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 serotonin CPT 84260 | $20.24 | $92.00 | $19.69 – $49.60 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $102.18 | $131.00 | $12.77 – $34.24 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $72.54 | $93.00 | $9.06 – $24.54 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $518.70 | $665.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $22.62 | $29.00 | $1.83 – $6.40 | 15 |
| Mayo tau phosphorylated 217 each CPT 84393 | $421.20 | $540.00 | $20.90 – $20.90 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $137.72 | $626.00 | $137.88 – $227.72 | 12 |
| Mayo tgrp testosterone free CPT 84402 | $134.16 | $172.00 | $16.19 – $43.20 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $135.72 | $174.00 | $16.41 – $43.20 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $117.00 | $150.00 | $14.63 – $28.38 | 15 |
| Mayo thyroglobulin CPT 84432 | $85.02 | $109.00 | $5.21 – $34.82 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $53.82 | $69.00 | $6.72 – $18.00 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $65.52 | $84.00 | $5.92 – $13.51 | 12 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $19.33 – $23.41 | 4 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $33.88 | $154.00 | $33.85 – $92.86 | 15 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $9.24 | $42.00 | $6.21 – $23.01 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $71.76 | $92.00 | $8.93 – $23.60 | 15 |
| Mayo vasoactive intestinal peptide CPT 84586 | $186.42 | $239.00 | $12.14 – $78.13 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $106.86 | $137.00 | $8.00 – $22.06 | 15 |
| Mayo vitamin b3 (niacin) CPT 84591 | $11.44 | $52.00 | $10.54 – $18.60 | 12 |
| Mayo vitamin k CPT 84597 | $9.24 | $42.00 | $8.71 – $14.95 | 12 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $8.80 | $40.00 | $8.74 – $23.15 | 15 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $517.00 | $2,350.00 | $108.77 – $1,331.61 | 7 |
| Mcoln1 gene CPT 81290 | $25.96 | $118.00 | $25.95 – $42.85 | 12 |
| Mcp joint arthroscopy dx CPT 29900 | $317.02 | $1,441.00 | $20.00 – $4,185.10 | 15 |
| Mcp joint arthroscopy surg CPT 29901 | $339.68 | $1,544.00 | $20.00 – $4,185.10 | 15 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | $359.92 | $1,636.00 | $47.24 – $2,064.31 | 15 |
| Mcrscp xm hair pluck/clipped CPT 96902 | $12.98 | $59.00 | $16.31 – $31.67 | 4 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | $560.78 | $2,549.00 | $74.54 – $4,722.15 | 15 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $7.18 – $9.02 | 3 |
| Md service required for pmd HCPCS G0372 | $5.28 | $24.00 | $7.17 – $22.00 | 4 |
| Meas lung vol thru 2 yrs CPT 94013 | $11.44 | $52.00 | $15.18 – $684.40 | 12 |
| Measure kidney pressure CPT 50396 | $70.84 | $322.00 | $79.28 – $860.94 | 15 |
| Measurement post void urine by ultrasound CPT 51798 | $139.62 | $179.00 | $9.07 – $76.62 | 15 |
| Measure ureter pressure CPT 50686 | $54.56 | $248.00 | $71.90 – $201.81 | 15 |
| Mecasermin injection HCPCS J2170 | not published | not published | $149.99 – $412.48 | 4 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $191.09 – $404.04 | 11 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $147.74 – $404.17 | 3 |
| #mec-opiates CPT 80356 | $602.94 | $773.00 | $19.33 – $23.41 | 4 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $99.00 – $322.53 | 15 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $348.39 – $748.21 | 15 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $79.20 – $316.27 | 15 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $30.58 | $139.00 | $39.03 – $78.88 | 7 |
| Medial canthopexy CPT 21280 | $360.36 | $1,638.00 | $48.10 – $4,183.11 | 15 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $246.18 | $1,119.00 | $318.92 – $7,525.52 | 15 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $188.76 | $858.00 | $244.55 – $7,525.52 | 15 |
| Medical services after hrs CPT 99050 | not published | not published | $14.62 – $198.00 | 9 |
| Medical testimony CPT 99075 | $77.44 | $352.00 | $315.00 – $315.00 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $320.29 – $1,384.12 | 12 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $0.28 – $0.65 | 4 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $19.32 – $31.82 | 3 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $19.32 – $31.82 | 4 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.28 – $0.37 | 4 |
| Meg evoked each addl CPT 95967 | $105.38 | $479.00 | $89.23 – $339.27 | 4 |
| Meg evoked single CPT 95966 | $121.88 | $554.00 | $85.95 – $1,312.29 | 12 |
| Meg spontaneous CPT 95965 | $249.48 | $1,134.00 | $103.41 – $1,312.29 | 12 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $9.16 – $11.95 | 4 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $517.14 | $663.00 | $221.86 – $343.67 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $129.43 – $194.13 | 8 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $25.76 – $38.64 | 8 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $171.87 – $257.79 | 8 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $61,878.30 – $81,542.86 | 4 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $155.50 – $233.24 | 8 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $73.42 – $116.61 | 8 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $56.43 – $84.63 | 8 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $15.00 – $334.87 | 8 |
| Meniscal trnspl knee w/scpe CPT 29868 | $1,033.56 | $4,698.00 | $135.23 – $9,214.43 | 12 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $11.63 | $52.88 | $6.96 – $22.21 | 9 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $2.00 – $9.30 | 5 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $22.76 – $44.33 | 15 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.91 – $3.72 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.39 – $0.62 | 8 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $101.94 – $101.94 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $154.22 | $701.00 | $45.84 – $399.12 | 7 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $18.39 – $20.23 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.26 – $2.06 | 8 |
| Metabolic Blood Panel (Basic) CPT 80048 | $44.46 | $57.00 | $5.59 – $14.98 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $55.38 | $71.00 | $6.97 – $18.70 | 15 |
| Metabolic panel ionized ca CPT 80047 | $9.24 | $42.00 | $9.06 – $19.06 | 15 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,032.28 – $2,182.62 | 11 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $216.59 – $457.96 | 11 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.61 – $2.45 | 8 |
| Methadone injection HCPCS J1230 | not published | not published | $20.66 – $32.42 | 8 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.21 – $0.40 | 4 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.52 – $8.57 | 8 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.18 – $3.00 | 9 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.13 – $6.00 | 9 |
| Methotrexate therapeutic drug level CPT 80204 | $202.80 | $260.00 | $25.45 – $42.04 | 12 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $73.08 – $123.64 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $10.63 – $65.25 | 3 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $180.48 | $820.37 | $4.21 – $8.57 | 12 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $15.22 | $69.16 | $20.81 – $31.21 | 8 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $1.36 – $1.80 | 4 |
| Methylphenidate CPT 80360 | not published | not published | $13.88 – $23.41 | 4 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.22 – $0.33 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.09 – $0.17 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.19 – $0.37 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $2.58 | $11.74 | $0.94 – $1.41 | 8 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.00 | $4.54 | $0.13 – $0.19 | 5 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.04 | 8 |
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.