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 |
|---|---|---|---|---|
| Metyrapone panel CPT 80436 | $60.28 | $274.00 | $57.95 – $151.84 | 15 |
| Mgmt promoter methylation analysis CPT 81287 | $82.28 | $374.00 | $82.26 – $135.86 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.28 – $0.44 | 8 |
| Microalbumin urine screen CPT 82044 | $3.96 | $18.00 | $2.91 – $7.97 | 15 |
| Microbe susceptible mlc CPT 87187 | $26.40 | $120.00 | $0.55 – $43.79 | 15 |
| Microdissection laser CPT 88380 | $31.90 | $145.00 | $42.40 – $68.40 | 4 |
| Microdissection manual CPT 88381 | $14.08 | $64.00 | $18.96 – $34.20 | 4 |
| Microfluid analy tears CPT 83861 | $14.96 | $68.00 | $14.84 – $24.50 | 12 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $2,764.59 – $5,845.38 | 11 |
| Microsatellite instability CPT 81301 | not published | not published | $230.05 – $505.65 | 15 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $133.98 | $609.00 | $171.47 – $345.52 | 4 |
| Microvolt t-wave assess CPT 93025 | $22.44 | $102.00 | $30.23 – $201.81 | 12 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $2,263.92 – $4,837.63 | 10 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $283.14 | $363.00 | $8.30 – $113.57 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $2.49 | $11.34 | $0.13 – $0.22 | 8 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.16 – $0.24 | 8 |
| Middle cerebral artery echo CPT 76821 | $20.46 | $93.00 | $27.47 – $137.16 | 15 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $36.55 – $56.12 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.31 – $1.99 | 8 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $372.12 – $786.79 | 11 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $1.94 – $2.91 | 12 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.46 – $0.60 | 4 |
| Miroderm HCPCS Q4175 | not published | not published | $63.88 – $95.82 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $50.51 – $98.37 | 15 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.97 – $1.27 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $2,193.84 – $3,623.16 | 12 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $20.54 – $46.35 | 15 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $230.64 – $449.15 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $21.51 – $60.82 | 15 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $1,701.70 | $7,735.00 | $154.72 – $4,394.59 | 7 |
| Mlh1 gene CPT 81288 | not published | not published | $126.93 – $209.63 | 12 |
| Mlh1 gene dup/delete variant CPT 81294 | $133.76 | $608.00 | $133.58 – $244.06 | 15 |
| Mlh1 gene full seq CPT 81292 | $445.72 | $2,026.00 | $445.76 – $827.18 | 15 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $207.25 – $360.79 | 15 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | $13.20 | $60.00 | $17.48 – $33.78 | 7 |
| Mlt fam grp bhv train ea add CPT 96203 | $3.74 | $17.00 | $4.74 – $9.13 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $658.24 | $2,992.00 | $12.74 – $16,596.43 | 15 |
| Mnl appl strs jt radiography CPT 77071 | $283.14 | $363.00 | $44.47 – $113.57 | 12 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $51.70 | $235.00 | $68.05 – $134.22 | 7 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $92.40 | $420.00 | $120.32 – $237.33 | 7 |
| Mnl prep&insj imed rx dev CPT 20702 | $88.00 | $400.00 | $114.45 – $225.74 | 7 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $122.54 | $557.00 | $2.00 – $2,064.31 | 15 |
| Mnpj elbow under anes CPT 24300 | $277.64 | $1,262.00 | $8.00 – $2,064.31 | 15 |
| Mnpj of tmj w/anesth CPT 21073 | $152.46 | $693.00 | $19.62 – $1,910.65 | 15 |
| Mnt subs tx for change dx HCPCS G0270 | $16.72 | $76.00 | $22.34 – $28.03 | 6 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $394.93 – $835.02 | 11 |
| Mobilization of colon 44139 CPT 44139 | $73.70 | $335.00 | $18.08 – $190.05 | 7 |
| Modification of contact lens CPT 92325 | not published | not published | $32.97 – $166.26 | 12 |
| Modified maze/limited 33254 CPT 33254 | $828.08 | $3,764.00 | $75.52 – $2,140.69 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | $355.96 | $1,618.00 | $73.27 – $916.20 | 7 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $198.90 | $255.00 | $9.64 – $41.13 | 15 |
