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 |
|---|---|---|---|---|
| Apply surf ldr radionuclide CPT 77789 | $37.40 | $170.00 | $20.02 – $141.24 | 15 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $20.25 – $54.56 | 14 |
| App mltpln uni xtrnl fix 1st CPT 20696 | $720.06 | $3,273.00 | $94.88 – $23,720.63 | 15 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $123.82 – $2,702.27 | 15 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | $78.32 | $356.00 | $1,104.18 – $2,359.45 | 10 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | $78.32 | $356.00 | $1,104.18 – $2,359.45 | 10 |
| App topical fluoride varnish CPT 99188 | $6.38 | $29.00 | $9.12 – $44.10 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.29 – $2.51 | 15 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.65 – $3.46 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | $23.32 | $106.00 | $20.67 – $38.25 | 12 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $198.90 | $255.00 | $9.64 – $41.13 | 15 |
| Aqmbf pet rest & rx stress CPT 78434 | $2,240.16 | $2,872.00 | $23.61 – $168.38 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | $63.18 | $81.00 | $7.95 – $15.42 | 15 |
| Aquaporin-4 antibody elisa CPT 86051 | $60.84 | $78.00 | $7.61 – $14.75 | 15 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $15.36 – $57.90 | 12 |
| Aquatic exercise - group charge CPT 97150 | $57.72 | $74.00 | $11.33 – $28.64 | 12 |
| Aqueous shunt eye w/graft CPT 66180 | $687.50 | $3,125.00 | $75.26 – $6,655.32 | 15 |
| Aqueous shunt eye without graft CPT 66179 | $652.52 | $2,966.00 | $87.61 – $6,655.32 | 15 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $48.56 – $1,338.75 | 4 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $24.68 – $52.18 | 11 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $19.26 – $40.72 | 11 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $19.26 – $40.72 | 11 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.75 – $1.12 | 8 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $4.04 – $5.32 | 4 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.37 – $5.25 | 8 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.70 – $1.10 | 8 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $1.32 – $4.04 | 12 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.05 – $3.98 | 15 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.54 – $3.21 | 15 |
| Ar gene charac alleles CPT 81204 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Ar gene full gene sequence CPT 81173 | $198.88 | $904.00 | $198.89 – $328.47 | 12 |
| Ar gene known famil variant CPT 81174 | $122.32 | $556.00 | $122.23 – $201.87 | 12 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $2.42 – $4.72 | 15 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.44 – $1.12 | 3 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $3,029.52 | $3,884.00 | $45.07 – $460.65 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $902.46 | $1,157.00 | $38.73 – $137.16 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $467.22 | $599.00 | $11.77 – $137.16 | 15 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $4.26 – $8.29 | 15 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $122.09 – $307.58 | 8 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $2,094.88 – $3,723.30 | 8 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $1,117.16 | $5,078.00 | $101.73 – $2,902.68 | 7 |
| Art byp aortofemoral 35647 CPT 35647 | $928.84 | $4,222.00 | $85.10 – $2,427.22 | 7 |
| Art byp aortoiliac 35637 CPT 35637 | $1,005.84 | $4,572.00 | $91.06 – $2,602.27 | 7 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | $966.90 | $4,395.00 | $87.35 – $2,483.92 | 7 |
| Art bypass aortobifemoral 35646 CPT 35646 | $1,029.16 | $4,678.00 | $93.57 – $2,669.68 | 7 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $1,056.44 | $4,802.00 | $95.20 – $2,716.42 | 7 |
| Art bypass axillary-femoral 35621 CPT 35621 | $662.42 | $3,011.00 | $60.22 – $1,717.28 | 7 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $826.54 | $3,757.00 | $74.87 – $2,135.63 | 7 |
| Art bypass carotid-subclavian 35606 CPT 35606 | $710.60 | $3,230.00 | $64.63 – $1,842.57 | 7 |
| Art bypass common ipsi carotid 35601 CPT 35601 | $851.84 | $3,872.00 | $76.90 – $2,194.32 | 7 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $775.94 | $3,527.00 | $70.74 – $2,013.24 | 7 |
