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 |
|---|---|---|---|---|
| Lymph vessel x-ray trunk CPT 75805 | $23.76 | $108.00 | $31.53 – $4,059.84 | 15 |
| Lymph vessel x-ray trunk CPT 75807 | $10,126.74 | $12,983.00 | $39.38 – $4,059.84 | 15 |
| Lysis intranasal synechia 30560 CPT 30560 | $91.52 | $416.00 | $12.36 – $656.86 | 15 |
| Lysis of labial adhesions CPT 56441 | $95.26 | $433.00 | $12.74 – $4,101.16 | 15 |
| Lysis penil circumic lesion CPT 54162 | $124.30 | $565.00 | $16.40 – $2,642.30 | 15 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $14.41 – $21.61 | 8 |
| Macro exam dissect molec study ea CPT 88387 | $16.28 | $74.00 | $5.85 – $9.84 | 8 |
| Macroscopic exam arthropod CPT 87168 | $22.62 | $29.00 | $2.82 – $4.65 | 12 |
| Macroscopic exam parasite CPT 87169 | $22.62 | $29.00 | $2.85 – $4.70 | 12 |
| Magnesium CPT 83735 | $35.10 | $45.00 | $4.26 – $11.60 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $9.90 | $44.98 | $0.47 – $0.71 | 8 |
| Magnetic image bone marrow CPT 77084 | $46.86 | $213.00 | $62.23 – $311.79 | 15 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $20.62 – $26.41 | 3 |
| Malaria antibody CPT 86750 | $8.80 | $40.00 | $5.92 – $14.38 | 12 |
| Male sling procedure CPT 53440 | $465.30 | $2,115.00 | $49.07 – $16,758.43 | 15 |
| Mammosite ced HCPCS C1728 | $1,716.00 | $7,800.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | $1,853.72 | $8,426.00 | $210.00 – $4,774.76 | 7 |
| Manipulate finger w/anesth CPT 26340 | $225.94 | $1,027.00 | $18.00 – $2,064.31 | 15 |
| Manipulate wrist w/anesthes CPT 25259 | $264.00 | $1,200.00 | $6.00 – $2,064.31 | 15 |
| Manipulation of hip joint CPT 27275 | $115.50 | $525.00 | $15.13 – $2,064.31 | 15 |
| Manipulation of spine CPT 22505 | $93.06 | $423.00 | $10.55 – $2,064.31 | 15 |
| Manipulat palm cord post inj CPT 26341 | $48.40 | $220.00 | $6.42 – $1,187.28 | 15 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $2.11 – $3.31 | 8 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.00 – $8.85 | 4 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $31.20 – $83.88 | 11 |
| Manual diff wbc count b-coat CPT 85009 | $3.52 | $16.00 | $2.36 – $7.20 | 15 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $105.16 | $478.00 | $41.36 – $166.92 | 8 |
| Mapping io sentinel lymph node CPT 38900 | $84.48 | $384.00 | $109.81 – $218.10 | 7 |
| Map tachycard site(s) CPT 93609 | $163.68 | $744.00 | $105.41 – $358.02 | 8 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $36.66 – $71.39 | 15 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,674.88 | $16,704.02 | $169.13 – $169.13 | 1 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $445.28 | $2,024.00 | $8,268.64 – $12,404.10 | 10 |
| Marsupialization liver lesion 47300 CPT 47300 | $701.14 | $3,187.00 | $82.37 – $1,810.10 | 7 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $70.67 – $152.42 | 11 |
| Mastectomy form HCPCS L8020 | not published | not published | $154.80 – $327.32 | 11 |
| Mastectomy partial CPT 19301 | $408.98 | $1,859.00 | $53.40 – $4,939.24 | 15 |
| Mast mod rad CPT 19307 | $729.96 | $3,318.00 | $95.26 – $8,411.79 | 15 |
| Mastoidectomy CPT 69501 | $434.50 | $1,975.00 | $40.69 – $7,630.39 | 15 |
| Mastoidectomy complete 69502 CPT 69502 | $576.62 | $2,621.00 | $54.03 – $7,630.39 | 15 |
| Mastoids complete CPT 70130 | $342.42 | $439.00 | $13.26 – $137.16 | 15 |
| Mastoid surgery revision CPT 69603 | $781.66 | $3,553.00 | $73.21 – $7,630.39 | 15 |
| Mastopexy CPT 19316 | $490.60 | $2,230.00 | $64.33 – $8,411.79 | 12 |
| Mast radical CPT 19305 | $709.06 | $3,223.00 | $92.80 – $1,831.82 | 7 |
| Mast rad urban type CPT 19306 | $755.70 | $3,435.00 | $98.57 – $1,944.90 | 7 |
| Mast simple complete CPT 19303 | $594.66 | $2,703.00 | $77.40 – $8,411.79 | 15 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $74.74 – $112.11 | 8 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1,870.00 – $2,957.13 | 4 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $19.67 – $29.50 | 8 |
| M.avium-intra dna amp prob CPT 87561 | $184.86 | $237.00 | $20.67 – $38.25 | 12 |
| M.avium-intra dna dir prob CPT 87560 | $18.04 | $82.00 | $10.34 – $29.75 | 12 |
| M.avium-intra dna quant CPT 87562 | $28.16 | $128.00 | $20.80 – $46.70 | 12 |
