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 |
|---|---|---|---|---|
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $393,552.47 – $766,414.45 | 14 |
| Listeria monocytogenes CPT 86723 | $8.80 | $40.00 | $5.92 – $14.38 | 12 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $97.96 – $207.12 | 11 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $39.29 – $83.09 | 11 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $306.56 – $648.19 | 11 |
| Lithium therapeutic drug level CPT 80178 | $34.32 | $44.00 | $4.20 – $12.80 | 15 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $117.67 – $273.80 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $759.00 | $3,450.00 | $852.18 – $1,931.54 | 4 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $900.90 | $4,095.00 | $1,017.71 – $2,325.93 | 4 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $750.20 | $3,410.00 | $87.85 – $1,930.64 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $412.62 | $529.00 | $116.28 – $483.77 | 15 |
| Liver elastography 91200 CPT 91200 | $6.38 | $29.00 | $8.57 – $201.81 | 15 |
| Liver Function Test CPT 80076 | $43.68 | $56.00 | $5.39 – $14.45 | 15 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $876.26 | $3,983.00 | $104.80 – $2,306.89 | 7 |
| Liver imaging CPT 78201 | $12.54 | $57.00 | $16.35 – $694.29 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $14.74 | $67.00 | $19.14 – $694.29 | 15 |
| Liver/spleen imag static only CPT 78215 | $822.90 | $1,055.00 | $18.57 – $518.31 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $16.72 | $76.00 | $21.11 – $518.31 | 15 |
| Lmtd oph exam general anes CPT 92019 | $44.66 | $203.00 | $59.25 – $3,009.20 | 15 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $290.84 | $1,322.00 | $12.18 – $4,185.10 | 15 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $1,724.48 – $3,646.19 | 11 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.51 – $2.55 | 8 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $114.74 – $146.80 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $157.49 – $306.69 | 15 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $54.40 – $144.62 | 11 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $1.92 – $1.92 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.47 | $6.66 | $1.24 – $1.86 | 8 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $37.59 – $57.95 | 11 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $47.25 – $99.90 | 11 |
| Loudness balance test CPT 92562 | not published | not published | $16.00 – $401.66 | 15 |
| Low back disk surgery CPT 63030 | $570.68 | $2,594.00 | $81.53 – $9,214.43 | 15 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $369.50 – $789.56 | 10 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,104.18 – $2,359.45 | 10 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $369.50 – $789.56 | 10 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $369.50 – $789.56 | 10 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $902.46 | $1,157.00 | $42.00 – $137.16 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,887.60 | $2,420.00 | $49.20 – $229.62 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,029.52 | $3,884.00 | $47.31 – $460.65 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $902.46 | $1,157.00 | $38.73 – $137.16 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,134.04 | $4,018.00 | $73.50 – $460.65 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,507.70 | $3,215.00 | $69.35 – $460.65 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,697.28 | $2,176.00 | $57.76 – $311.79 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $342.42 | $439.00 | $8.85 – $137.16 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $427.44 | $548.00 | $10.25 – $137.16 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $427.44 | $548.00 | $11.86 – $137.16 | 15 |
| Lower jaw bone graft CPT 21215 | $492.58 | $2,239.00 | $64.47 – $7,630.39 | 15 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $283.14 | $363.00 | $6.35 – $113.57 | 15 |
| Low frequency non-thermal Ultrasound CPT 97610 | $11.00 | $50.00 | $14.75 – $256.30 | 12 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.30 – $20.16 | 4 |
| Lsh uterus 250 g or less CPT 58541 | $451.88 | $2,054.00 | $71.70 – $13,429.04 | 15 |
| Lsh uterus above 250 g CPT 58543 | $520.30 | $2,365.00 | $82.58 – $13,429.04 | 15 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $512.60 | $2,330.00 | $81.37 – $13,429.04 | 15 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $559.90 | $2,545.00 | $88.72 – $13,429.04 | 15 |
| Lso corset front HCPCS L0972 | not published | not published | $70.14 – $148.32 | 11 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $40.45 – $60.68 | 11 |
| Lso full corset HCPCS L0976 | not published | not published | $92.87 – $196.35 | 11 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $98.18 – $207.59 | 11 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $799.57 – $1,690.59 | 11 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $572.80 – $859.28 | 11 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $78.09 – $120.45 | 11 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $555.92 – $1,175.42 | 11 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $822.96 – $1,740.05 | 11 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $173.85 – $367.58 | 11 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $138.29 – $213.25 | 11 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $634.38 – $1,341.33 | 11 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $651.27 – $1,377.03 | 11 |
| L/s ratio fetal lung CPT 83661 | $14.52 | $66.00 | $13.97 – $35.20 | 15 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.00 – $2.13 | 11 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $36.95 – $78.12 | 11 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $50.31 – $106.36 | 11 |
| Lumbar diskogram s&i CPT 72295 | $24.42 | $111.00 | $25.20 – $2,518.80 | 15 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $48.35 – $102.24 | 11 |
| Lumbar sling HCPCS L1090 | not published | not published | $68.13 – $145.29 | 11 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $980.98 | $4,459.00 | $127.58 – $23,720.63 | 15 |
| Lumizyme injection HCPCS J0221 | not published | not published | $150.13 – $292.36 | 15 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $6.16 | $28.00 | $7.98 – $401.66 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | $1.98 | $9.00 | $2.16 – $76.62 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $5.06 | $23.00 | $6.30 – $201.81 | 15 |
| Lung perfusion imaging CPT 78580 | $21.34 | $97.00 | $28.21 – $518.31 | 15 |
| Lung transplant double CPT 32853 | $2,788.94 | $12,677.00 | $210.00 – $7,189.16 | 7 |
| Lung transplant single CPT 32851 | $1,992.54 | $9,057.00 | $210.00 – $5,143.22 | 7 |
| Lung transplant with bypass CPT 32852 | $2,146.76 | $9,758.00 | $210.00 – $5,539.67 | 7 |
| Lung transplant with bypass CPT 32854 | $2,948.66 | $13,403.00 | $210.00 – $7,613.17 | 7 |
| Lung volume reduction 32491 CPT 32491 | $899.58 | $4,089.00 | $116.97 – $2,320.81 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $149.77 – $291.67 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $30.49 – $59.38 | 15 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $227.20 – $340.83 | 12 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $183.96 – $275.97 | 12 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $310.20 – $655.87 | 11 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | $19.14 | $87.00 | $13.92 – $50.82 | 15 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $171.54 – $362.69 | 11 |
| Lyme dis dna dir probe CPT 87475 | $13.20 | $60.00 | $10.34 – $36.35 | 15 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $438.90 | $1,995.00 | $63.27 – $1,127.05 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $34.10 | $155.00 | $45.40 – $694.29 | 15 |
| Lymphocyte culture mixed CPT 86821 | $24.20 | $110.00 | $24.13 – $124.85 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | $32.56 | $148.00 | $27.68 – $108.40 | 15 |
| Lymphocytotoxicity assay CPT 86805 | $124.96 | $568.00 | $33.24 – $206.57 | 15 |
| Lymphocytotoxicity assay CPT 86806 | $31.24 | $142.00 | $12.14 – $70.51 | 15 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,989.00 | $2,550.00 | $34.20 – $797.47 | 15 |
| Lymph vessel x-ray arms/legs CPT 75803 | $34.10 | $155.00 | $39.38 – $2,003.72 | 15 |
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.