| Art bypass femoral-femoral 35661 CPT 35661 | $654.72 | $2,976.00 | $59.49 – $1,694.73 | 7 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $647.90 | $2,945.00 | $58.90 – $1,679.43 | 7 |
| Art bypass iliofemoral 35665 CPT 35665 | $709.06 | $3,223.00 | $64.52 – $1,838.57 | 7 |
| Art bypass subclav-subclavian 35612 CPT 35612 | $635.14 | $2,887.00 | $57.54 – $1,642.31 | 7 |
| Art byp axillary-axillary 35650 CPT 35650 | $620.18 | $2,819.00 | $56.16 – $1,603.89 | 7 |
| Art byp grft aor/carot/innom CPT 35526 | $1,048.52 | $4,766.00 | $95.38 – $2,706.79 | 7 |
| Art byp grft aorcel/aormesen CPT 35531 | $1,181.84 | $5,372.00 | $107.02 – $3,059.97 | 7 |
| Art byp grft aortbifemoral 35540 CPT 35540 | $1,480.16 | $6,728.00 | $133.97 – $3,831.94 | 7 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | $1,415.48 | $6,434.00 | $128.10 – $3,663.50 | 7 |
| Art byp grft aortofemoral CPT 35539 | $1,328.14 | $6,037.00 | $120.24 – $3,438.64 | 7 |
| Art byp grft aortoiliac CPT 35537 | $1,263.02 | $5,741.00 | $114.39 – $3,270.99 | 7 |
| Art byp grft aortorenal CPT 35560 | $1,033.78 | $4,699.00 | $93.60 – $2,675.38 | 7 |
| Art byp grft axillary-axilry CPT 35518 | $693.66 | $3,153.00 | $62.74 – $1,792.43 | 7 |
| Art byp grft axill-brachial CPT 35522 | $709.72 | $3,226.00 | $64.26 – $1,835.64 | 7 |
| Art byp grft axill/fem/fem CPT 35533 | $913.88 | $4,154.00 | $82.80 – $2,365.89 | 7 |
| Art byp grft axill-femoral CPT 35521 | $745.36 | $3,388.00 | $67.52 – $1,928.09 | 7 |
| Art byp grft brachial-brchl CPT 35525 | $667.70 | $3,035.00 | $62.25 – $1,774.87 | 7 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | $746.46 | $3,393.00 | $67.61 – $1,930.63 | 7 |
| Art byp grft carotid-brchial CPT 35510 | $745.80 | $3,390.00 | $67.55 – $1,930.14 | 7 |
| Art byp grft carotid-vertbrl CPT 35508 | $807.18 | $3,669.00 | $73.05 – $2,086.02 | 7 |
| Art byp grft contral carotid CPT 35509 | $856.02 | $3,891.00 | $77.48 – $2,214.08 | 7 |
| Art byp grft fem-femoral 35558 CPT 35558 | $739.64 | $3,362.00 | $68.10 – $1,939.38 | 7 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $842.60 | $3,830.00 | $76.46 – $2,180.76 | 7 |
| Art byp grft hepatorenal CPT 35535 | $1,153.46 | $5,243.00 | $104.45 – $2,986.35 | 7 |
| Art byp grft ilioiliac CPT 35563 | $803.66 | $3,653.00 | $72.77 – $2,078.50 | 7 |
| Art byp grft ipsilat carotid CPT 35501 | $884.40 | $4,020.00 | $80.11 – $2,289.81 | 7 |
| Art byp grft splenorenal CPT 35536 | $1,024.98 | $4,659.00 | $92.78 – $2,651.79 | 7 |
| Art byp grft subclav-axilary CPT 35516 | $740.30 | $3,365.00 | $67.03 – $1,915.18 | 7 |
| Art byp grft subclav-brchial CPT 35512 | $731.50 | $3,325.00 | $66.24 – $1,892.53 | 7 |
| Art byp grft subclav-carotid CPT 35506 | $773.30 | $3,515.00 | $69.96 – $1,999.02 | 7 |
| Art byp grft subclav-subclav CPT 35511 | $679.80 | $3,090.00 | $61.55 – $1,758.58 | 7 |
| Art byp grft subclav-vertbrl CPT 35515 | $807.18 | $3,669.00 | $73.05 – $2,086.02 | 7 |
| Art byp ilioiliac 35663 CPT 35663 | $739.86 | $3,363.00 | $67.01 – $1,913.55 | 7 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $800.36 | $3,638.00 | $72.65 – $2,072.55 | 7 |
| Art byp tibial-tib/peroneal CPT 35570 | $893.86 | $4,063.00 | $80.98 – $2,313.46 | 7 |
| Arterial blood draw/perc 36620 CPT 36620 | $526.50 | $675.00 | $35.80 – $72.80 | 8 |
| Artery by graft; iliofemoral 35565 CPT 35565 | $792.44 | $3,602.00 | $72.09 – $2,055.23 | 7 |
| Artery to vein shunt CPT 36835 | $296.34 | $1,347.00 | $27.05 – $4,059.84 | 14 |
| Artery transpose/endovas taa CPT 33889 | $482.46 | $2,193.00 | $128.95 – $1,245.04 | 7 |
| Artery-vein nonautograft CPT 36830 | $403.92 | $1,836.00 | $36.74 – $6,972.61 | 15 |
| Artery xray each vessel 7577426 CPT 75774 | $2,517.84 | $3,228.00 | $15.75 – $73.25 | 8 |
| Artery xray of abdomen 75726-26 CPT 75726 | $17,392.44 | $22,298.00 | $15.75 – $6,972.61 | 15 |
| Artery x-rays adrenal gland CPT 75731 | $10,126.74 | $12,983.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays adrenals CPT 75733 | $10,126.74 | $12,983.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $10,126.74 | $12,983.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $20,254.26 | $25,967.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays chest CPT 75756 | $33.66 | $153.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays lung CPT 75741 | $36.74 | $167.00 | $15.75 – $4,059.84 | 15 |
| Artery x-rays lung CPT 75746 | $32.12 | $146.00 | $10.50 – $4,059.84 | 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.