| Maxillofacial fixation CPT 21100 | $223.74 | $1,017.00 | $22.55 – $7,630.39 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $76.44 | $98.00 | $9.19 – $27.20 | 15 |
| Mayo aathr protein s free CPT 85306 | $81.12 | $104.00 | $9.09 – $33.89 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $81.12 | $104.00 | $10.11 – $27.10 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $202.80 | $260.00 | $25.45 – $42.04 | 12 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $11.76 – $18.82 | 6 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $602.94 | $773.00 | $11.32 – $23.29 | 8 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $78.00 | $100.00 | $9.40 – $16.11 | 12 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $602.94 | $773.00 | $19.33 – $24.82 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $70.98 | $91.00 | $8.54 – $27.20 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $79.56 | $102.00 | $9.58 – $17.60 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $15.21 – $25.28 | 6 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $13.88 – $23.41 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $80.08 | $364.00 | $80.28 – $132.58 | 12 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $214.50 | $275.00 | $60.50 – $160.08 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $320.58 | $412.00 | $90.42 – $175.36 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $765.60 | $3,480.00 | $765.60 – $1,264.40 | 12 |
| Mayo androstenedione CPT 82157 | $19.36 | $88.00 | $18.61 – $40.00 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $76.44 | $98.00 | $9.28 – $32.27 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $7.04 | $32.00 | $6.88 – $23.92 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $78.78 | $101.00 | $6.21 – $33.28 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $20.24 | $92.00 | $20.37 – $42.08 | 15 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $184.86 | $237.00 | $23.16 – $44.91 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $12.00 – $23.29 | 8 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $53.82 | $69.00 | $6.72 – $18.00 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $338.52 | $434.00 | $95.59 – $157.88 | 12 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $141.65 – $233.94 | 12 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $67.86 | $87.00 | $6.21 – $28.53 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $13.88 – $23.41 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $8.80 | $40.00 | $6.21 – $29.17 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $5.72 | $26.00 | $5.68 – $17.14 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $71.76 | $92.00 | $7.22 – $14.82 | 12 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $12.84 – $23.29 | 8 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $88.92 | $114.00 | $11.13 – $18.39 | 12 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $17.60 | $80.00 | $17.68 – $47.89 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $286.26 | $367.00 | $80.66 – $213.42 | 15 |
| Mayo ceruloplasmin CPT 82390 | $56.94 | $73.00 | $6.21 – $16.00 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $74.10 | $95.00 | $6.80 – $15.39 | 12 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $67.86 | $87.00 | $5.92 – $14.04 | 12 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $7.92 | $36.00 | $6.21 – $15.81 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $8.36 | $38.00 | $6.21 – $28.08 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $77.00 | $350.00 | $74.06 – $257.60 | 15 |
| Mayo chromium CPT 82495 | $106.86 | $137.00 | $6.00 – $22.11 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $602.94 | $773.00 | $14.62 – $24.30 | 8 |
| Mayo coccidioides antibody CPT 86635 | $60.06 | $77.00 | $6.21 – $25.36 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $127.14 | $163.00 | $9.72 – $30.83 | 15 |
| Mayo cortisol free CPT 82530 | $88.14 | $113.00 | $10.63 – $37.36 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $221.52 | $284.00 | $11.16 – $45.92 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $7.92 | $36.00 | $6.21 – $26.80 | 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.