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 |
|---|---|---|---|---|
| Lap ins device for right CPT 49327 | $80.08 | $364.00 | $17.79 – $205.91 | 7 |
| Lap insert tunnel ip cath CPT 49324 | $238.92 | $1,086.00 | $31.16 – $7,525.52 | 15 |
| Lap jejunostomy 44186 CPT 44186 | $403.48 | $1,834.00 | $36.81 – $7,525.52 | 15 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $114.18 | $519.00 | $25.76 – $294.35 | 7 |
| Lap myotomy heller CPT 43279 | $791.34 | $3,597.00 | $92.58 – $2,041.13 | 7 |
| Lap paraesophag hern repair CPT 43281 | $946.66 | $4,303.00 | $110.76 – $13,429.04 | 15 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $1,067.22 | $4,851.00 | $124.73 – $13,429.04 | 14 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,067.44 | $4,852.00 | $125.62 – $2,758.85 | 7 |
| Lap place gastr adj device CPT 43770 | $697.40 | $3,170.00 | $81.66 – $13,429.04 | 14 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | $930.60 | $4,230.00 | $109.83 – $2,403.39 | 7 |
| Lap radical hyst CPT 58548 | $1,163.14 | $5,287.00 | $168.00 – $3,012.66 | 7 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | $1,196.58 | $5,439.00 | $141.64 – $3,093.40 | 7 |
| Lap remove rectum w/pouch CPT 45397 | $1,298.00 | $5,900.00 | $153.58 – $3,350.17 | 7 |
| Lap replace gastr adj device CPT 43773 | $791.34 | $3,597.00 | $92.59 – $7,525.52 | 14 |
| Lap resect s/intestine addl 44203 CPT 44203 | $147.18 | $669.00 | $33.34 – $380.02 | 7 |
| Lap revise gastr adj device CPT 43771 | $791.34 | $3,597.00 | $72.01 – $2,037.93 | 7 |
| Lap revise/remv eltrd antrum CPT 43648 | $225.06 | $1,023.00 | $628.61 – $13,429.04 | 12 |
| Lap revision perm ip cath CPT 49325 | $255.20 | $1,160.00 | $33.22 – $7,525.52 | 15 |
| Lap rmvl gastr adj all parts CPT 43774 | $596.20 | $2,710.00 | $54.18 – $4,907.32 | 14 |
| Lap rmvl gastr adj device CPT 43772 | $589.38 | $2,679.00 | $68.87 – $4,907.32 | 14 |
| Laps abltj uterine fibroids CPT 58674 | $502.48 | $2,284.00 | $79.60 – $13,429.04 | 15 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $405.24 | $1,842.00 | $47.43 – $13,429.04 | 12 |
| Lap sleeve gastrectomy CPT 43775 | $682.66 | $3,103.00 | $79.59 – $1,762.01 | 7 |
| Laps pelvic lymphadec CPT 38573 | $728.20 | $3,310.00 | $95.63 – $13,429.04 | 15 |
| Laps surg prst8ect rpbic rad CPT 55866 | $736.78 | $3,349.00 | $77.57 – $13,429.04 | 14 |
| Laps surg prst8ect smpl stot CPT 55867 | $647.24 | $2,942.00 | $85.16 – $13,429.04 | 14 |
| Laps tot hyst resj mal CPT 58575 | $1,195.04 | $5,432.00 | $189.13 – $3,092.36 | 7 |
| Lap tot proctocolectomy 44210 CPT 44210 | $1,083.72 | $4,926.00 | $128.12 – $2,799.86 | 7 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | $617.10 | $2,805.00 | $97.82 – $1,595.80 | 7 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $115.50 | $525.00 | $22.06 – $298.40 | 7 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $691.08 | $886.00 | $17.00 – $380.75 | 15 |
| Largsc w/laser dstrj les CPT 31572 | $111.32 | $506.00 | $146.43 – $4,755.66 | 15 |
| Largsc w/njx augmentation CPT 31574 | $91.96 | $418.00 | $121.32 – $2,224.33 | 15 |
| Largsc w/removal lesion CPT 31578 | $91.96 | $418.00 | $121.32 – $4,755.66 | 15 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $82.50 | $375.00 | $108.27 – $1,187.28 | 15 |
| Largsc w/ther injection CPT 31573 | $91.52 | $416.00 | $120.85 – $2,224.33 | 15 |
| Laronidase injection HCPCS J1931 | not published | not published | $28.98 – $56.43 | 15 |
| Laryngeal function studies CPT 92520 | $24.64 | $112.00 | $32.58 – $166.26 | 12 |
| Laryngoplasty cricoid split CPT 31587 | $741.84 | $3,372.00 | $98.53 – $7,630.39 | 15 |
| Laryngoplasty fx rdctj fixj CPT 31584 | $860.42 | $3,911.00 | $114.94 – $7,630.39 | 14 |
| Laryngoplasty laryngeal sten CPT 31551 | $948.64 | $4,312.00 | $125.82 – $7,630.39 | 15 |
| Laryngoplasty laryngeal sten CPT 31552 | $915.64 | $4,162.00 | $121.46 – $7,630.39 | 15 |
| Laryngoplasty laryngeal sten CPT 31553 | $1,026.96 | $4,668.00 | $136.94 – $7,630.39 | 15 |
| Laryngoplasty laryngeal sten CPT 31554 | $1,027.40 | $4,670.00 | $136.99 – $7,630.39 | 15 |
| Laryngoplasty laryngeal web CPT 31580 | $781.88 | $3,554.00 | $104.53 – $7,630.39 | 15 |
| Laryngoplasty medialization CPT 31591 | $676.50 | $3,075.00 | $89.85 – $7,630.39 | 15 |
| Laryngoscope w/vc inj CPT 31570 | $141.02 | $641.00 | $185.22 – $4,755.66 | 15 |
| Laryngoscopic sensory i&r CPT 92615 | $20.02 | $91.00 | $26.71 – $51.88 | 7 |
| Laryngoscopic sensory vid CPT 92614 | $40.26 | $183.00 | $53.49 – $103.81 | 11 |
