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 |
|---|---|---|---|---|
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $145.91 – $311.79 | 10 |
| MRA spinal canal CPT 72159 | $52.36 | $238.00 | $69.98 – $577.27 | 8 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,733.86 | $4,787.00 | $67.19 – $520.20 | 8 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $215.58 – $985.24 | 11 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $215.58 – $634.40 | 11 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $215.58 – $460.65 | 10 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $215.58 – $460.65 | 10 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $145.91 – $311.79 | 10 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $145.91 – $311.79 | 10 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $145.91 – $311.79 | 10 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $145.91 – $311.79 | 10 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $215.58 – $727.06 | 11 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $215.58 – $1,238.09 | 11 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $215.58 – $4,552.15 | 11 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $215.58 – $460.65 | 10 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $215.58 – $460.65 | 10 |
| Mr elastography CPT 76391 | $32.12 | $146.00 | $42.84 – $311.79 | 12 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $746.02 | $3,391.00 | $960.32 – $16,084.98 | 12 |
| MRI brain w/dye CPT 70558 | $102.74 | $467.00 | $107.46 – $265.22 | 14 |
| MRI brain without dye CPT 70557 | $92.84 | $422.00 | $121.49 – $707.23 | 14 |
| MRI brain without & w/dye CPT 70559 | $97.46 | $443.00 | $107.46 – $249.94 | 14 |
| MRI breast c- unilateral CPT 77046 | $1,697.28 | $2,176.00 | $56.17 – $311.79 | 15 |
| MRI breast c-+ w/cad uni CPT 77048 | $1,750.32 | $2,244.00 | $81.57 – $337.43 | 8 |
| MRI breast without cont bi CPT 77047 | $1,697.28 | $2,176.00 | $61.96 – $311.79 | 15 |
| MRI breast w IV cont bi CPT 77049 | $1,750.32 | $2,244.00 | $89.31 – $335.77 | 8 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $67.98 | $309.00 | $90.31 – $385.12 | 15 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $75.46 | $343.00 | $100.01 – $588.51 | 15 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $86.24 | $392.00 | $114.55 – $1,019.07 | 15 |
| MRI chest without contrast CPT 71550 | $1,697.28 | $2,176.00 | $56.66 – $411.57 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,134.04 | $4,018.00 | $87.64 – $723.52 | 15 |
| MRI chest w IV cont CPT 71551 | $2,542.02 | $3,259.00 | $67.19 – $1,019.07 | 15 |
| MRI compatible system HCPCS L0859 | not published | not published | $799.66 – $1,690.80 | 11 |
| MRI fetal ea addl gestation CPT 74713 | $54.56 | $248.00 | $71.93 – $139.72 | 4 |
| MRI fetal sngl/1st gestation CPT 74712 | $88.22 | $401.00 | $116.72 – $311.79 | 12 |
| MRI guid ndl plc s&i CPT 77021 | $2,196.48 | $2,816.00 | $57.92 – $307.62 | 8 |
| MRI guid parenchymal tiss ablation CPT 77022 | $122.76 | $558.00 | $162.12 – $315.18 | 7 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $754.84 – $1,612.97 | 10 |
| MRI loex nonjt w IV cont CPT 73719 | $2,507.70 | $3,215.00 | $62.80 – $470.86 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,697.28 | $2,176.00 | $52.27 – $393.00 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,134.04 | $4,018.00 | $73.50 – $460.65 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,507.70 | $3,215.00 | $62.80 – $470.86 | 15 |
| MRI tmj CPT 70336 | $1,697.28 | $2,176.00 | $57.23 – $404.76 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,697.28 | $2,176.00 | $52.80 – $393.00 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,134.04 | $4,018.00 | $73.50 – $460.65 | 15 |
| MRI upper extremity w/dye CPT 73219 | $2,507.70 | $3,215.00 | $63.07 – $470.86 | 15 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $215.58 – $460.65 | 10 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $107.46 – $229.62 | 10 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $215.58 – $1,529.18 | 11 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $215.58 – $852.72 | 11 |
| Mr safety determination physician/other qhp CPT 76016 | $17.38 | $79.00 | $23.24 – $113.57 | 12 |
