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 |
|---|---|---|---|---|
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $13.64 | $62.00 | $17.16 – $33.31 | 4 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $20.46 | $93.00 | $25.31 – $49.07 | 7 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $7.26 | $33.00 | $9.70 – $18.81 | 4 |
| Nras gene variants exon 2&3 CPT 81311 | $195.36 | $888.00 | $195.22 – $378.61 | 15 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $799.98 – $2,264.88 | 15 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $693.44 | $3,152.00 | $99.83 – $8,260.37 | 15 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $650.32 | $2,956.00 | $92.82 – $8,260.37 | 15 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $668.36 | $3,038.00 | $96.21 – $8,260.37 | 15 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | $710.60 | $3,230.00 | $102.29 – $8,260.37 | 15 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $783.20 | $3,560.00 | $112.64 – $8,260.37 | 15 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $848.32 | $3,856.00 | $116.03 – $8,260.37 | 15 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | $819.06 | $3,723.00 | $116.03 – $8,260.37 | 15 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | $883.30 | $4,015.00 | $116.03 – $8,260.37 | 15 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $551.54 | $2,507.00 | $79.97 – $8,260.37 | 12 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $104.94 | $477.00 | $138.55 – $272.52 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | $659.34 | $2,997.00 | $87.47 – $8,929.03 | 15 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $608.96 | $2,768.00 | $80.56 – $8,929.03 | 15 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $289.74 | $1,317.00 | $381.41 – $8,929.03 | 15 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $111.10 | $505.00 | $145.43 – $8,929.03 | 15 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $157.08 | $714.00 | $207.32 – $8,929.03 | 15 |
| Nsl/sins ndsc surg max sins CPT 31295 | $97.24 | $442.00 | $127.97 – $8,929.03 | 15 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | $753.94 | $3,427.00 | $99.88 – $8,929.03 | 15 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $88.66 | $403.00 | $116.77 – $8,929.03 | 15 |
| Nsl/sins ndsc total CPT 31253 | $306.90 | $1,395.00 | $404.49 – $8,929.03 | 15 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $273.68 | $1,244.00 | $360.89 – $8,929.03 | 15 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $373.56 | $1,698.00 | $49.50 – $4,755.66 | 15 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $128.18 – $7,630.39 | 12 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $128.18 – $7,630.39 | 12 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $272.80 | $1,240.00 | $360.49 – $2,224.33 | 14 |
| Ntraop hipec px ea add 30min CPT 96548 | $157.52 | $716.00 | $617.65 – $617.65 | 1 |
| Ntrk1 translocation analysis CPT 81191 | $136.84 | $622.00 | $136.83 – $225.97 | 12 |
| Ntrk2 translocation analysis CPT 81192 | $136.84 | $622.00 | $136.83 – $225.97 | 12 |
| Ntrk3 translocation analysis CPT 81193 | $136.84 | $622.00 | $136.83 – $225.97 | 12 |
| Ntrk translocation analysis CPT 81194 | $1,212.90 | $1,555.00 | $342.07 – $564.93 | 12 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $22.00 | $100.00 | $29.58 – $57.76 | 4 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $32.78 | $149.00 | $43.92 – $85.62 | 4 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $44.44 | $202.00 | $58.54 – $113.99 | 4 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $21.12 | $96.00 | $28.63 – $92.00 | 5 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $11.00 | $50.00 | $14.55 – $28.37 | 4 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $21.56 | $98.00 | $27.88 – $92.00 | 9 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $286.40 – $746.15 | 15 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $285.37 – $746.15 | 15 |
| Nuclear exam of tear flow CPT 78660 | $13.20 | $60.00 | $17.35 – $518.31 | 15 |
| Nuclear matrix protein 22 CPT 86386 | $14.52 | $66.00 | $14.38 – $28.94 | 15 |
| Nuclear rx intra-arterial CPT 79445 | $67.54 | $307.00 | $78.02 – $289.10 | 14 |
| Nuclear rx intra-articular CPT 79440 | $48.84 | $222.00 | $31.83 – $289.10 | 15 |
| Nuclear rx intracav admin CPT 79200 | $48.84 | $222.00 | $42.24 – $289.10 | 15 |
| Nuclear rx IV admin CPT 79101 | $56.98 | $259.00 | $43.11 – $289.10 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,673.06 | $3,427.00 | $61.85 – $1,683.89 | 15 |
