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 |
|---|---|---|---|---|
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $17.12 – $27.39 | 6 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $20.39 – $33.89 | 6 |
| Mayo cyanide CPT 82600 | $12.76 | $58.00 | $12.33 – $27.20 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $34.98 | $159.00 | $43.66 – $351.31 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $8.80 | $40.00 | $8.43 – $23.20 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $132.60 | $170.00 | $16.07 – $33.60 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $154.44 | $198.00 | $19.33 – $31.92 | 12 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $6.16 | $28.00 | $5.39 – $10.51 | 12 |
| Mayo efpo chloride stool CPT 82438 | $3.52 | $16.00 | $2.90 – $5.45 | 15 |
| Mayo estriol CPT 82677 | $127.92 | $164.00 | $13.98 – $28.00 | 15 |
| Mayo estrone CPT 82679 | $131.82 | $169.00 | $13.00 – $27.20 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $85.80 | $110.00 | $10.39 – $20.80 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | $72.54 | $93.00 | $9.06 – $23.97 | 15 |
| Mayo factor ii CPT 85210 | $8.36 | $38.00 | $4.00 – $14.15 | 15 |
| Mayo factor v CPT 85220 | $11.44 | $52.00 | $5.00 – $19.24 | 15 |
| Mayo factor vii CPT 85230 | $11.88 | $54.00 | $5.00 – $19.51 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $120.90 | $155.00 | $14.59 – $50.74 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $120.90 | $155.00 | $14.59 – $50.74 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $120.90 | $155.00 | $14.59 – $50.74 | 15 |
| Mayo factor x CPT 85260 | $11.88 | $54.00 | $11.39 – $19.51 | 15 |
| Mayo factor xi CPT 85270 | $11.88 | $54.00 | $11.39 – $19.51 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $88.14 | $113.00 | $4.02 – $18.31 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $13.64 | $62.00 | $5.73 – $22.30 | 15 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $53.24 | $242.00 | $3.91 – $87.70 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | $41.34 | $53.00 | $4.66 – $9.25 | 15 |
| Mayo fibrinogen antigen CPT 85385 | $9.68 | $44.00 | $5.40 – $15.86 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $14.52 | $66.00 | $14.30 – $23.62 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $380.64 | $488.00 | $113.30 – $113.30 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $3.08 | $14.00 | $3.00 – $5.18 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $72.54 | $93.00 | $5.92 – $27.65 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $135.72 | $174.00 | $12.00 – $28.13 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $46.80 | $60.00 | $5.65 – $19.39 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $71.76 | $92.00 | $5.92 – $22.13 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $143.52 | $184.00 | $17.27 – $32.80 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $90.48 | $116.00 | $8.23 – $18.82 | 12 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $78.78 | $101.00 | $6.21 – $32.78 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $109.20 | $140.00 | $13.74 – $36.82 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $109.20 | $140.00 | $13.23 – $46.02 | 15 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $23.16 – $38.25 | 12 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $10.56 | $48.00 | $9.05 – $17.52 | 12 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $63.18 | $81.00 | $7.91 – $19.70 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $184.86 | $237.00 | $23.16 – $62.77 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $184.86 | $237.00 | $23.16 – $44.91 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $184.86 | $237.00 | $23.16 – $38.25 | 12 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $226.20 | $290.00 | $20.80 – $77.66 | 15 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $169.26 | $217.00 | $47.64 – $92.40 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $202.80 | $260.00 | $25.45 – $42.04 | 12 |
| Mayo inhab inhibin a CPT 86336 | $81.90 | $105.00 | $10.29 – $16.99 | 12 |
| Mayo insft insulin free CPT 83527 | $68.64 | $88.00 | $8.23 – $28.64 | 15 |
| Mayo insulin antibodies CPT 86337 | $113.10 | $145.00 | $11.00 – $23.34 | 15 |
| Mayo iodine CPT 83789 | $15.84 | $72.00 | $11.48 – $26.28 | 12 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $142.74 | $183.00 | $17.90 – $34.70 | 15 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $142.74 | $183.00 | $17.90 – $29.55 | 12 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $69.42 | $89.00 | $8.74 – $23.15 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $8.36 | $38.00 | $8.14 – $17.60 | 15 |
| Mayo legionella antibody CPT 86713 | $10.12 | $46.00 | $5.92 – $33.36 | 15 |
| Mayo leptospira antibody igm CPT 86720 | $10.56 | $48.00 | $5.92 – $29.15 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | $7.48 | $34.00 | $7.44 – $20.13 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $81.12 | $104.00 | $10.22 – $34.24 | 15 |
| Mayo manganese CPT 83785 | $140.40 | $180.00 | $15.63 – $29.05 | 12 |
| Mayo metanephrines plasma CPT 83835 | $88.92 | $114.00 | $10.77 – $20.80 | 15 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $17.06 – $28.37 | 8 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $63.18 | $81.00 | $7.95 – $23.55 | 15 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $97.50 | $125.00 | $12.14 – $23.55 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $76.44 | $98.00 | $7.91 – $15.86 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $98.28 | $126.00 | $8.70 – $24.48 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $433.68 | $556.00 | $122.23 – $201.87 | 12 |
| Mayo muramidase CPT 85549 | $12.32 | $56.00 | $11.92 – $26.30 | 15 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $97.50 | $125.00 | $12.14 – $20.06 | 12 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $11.88 | $54.00 | $11.91 – $31.52 | 15 |
| Mayo myoglobin CPT 83874 | $67.86 | $87.00 | $7.22 – $24.00 | 15 |
| Mayo nickel CPT 83885 | $16.28 | $74.00 | $11.00 – $26.72 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $602.94 | $773.00 | $13.88 – $33.89 | 8 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $602.94 | $773.00 | $19.33 – $33.89 | 8 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $602.94 | $773.00 | $19.33 – $53.52 | 8 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $111.54 | $143.00 | $14.00 – $29.12 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $11.00 | $50.00 | $10.86 – $29.12 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $9.68 | $44.00 | $8.19 – $20.80 | 15 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $60.84 | $78.00 | $7.61 – $19.70 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $78.78 | $101.00 | $5.92 – $33.23 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $63.18 | $81.00 | $7.66 – $22.05 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $23.32 | $106.00 | $20.67 – $63.63 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $95.16 | $122.00 | $11.87 – $32.38 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $72.54 | $93.00 | $8.75 – $20.80 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $44.46 | $57.00 | $2.00 – $9.20 | 15 |
| Mayo pregnenolone CPT 84140 | $109.20 | $140.00 | $13.15 – $45.73 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $87.36 | $112.00 | $10.55 – $27.20 | 15 |
| Mayo proinsulin CPT 84206 | $17.60 | $80.00 | $8.00 – $29.09 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $97.50 | $125.00 | $12.13 – $32.54 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $97.50 | $125.00 | $8.59 – $20.06 | 12 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $8.80 | $40.00 | $8.34 – $19.20 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | $24.20 | $110.00 | $22.00 – $39.86 | 15 |
| Mayo renin CPT 84244 | $116.22 | $149.00 | $12.00 – $23.97 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $93.60 | $120.00 | $11.77 – $22.05 | 15 |
| Mayo selenium CPT 84255 | $134.94 | $173.00 | $16.23 – $27.83 | 12 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $10.12 | $46.00 | $10.23 – $16.90 | 12 |
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.