscopy & treatment CPT 50557 | $211.42 | $961.00 | $277.97 – $11,927.55 | 15 |
| Kidney endoscopy & treatment CPT 50561 | $240.90 | $1,095.00 | $317.45 – $6,557.17 | 15 |
| Kidney endoscopy & treatment CPT 50576 | $344.30 | $1,565.00 | $341.25 – $11,927.55 | 15 |
| Kidney endoscopy & treatment CPT 50580 | $370.70 | $1,685.00 | $341.25 – $6,557.17 | 15 |
| Kidney function study CPT 78725 | $10.34 | $47.00 | $13.91 – $518.31 | 15 |
| Kidney imaging morphology CPT 78700 | $12.76 | $58.00 | $16.91 – $518.31 | 15 |
| Kidney imag w/bld flow multi CPT 78709 | $1,102.14 | $1,413.00 | $53.22 – $694.29 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,102.14 | $1,413.00 | $36.05 – $694.29 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $467.22 | $599.00 | $28.75 – $137.16 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $467.22 | $599.00 | $22.40 – $137.16 | 15 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $26.52 – $70.70 | 11 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $5.03 – $10.65 | 11 |
| Kit gene analys d816 variant CPT 81273 | $82.28 | $374.00 | $82.41 – $159.84 | 15 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $9.96 – $21.05 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | not published | not published | $2,300.00 – $2,300.00 | 1 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $24.61 – $39.52 | 8 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,046.06 – $2,211.77 | 11 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $0.84 – $24.98 | 11 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $387.86 | $1,763.00 | $50.90 – $4,185.10 | 15 |
| Knee arthroscopy/drainage CPT 29871 | $322.74 | $1,467.00 | $42.35 – $4,185.10 | 15 |
| Knee arthroscopy dx CPT 29870 | $259.16 | $1,178.00 | $33.79 – $4,185.10 | 15 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $338.36 | $1,538.00 | $19.00 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29850 | $391.16 | $1,778.00 | $51.24 – $2,064.31 | 15 |
| Knee arthroscopy/surgery CPT 29851 | $579.48 | $2,634.00 | $75.80 – $2,064.31 | 15 |
| Knee arthroscopy/surgery CPT 29873 | $335.94 | $1,527.00 | $44.27 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29874 | $335.06 | $1,523.00 | $44.18 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29875 | $310.64 | $1,412.00 | $40.81 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29876 | $407.88 | $1,854.00 | $53.49 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29879 | $413.38 | $1,879.00 | $54.21 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29880 | $351.12 | $1,596.00 | $46.13 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29882 | $429.66 | $1,953.00 | $19.00 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29883 | $522.50 | $2,375.00 | $68.85 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29884 | $387.20 | $1,760.00 | $5.96 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29886 | $398.86 | $1,813.00 | $5.96 – $4,185.10 | 15 |
| Knee arthroscopy/surgery CPT 29887 | $470.80 | $2,140.00 | $4.50 – $9,214.43 | 15 |
| Knee arthroscopy/surgery CPT 29888 | $604.34 | $2,747.00 | $79.36 – $9,214.43 | 15 |
| Knee arthroscopy/surgery CPT 29889 | $761.42 | $3,461.00 | $99.76 – $16,596.43 | 15 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $72.25 – $162.91 | 11 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $52.90 – $127.88 | 11 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $50.13 – $105.99 | 11 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $360.11 – $761.41 | 11 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $430.09 – $909.38 | 11 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $86.90 – $183.73 | 11 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $86.90 – $183.73 | 11 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $73.63 – $155.68 | 11 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $52.85 – $111.75 | 11 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $78.69 – $166.82 | 11 |
| Knee MRI (with and without contrast) CPT 73723 | $3,134.04 | $4,018.00 | $83.52 – $722.82 | 15 |
| Knee MRI (with contrast) CPT 73722 | $5,546.58 | $7,111.00 | $63.07 – $1,019.07 | 15 |
| Knee MRI (without contrast) CPT 73721 | $1,697.28 | $2,176.00 | $52.80 – $411.57 | 15 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $178.42 – $377.27 | 11 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $933.94 – $1,974.71 | 11 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $488.16 – $1,191.80 | 11 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $266.62 – $563.73 | 11 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $450.96 – $953.51 | 11 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $337.58 – $713.79 | 11 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $274.95 – $581.34 | 11 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,226.37 – $2,593.01 | 11 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $1,527.90 – $3,230.54 | 11 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $736.68 – $1,557.61 | 11 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $588.20 – $1,243.68 | 11 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $8,813.29 – $18,634.62 | 11 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $653.18 – $1,381.07 | 11 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,088.73 – $2,301.98 | 11 |
| Knee X-ray CPT 73564 | $342.42 | $439.00 | $9.12 – $137.16 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $354.12 | $454.00 | $7.45 – $113.57 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $283.14 | $363.00 | $6.61 – $113.57 | 15 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $222.54 – $470.53 | 11 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $2,058.69 – $4,352.85 | 11 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $348.69 – $737.27 | 11 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $348.69 – $737.27 | 11 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $600.53 – $1,269.74 | 11 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $54.92 – $82.39 | 11 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $69.97 – $104.97 | 11 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $543.96 – $1,150.12 | 11 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $470.53 – $705.86 | 11 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $623.21 – $1,317.69 | 11 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $161.17 – $241.77 | 11 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $360.00 – $953.24 | 11 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $692.10 – $1,463.35 | 11 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $942.85 – $1,993.53 | 11 |
| Kras gene addl variants CPT 81276 | $127.60 | $580.00 | $127.55 – $252.40 | 15 |
| Kras gene variants exon 2 CPT 81275 | $127.60 | $580.00 | $127.55 – $252.77 | 15 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,238.93 – $2,053.80 | 9 |
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.