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 |
|---|---|---|---|---|
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,043.13 – $2,205.55 | 11 |
| Legion pneumo dna dir prob CPT 87540 | $13.20 | $60.00 | $10.34 – $21.85 | 12 |
| Legion pneumo dna quant CPT 87542 | $27.72 | $126.00 | $20.80 – $45.52 | 12 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $886.91 – $1,875.27 | 11 |
| Leg vein fusion 34530 CPT 34530 | $572.22 | $2,601.00 | $51.89 – $4,059.84 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $707.46 | $907.00 | $26.69 – $311.79 | 15 |
| Leishmania antibody CPT 86717 | $7.92 | $36.00 | $5.92 – $13.35 | 12 |
| Lengthening of hand tendon CPT 26478 | $403.26 | $1,833.00 | $29.93 – $4,185.10 | 15 |
| Lengthening of palate CPT 42227 | $517.44 | $2,352.00 | $61.89 – $7,630.39 | 15 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $555.28 | $2,524.00 | $66.41 – $7,630.39 | 15 |
| Lengthening of thigh bone CPT 27466 | $735.46 | $3,343.00 | $96.32 – $1,888.69 | 7 |
| Lengthening of thigh tendon CPT 27393 | $315.26 | $1,433.00 | $6.90 – $9,214.43 | 15 |
| Lengthening of thigh tendons CPT 27394 | $410.52 | $1,866.00 | $2.61 – $9,214.43 | 15 |
| Lengthening of thigh tendons CPT 27395 | $549.78 | $2,499.00 | $5.22 – $4,185.10 | 15 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $665.72 | $3,026.00 | $87.26 – $1,710.61 | 7 |
| Lengthen metacarpal/finger CPT 26568 | $567.82 | $2,581.00 | $23.54 – $9,214.43 | 15 |
| Lengthen radius or ulna CPT 25391 | $620.18 | $2,819.00 | $31.71 – $16,596.43 | 15 |
| Lengthen radius & ulna CPT 25393 | $701.36 | $3,188.00 | $91.85 – $9,214.43 | 15 |
| Lens, intraocular (new tech) HCPCS C1780 | not published | not published | $380.44 – $380.44 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | not published | $456.50 – $456.50 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $639.92 | $2,908.75 | $73.65 – $155.73 | 11 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $73.65 – $155.73 | 11 |
| Lepirudin HCPCS J1945 | not published | not published | $169.15 – $842.89 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $3.72 – $5.59 | 8 |
| Leukacyte transfusion CPT 86950 | not published | not published | $58.80 – $221.03 | 12 |
| Leukocyte phagocytosis CPT 86344 | $7.04 | $32.00 | $5.08 – $11.33 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $112.93 – $219.92 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,262.17 – $2,457.99 | 15 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $2,709.54 – $7,417.62 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $8.91 – $53.59 | 5 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $160.39 – $312.35 | 15 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $37.35 – $72.74 | 15 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $29.70 – $108.44 | 10 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $49.50 – $142.74 | 10 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $82.50 – $240.68 | 10 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $126.50 – $368.32 | 10 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $192.50 – $520.96 | 10 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $0.12 – $2.51 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.28 – $0.42 | 8 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.12 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $8.99 | $40.85 | $0.04 – $0.07 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $69.42 | $89.00 | $8.74 – $23.15 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $9.70 | $44.10 | $1.20 – $2.77 | 8 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $8.00 – $662.29 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $5.39 – $10.89 | 8 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $157.30 | $715.00 | $0.01 – $4,148.73 | 15 |
| Lidocaine injection HCPCS J2001 | $9.08 | $41.27 | $0.02 – $0.02 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.01 – $0.01 | 3 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.01 – $0.01 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $9.68 | $44.00 | $9.34 – $20.80 | 15 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $104.00 – $261.16 | 11 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $44.71 – $94.52 | 11 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $23.14 – $48.92 | 11 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $343.10 – $725.45 | 11 |