| Mr safety implant elec prepj CPT 76018 | $21.78 | $99.00 | $29.09 – $118.40 | 12 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $129.48 | $166.00 | $42.39 – $97.13 | 3 |
| Mr safety implt pos&/immoblj CPT 76019 | $17.16 | $78.00 | $22.85 – $76.62 | 12 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $172.38 | $221.00 | $8.80 – $31.59 | 12 |
| Mr sfty med physics xm cstmz CPT 76017 | $22.22 | $101.00 | $29.58 – $311.79 | 12 |
| Mr spectroscopy CPT 76390 | $618.54 | $793.00 | $40.86 – $113.57 | 12 |
| Msh2 gene dup/delete variant CPT 81297 | $140.80 | $640.00 | $121.37 – $232.50 | 15 |
| Msh2 gene full seq CPT 81295 | $252.12 | $1,146.00 | $121.37 – $416.05 | 15 |
| Msh2 gene known variants CPT 81296 | not published | not published | $103.62 – $368.13 | 15 |
| Msh6 gene dup/delete variant CPT 81300 | $157.08 | $714.00 | $129.34 – $259.42 | 15 |
| Msh6 gene full seq CPT 81298 | $423.72 | $1,926.00 | $230.26 – $699.62 | 15 |
| Msh6 gene known variants CPT 81299 | not published | not published | $128.99 – $335.72 | 15 |
| Mt bone graft microvasc CPT 20957 | $1,695.98 | $7,709.00 | $210.00 – $4,360.60 | 7 |
| Mthfr gene analy common variants CPT 81291 | $152.88 | $196.00 | $43.12 – $71.22 | 12 |
| M.tuberculo dna dir probe CPT 87555 | $17.60 | $80.00 | $10.34 – $29.30 | 12 |
| M.tuberculo dna quant CPT 87557 | $28.16 | $128.00 | $20.80 – $46.70 | 12 |
| Mucin synovial fluid CPT 83872 | $3.96 | $18.00 | $2.96 – $8.00 | 15 |
| Mucopolysaccharides CPT 83864 | $18.92 | $86.00 | $12.65 – $31.07 | 15 |
| Mucormycosis antibody CPT 86732 | $10.12 | $46.00 | $5.92 – $16.35 | 12 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $6.88 – $38.43 | 11 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $2,266.32 – $4,791.86 | 11 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $394.17 – $833.42 | 11 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $27.88 – $58.95 | 11 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $18.68 – $39.50 | 11 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $316.81 – $669.86 | 11 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $414.20 – $875.77 | 11 |
| Multi family grp psychotherapy CPT 90849 | $18.92 | $86.00 | $24.40 – $207.24 | 14 |
| Multifocal erg w/i&r CPT 92274 | $20.24 | $92.00 | $26.86 – $201.81 | 15 |
| Multiple sleep latency test CPT 95805 | $1,552.20 | $1,990.00 | $37.31 – $684.40 | 15 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $1,915.81 – $4,050.75 | 11 |
| Mumps antibody igg CPT 86735 | $68.64 | $88.00 | $5.92 – $14.22 | 12 |
| Muscle-skin graft arm CPT 15736 | $749.98 | $3,409.00 | $98.60 – $2,359.45 | 15 |
| Muscle-skin graft leg CPT 15738 | $779.02 | $3,541.00 | $102.50 – $4,722.15 | 15 |
| Muscle-skin graft trunk CPT 15734 | $926.86 | $4,213.00 | $121.12 – $4,722.15 | 15 |
| Muscle test cran nerv unilat CPT 95867 | $25.30 | $115.00 | $10.50 – $401.66 | 15 |
| Muscle test hemidiaphragm CPT 95866 | $39.82 | $181.00 | $8.60 – $201.81 | 15 |
| Muscle test larynx CPT 95865 | $49.72 | $226.00 | $26.79 – $166.26 | 15 |
| Muscle test one fiber CPT 95872 | $89.76 | $408.00 | $14.70 – $201.81 | 15 |
| Muscle transfers CPT 23397 | $706.20 | $3,210.00 | $92.79 – $9,214.43 | 15 |
| Muscle transfer shoulder/arm CPT 23395 | $797.50 | $3,625.00 | $22.00 – $9,214.43 | 15 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $634.48 | $2,884.00 | $83.53 – $4,722.15 | 15 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $468.82 | $2,131.00 | $48.00 – $9,214.43 | 15 |
| Mycobacteria dna amp probe CPT 87551 | $31.68 | $144.00 | $20.67 – $52.58 | 12 |
| Mycobacteria dna dir probe CPT 87550 | $13.20 | $60.00 | $10.34 – $21.85 | 12 |
| Mycobacteria dna quant CPT 87552 | $28.16 | $128.00 | $20.80 – $46.70 | 12 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.15 – $0.22 | 8 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.35 – $0.63 | 8 |
| Mycoplasma antibody igm CPT 86738 | $69.42 | $89.00 | $5.92 – $29.15 | 15 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $115.72 | $526.00 | $115.76 – $191.19 | 12 |
| Myelogphy 2/> spine regions CPT 72270 | $2,542.02 | $3,259.00 | $27.30 – $1,019.07 | 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.