| Nuclr rx interstit colloid CPT 79300 | $39.38 | $179.00 | $38.85 – $289.10 | 14 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $256.39 – $542.11 | 11 |
| Nudt15 gene common variants CPT 81306 | $192.28 | $874.00 | $192.30 – $317.58 | 12 |
| Nursing fac care supervision CPT 99379 | $34.98 | $159.00 | $44.12 – $175.00 | 5 |
| Nursing fac care supervision CPT 99380 | $54.56 | $248.00 | $69.01 – $262.00 | 5 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $80.30 | $365.00 | $76.70 – $263.00 | 8 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $49.94 | $227.00 | $58.53 – $182.00 | 8 |
| Nushield 1 square cm HCPCS Q4160 | $436.02 | $559.00 | $93.93 – $749.95 | 8 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $906.02 – $1,359.16 | 12 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $196,454.48 – $524,979.00 | 11 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $57.01 – $111.02 | 15 |
| Obltrj a-pulm sep def w/byp CPT 33814 | $930.60 | $4,230.00 | $84.67 – $2,401.93 | 7 |
| Observation direct referral from physician office for admission HCPCS G0379 | $1,075.62 | $1,379.00 | $370.09 – $790.81 | 10 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $127.60 | $580.00 | $170.18 – $540.00 | 10 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $60.06 | $273.00 | $79.71 – $332.00 | 10 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $97.68 | $444.00 | $130.21 – $420.00 | 10 |
| Observation per hour HCPCS G0378 | $99.06 | $127.00 | $446.33 – $1,562.46 | 4 |
| Obstetrical care 59410 CPT 59410 | $667.26 | $3,033.00 | $868.39 – $3,136.50 | 9 |
| Obstetric panel inc HIV tstg CPT 80081 | $394.68 | $506.00 | $49.41 – $130.53 | 15 |
| Obstetrics panel CPT 80055 | $31.68 | $144.00 | $12.00 – $52.11 | 15 |
| Obtaining screen pap smear HCPCS Q0091 | $11.22 | $51.00 | $14.78 – $31.59 | 11 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $34.32 | $156.00 | $44.50 – $137.16 | 15 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $28.82 | $131.00 | $22.49 – $42.75 | 8 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $155.98 | $709.00 | $20.75 – $4,101.16 | 15 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | not published | not published | $70.40 – $160.87 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | not published | not published | $70.40 – $160.87 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | not published | not published | $40.53 – $160.87 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $43.38 – $84.48 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $38.26 | $173.92 | $0.57 – $1.06 | 8 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $154.18 – $300.26 | 15 |
| Ocular function screen CPT 99172 | not published | not published | $2.73 – $30.59 | 4 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $5.04 – $67.20 | 9 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $3.97 – $24.75 | 9 |
| Ocular photodynamic ther CPT 67221 | $126.50 | $575.00 | $168.25 – $1,187.28 | 15 |
| Ocular reconst transplant CPT 65780 | $357.94 | $1,627.00 | $47.97 – $4,864.07 | 15 |
| Ocular reconst transplant CPT 65781 | $802.12 | $3,646.00 | $107.35 – $6,655.32 | 12 |
| Ocular reconst transplant CPT 65782 | $692.78 | $3,149.00 | $92.72 – $4,864.07 | 15 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $45.22 – $67.84 | 12 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $96.99 – $318.99 | 11 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $96.99 – $330.63 | 11 |
| Office emergency care CPT 99058 | not published | not published | $17.35 – $38.09 | 5 |
| Off/op cnsltj new/est low 30 CPT 99243 | $57.20 | $260.00 | $72.93 – $294.00 | 8 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $87.34 | $397.00 | $111.24 – $432.60 | 8 |
| Off/op consltj new/est hi 55 CPT 99245 | $116.82 | $531.00 | $149.07 – $557.00 | 8 |
| Off/op consltj new/est sf 20 CPT 99242 | $36.30 | $165.00 | $46.10 – $215.25 | 9 |
| Offset knee joint each HCPCS L2390 | not published | not published | $65.14 – $137.73 | 11 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $90.87 – $192.13 | 11 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | not published | not published | $795.60 – $795.60 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $0.75 – $1.29 | 8 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.12 – $4.13 | 15 |
| Ol dig e/m svc 11-20 min CPT 99422 | $15.62 | $71.00 | $20.61 – $40.17 | 7 |
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.