| Ligate esophagus veins CPT 43400 | $941.16 | $4,278.00 | $110.02 – $2,425.52 | 7 |
| Ligate leg veins open CPT 37761 | $324.06 | $1,473.00 | $29.85 – $4,059.84 | 15 |
| Ligate leg veins radical 37760 CPT 37760 | $351.34 | $1,597.00 | $31.89 – $4,059.84 | 15 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $46.42 | $211.00 | $12.08 – $120.29 | 7 |
| Ligate/staple esophagus CPT 43405 | $893.20 | $4,060.00 | $104.57 – $2,304.02 | 7 |
| Ligate/strip long leg vein CPT 37722 | $279.40 | $1,270.00 | $25.57 – $4,059.84 | 15 |
| Ligate/strip short leg vein CPT 37718 | $240.46 | $1,093.00 | $21.79 – $4,059.84 | 12 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $229.24 | $1,042.00 | $36.46 – $4,101.16 | 15 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $124.74 | $567.00 | $16.45 – $2,089.89 | 15 |
| Ligation common iliac vein CPT 37660 | $810.92 | $3,686.00 | $73.69 – $2,089.66 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $149.38 | $679.00 | $13.62 – $4,059.84 | 15 |
| Ligation external carotid artery 37600 CPT 37600 | $462.00 | $2,100.00 | $42.35 – $4,059.84 | 15 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $449.02 | $2,041.00 | $40.72 – $4,059.84 | 15 |
| Ligation internal jugular vein 37565 CPT 37565 | $445.94 | $2,027.00 | $41.01 – $4,059.84 | 15 |
| Ligation major artery chest CPT 37616 | $700.26 | $3,183.00 | $62.89 – $1,780.34 | 7 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,767.44 | $3,548.00 | $22.04 – $620.95 | 7 |
| Ligation major artery neck CPT 37615 | $317.68 | $1,444.00 | $29.17 – $4,059.84 | 14 |
| Ligation nasal sinus artery CPT 30915 | $368.06 | $1,673.00 | $49.43 – $4,059.84 | 15 |
| Ligation of abdomen artery 37617 CPT 37617 | $810.26 | $3,683.00 | $73.94 – $2,095.23 | 7 |
| Ligation of femoral vein CPT 37650 | $280.72 | $1,276.00 | $25.44 – $4,059.84 | 14 |
| Ligation of inf vena cava CPT 37619 | $1,063.04 | $4,832.00 | $96.53 – $6,972.61 | 14 |
| Ligation of neck artery CPT 37606 | $457.16 | $2,078.00 | $41.38 – $4,059.84 | 15 |
| Ligation of salivary duct CPT 42665 | $135.30 | $615.00 | $16.12 – $4,183.11 | 15 |
| Ligation of shunt CPT 49428 | $267.08 | $1,214.00 | $34.74 – $687.38 | 7 |
| Ligation upper jaw artery CPT 30920 | $531.74 | $2,417.00 | $71.34 – $4,059.84 | 15 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $153.56 | $698.00 | $14.23 – $4,059.84 | 15 |
| Lig/band angioaccess av fistula CPT 37607 | $227.70 | $1,035.00 | $20.79 – $4,059.84 | 15 |
| Lig&div&compl strpg saph vn CPT 37735 | $354.64 | $1,612.00 | $32.21 – $4,059.84 | 15 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $905.11 – $1,269.25 | 9 |
| Limb exercise test CPT 95875 | $35.42 | $161.00 | $47.46 – $201.81 | 12 |
| Limb nerve surgery add-on CPT 64783 | $132.00 | $600.00 | $158.55 – $339.46 | 7 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $27.61 – $58.38 | 11 |
| Limited autopsy CPT 88036 | not published | not published | $38.27 – $129.85 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $28.06 – $115.38 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $78.91 – $166.85 | 11 |
| Limited visual field xm CPT 92081 | $9.68 | $44.00 | $12.99 – $76.62 | 15 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.29 – $8.78 | 8 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $2.98 – $4.91 | 8 |
| Lipase CPT 83690 | $36.66 | $47.00 | $4.08 – $8.00 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $216.70 | $985.00 | $25.79 – $4,183.11 | 15 |
| Lipoprotein blood high res frac & quant CPT 83701 | $22.44 | $102.00 | $22.30 – $44.38 | 15 |
| Lipoprotein blood quant CPT 83704 | $22.44 | $102.00 | $22.56 – $37.27 | 12 |
| Lipoprotein direct measurement hdl CPT 83718 | $5.28 | $24.00 | $5.20 – $11.20 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $55.38 | $71.00 | $5.83 – $19.20 | 15 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $22.44 | $102.00 | $22.56 – $44.88 | 15 |
| Lip surgery procedure CPT 40799 | not published | $0.01 | $140.18 – $299.53 | 10 |
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.