| Laryngoscop w/arytenoidectom CPT 31560 | $191.62 | $871.00 | $252.19 – $8,929.03 | 15 |
| Laryngoscop w/vc inj + scope CPT 31571 | $152.90 | $695.00 | $198.45 – $4,755.66 | 15 |
| Laryngoscopy and dilation CPT 31528 | $88.88 | $404.00 | $117.00 – $4,755.66 | 15 |
| Laryngoscopy and dilation CPT 31529 | $99.00 | $450.00 | $130.63 – $4,755.66 | 15 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $98.56 | $448.00 | $123.90 – $2,224.33 | 15 |
| Laryngoscopy for treatment CPT 31527 | $120.12 | $546.00 | $157.84 – $4,755.66 | 15 |
| Laryngoscopy telescopic CPT 31579 | $73.92 | $336.00 | $78.75 – $500.87 | 14 |
| Laryngoscopy w/biopsy CPT 31535 | $116.60 | $530.00 | $153.18 – $4,755.66 | 15 |
| Laryngoscopy w/bx & op scope CPT 31536 | $129.14 | $587.00 | $170.08 – $4,755.66 | 15 |
| Laryngoscopy w/exc of tumor CPT 31540 | $148.28 | $674.00 | $195.05 – $4,755.66 | 15 |
| Laryngoscopy w/fb & op scope CPT 31531 | $129.58 | $589.00 | $166.95 – $4,755.66 | 15 |
| Laryngoscopy w/fb removal CPT 31530 | $4,035.72 | $5,174.00 | $160.97 – $2,224.33 | 15 |
| Laryngoscopy with biopsy CPT 31576 | $73.92 | $336.00 | $97.20 – $2,224.33 | 15 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $75.02 | $341.00 | $61.95 – $4,755.66 | 15 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $68.64 | $312.00 | $73.50 – $500.87 | 15 |
| Larynscop remve cart + scop CPT 31561 | $209.00 | $950.00 | $275.84 – $8,929.03 | 15 |
| Larynscop w/tumr exc + scope CPT 31541 | $161.48 | $734.00 | $212.72 – $4,755.66 | 15 |
| Laser surgery eye strands CPT 67031 | $213.62 | $971.00 | $28.66 – $707.62 | 15 |
| Laser surgery of cervix 57513 CPT 57513 | $90.20 | $410.00 | $12.03 – $4,101.16 | 15 |
| Laser surgery of prostate CPT 52647 | $403.04 | $1,832.00 | $42.41 – $6,557.17 | 15 |
| Laser surgery of prostate CPT 52648 | $428.56 | $1,948.00 | $45.18 – $6,557.17 | 15 |
| Laser surg penis lesion(s) CPT 54057 | $59.62 | $271.00 | $8.04 – $2,359.45 | 15 |
| Laser treatment of retina CPT 67039 | $579.04 | $2,632.00 | $52.92 – $5,188.94 | 15 |
| Laser treatment of retina CPT 67040 | $625.46 | $2,843.00 | $83.76 – $5,188.94 | 15 |
| Lateral canthopexy CPT 21282 | $245.30 | $1,115.00 | $32.67 – $4,183.11 | 15 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $151.97 – $321.31 | 11 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $47.51 – $100.45 | 11 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $44.48 – $94.05 | 11 |
| Lat retinacular release open CPT 27425 | $285.78 | $1,299.00 | $37.58 – $4,185.10 | 15 |
| Lavage cannulation maxillary sinus CPT 31000 | $67.98 | $309.00 | $9.06 – $299.53 | 15 |
| Lavh >250 gms 58553 CPT 58553 | $691.90 | $3,145.00 | $109.52 – $13,429.04 | 15 |
| Lb with mastopexy 15839 CPT 15839 | $457.60 | $2,080.00 | $60.10 – $3,691.65 | 12 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | not published | not published | $19.00 – $19.00 | 1 |
| Lead capillary CPT 83655 | $63.96 | $82.00 | $7.69 – $16.00 | 15 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $208.06 | $945.75 | $1,112.03 – $1,112.03 | 1 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $207.35 – $438.41 | 11 |
| Lead tachy durata sj4 58cm HCPCS C1777 | not published | not published | $8,995.58 – $8,995.58 | 1 |
| Lefort i-1 piece without graft CPT 21141 | $818.18 | $3,719.00 | $108.32 – $7,630.39 | 14 |
| Lefort i-2 piece without graft CPT 21142 | $839.96 | $3,818.00 | $111.17 – $7,630.39 | 14 |
| Lefort i-3/> piece with graft CPT 21147 | $1,045.88 | $4,754.00 | $138.34 – $2,686.93 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | $865.92 | $3,936.00 | $114.59 – $7,630.39 | 14 |
| Lefort ii anterior intrusion CPT 21150 | $1,008.04 | $4,582.00 | $133.70 – $7,630.39 | 15 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.26 – $2.67 | 11 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $0.83 – $1.75 | 11 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $0.16 – $2.67 | 11 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $707.46 | $907.00 | $28.84 – $311.79 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,510.08 | $1,936.00 | $45.07 – $229.62 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $902.46 | $1,157.00 | $38.73 – $137.16 | 15 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,038.23 – $2,195.21 | 11 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $765.30 – $1,618.13 | 11 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $657.32 – $1,389.82 | 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.