| Molded inner boot HCPCS L2280 | not published | not published | $264.38 – $559.00 | 11 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,479.26 – $3,127.70 | 11 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $1,400.00 – $4,594.22 | 11 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $753.29 – $1,592.74 | 11 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $1,400.00 – $4,997.04 | 11 |
| Molecular pathology interpr HCPCS G0452 | $28.16 | $128.00 | $0.02 – $3.74 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $8.24 – $16.05 | 15 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $177.73 – $375.78 | 11 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $213.52 – $451.47 | 11 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $11,388.88 – $24,080.37 | 11 |
| Monitor reveal linq ii cardiac HCPCS C1764 | not published | not published | $7,414.99 – $7,414.99 | 1 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $384.06 – $747.94 | 15 |
| Monthly tx for dmht 20mins HCPCS G0553 | $18.92 | $86.00 | $25.08 – $166.22 | 11 |
| Mopath procedure level 1 CPT 81400 | $149.76 | $192.00 | $42.22 – $69.72 | 12 |
| Mopath procedure level 3 CPT 81402 | $99.00 | $450.00 | $99.22 – $163.86 | 12 |
| Mopath procedure level 5 CPT 81404 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Mopath procedure level 6 CPT 81405 | $705.12 | $904.00 | $198.89 – $328.47 | 12 |
| Mopath procedure level 7 CPT 81406 | $662.22 | $849.00 | $186.70 – $308.34 | 12 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $558.54 – $922.43 | 12 |
| Mopath procedure level 9 CPT 81408 | $1,320.00 | $6,000.00 | $1,320.00 – $2,180.00 | 12 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $6.44 | $29.26 | $2.22 – $6.43 | 8 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.06 – $11.51 | 8 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.18 – $10.88 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $10.18 – $15.27 | 8 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $25.08 | $114.00 | $34.04 – $221.03 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $25.96 | $118.00 | $35.14 – $463.99 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $400.92 | $514.00 | $33.39 – $221.03 | 15 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $474.29 – $923.64 | 15 |
| Motion analysis video/3d CPT 96000 | $51.48 | $234.00 | $67.69 – $684.40 | 12 |
| Motion test w/ft press meas CPT 96001 | $65.56 | $298.00 | $81.10 – $1,312.29 | 12 |
| Motor &/ sens nrve cndj test CPT 95905 | $1.76 | $8.00 | $2.16 – $514.71 | 12 |
| Mouth piece HCPCS A4617 | not published | not published | $2.23 – $4.72 | 11 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $175.34 | $797.00 | $20.83 – $4,183.11 | 15 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $15.18 | $69.00 | $17.40 – $44.75 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $400.92 | $514.00 | $51.63 – $221.03 | 15 |
| M/phmtrc alysishquant/semiq CPT 88369 | $20.46 | $93.00 | $20.69 – $55.31 | 8 |
| M/phmtrc alys skeletal musc CPT 88355 | $49.94 | $227.00 | $33.32 – $221.03 | 15 |
| Mpl gene analysis common variants CPT 81338 | $99.00 | $450.00 | $99.22 – $163.86 | 12 |
| M.pneumon dna dir probe CPT 87580 | $13.20 | $60.00 | $10.34 – $21.85 | 12 |
| M.pneumon dna quant CPT 87582 | $199.76 | $908.00 | $20.80 – $329.86 | 12 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $98.56 – $171.72 | 4 |
| MRA abdomen post contrast CPT 74185 | $3,711.24 | $4,758.00 | $69.17 – $520.20 | 8 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,124.64 | $5,288.00 | $69.46 – $520.20 | 8 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $215.58 – $744.12 | 11 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $145.91 – $311.79 | 10 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $215.58 – $460.65 | 10 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,432.00 | $4,400.00 | $69.68 – $520.20 | 8 |
| MRA pelvis CPT 72198 | $4,290.00 | $5,500.00 | $69.17 – $520.20 | 8 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $215.58 – $845.54 | 11 |
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.