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 |
|---|---|---|---|---|
| Ol dig e/m svc 21+ min CPT 99423 | $24.42 | $111.00 | $33.01 – $64.27 | 7 |
| Ol dig e/m svc 5-10 min CPT 99421 | $7.92 | $36.00 | $10.44 – $20.34 | 7 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $29.47 – $57.40 | 15 |
| Omental flap extra-abdom 49904 CPT 49904 | $854.04 | $3,882.00 | $112.14 – $2,211.14 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | $216.04 | $982.00 | $52.99 – $558.86 | 7 |
| Onc breast mrna 12 genes CPT 81522 | $2,556.40 | $11,620.00 | $2,556.18 – $4,221.57 | 12 |
| Onc breast mrna 58 genes CPT 81520 | $1,656.60 | $7,530.00 | $1,656.74 – $2,736.13 | 12 |
| Onc breast mrna 70 genes CPT 81521 | $2,556.40 | $11,620.00 | $2,556.18 – $4,221.57 | 12 |
| Onc brst mrna 11 genes CPT 81518 | $2,556.40 | $11,620.00 | $2,556.18 – $4,957.44 | 15 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $2,556.18 – $4,221.57 | 12 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | $4,747.60 | $21,580.00 | $4,747.38 – $7,840.37 | 12 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,056.56 – $3,396.44 | 12 |
| Oncology colorectal scr CPT 81528 | $335.72 | $1,526.00 | $335.85 – $651.36 | 15 |
| Oncology gynecologic CPT 81535 | $382.36 | $1,738.00 | $382.45 – $631.61 | 12 |
| Oncology gynecologic CPT 81536 | $117.04 | $532.00 | $117.19 – $193.54 | 12 |
| Oncology lung CPT 81538 | not published | not published | $1,894.86 – $3,129.39 | 12 |
| Oncology prostate prob score CPT 81539 | $501.60 | $2,280.00 | $501.60 – $828.40 | 12 |
| Oncology tissue of origin CPT 81504 | $343.20 | $1,560.00 | $16.22 – $566.80 | 15 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $2,475.00 – $4,087.50 | 12 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $592.02 – $977.73 | 12 |
| Onco (ovar) two proteins CPT 81500 | $609.96 | $782.00 | $171.93 – $283.95 | 12 |
| Oncoprotein dcp CPT 83951 | $42.68 | $194.00 | $42.52 – $118.10 | 15 |
| Oncoprotein her-2/neu CPT 83950 | $42.68 | $194.00 | $42.52 – $115.18 | 15 |
| Onc prostate 3 genes CPT 81551 | $1,339.80 | $6,090.00 | $1,339.80 – $2,212.70 | 12 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $2,556.18 – $4,221.57 | 12 |
| Onc prostate mrna 46 genes CPT 81541 | $2,556.40 | $11,620.00 | $2,556.18 – $4,221.57 | 12 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $2,376.00 | $10,800.00 | $2,376.00 – $3,924.00 | 12 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $5,132.16 – $8,475.84 | 12 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.46 – $0.59 | 4 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.08 | 8 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.73 | $3.33 | $0.09 – $0.81 | 8 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $8.32 – $82.50 | 3 |
| One way chest drain valve HCPCS A7040 | not published | not published | $28.43 – $60.10 | 11 |
| Oocyte identification CPT 89254 | $220.00 | $1,000.00 | $23.27 – $221.03 | 11 |
| Oophorectomy partial or total 58943 CPT 58943 | $742.94 | $3,377.00 | $117.68 – $1,921.62 | 7 |
| Open ablate liver tumor cryo CPT 47381 | $916.74 | $4,167.00 | $107.07 – $2,360.06 | 7 |
| Open ablate liver tumor rf CPT 47380 | $894.30 | $4,065.00 | $104.74 – $2,305.39 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | $1,068.76 | $4,858.00 | $96.77 – $2,766.16 | 7 |
| Open aortofemor prosth repr CPT 34832 | $1,149.28 | $5,224.00 | $104.02 – $2,974.05 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $1,171.72 | $5,326.00 | $105.83 – $3,022.90 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | $277.64 | $1,262.00 | $39.91 – $4,939.24 | 15 |
| Open bx of lung pleura 32098 CPT 32098 | $462.66 | $2,103.00 | $60.30 – $1,194.90 | 7 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $138.82 | $631.00 | $36.85 – $361.18 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | $465.08 | $2,114.00 | $51.07 – $7,630.39 | 15 |
| Open nasoethmoid fx without fixj CPT 21338 | $410.74 | $1,867.00 | $11.20 – $7,630.39 | 15 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $416.68 | $1,894.00 | $54.65 – $4,939.24 | 15 |
| Open skull for drainage 61312 CPT 61312 | $1,289.42 | $5,861.00 | $182.40 – $3,325.11 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $178.42 | $811.00 | $6.50 – $2,064.31 | 15 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $374.66 | $1,703.00 | $34.03 – $6,972.61 | 15 |
| Open tx compl front sinus fx CPT 21344 | $857.78 | $3,899.00 | $113.52 – $2,215.34 | 7 |
| Open tx iliac spine uni/bil HCPCS G0412 | $450.78 | $2,049.00 | $59.07 – $761.89 | 6 |
| Open tx nose fx w/skele fixj CPT 21330 | $326.70 | $1,485.00 | $14.24 – $7,630.39 | 15 |
| Open tx nose & septal fx CPT 21335 | $439.34 | $1,997.00 | $12.85 – $4,183.11 | 15 |
| Open tx post pelvic fxcture HCPCS G0415 | $851.40 | $3,870.00 | $110.87 – $1,430.68 | 6 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $364.32 | $1,656.00 | $473.92 – $9,214.43 | 12 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $440.88 | $2,004.00 | $571.99 – $9,214.43 | 12 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $603.68 | $2,744.00 | $781.72 – $2,064.31 | 12 |
| Open tx/sternum fracture 21825 CPT 21825 | $342.76 | $1,558.00 | $23.63 – $879.75 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | $491.26 | $2,233.00 | $63.63 – $1,261.85 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | $491.48 | $2,234.00 | $63.74 – $1,263.89 | 7 |
| Ophthalmic biometry CPT 92136 | $18.26 | $83.00 | $13.90 – $166.26 | 15 |
| Ophthalmic endoscope add-on CPT 66990 | $53.90 | $245.00 | $71.26 – $138.35 | 4 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $438.60 – $577.98 | 4 |
| Ophthalmodynamometry CPT 92260 | $6.60 | $30.00 | $8.82 – $50.63 | 12 |
| Ophth Ultrasound b & quant a CPT 76510 | $23.76 | $108.00 | $24.37 – $166.26 | 15 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $19.80 | $90.00 | $26.31 – $137.16 | 12 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $21.56 | $98.00 | $17.66 – $137.16 | 15 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $20.39 – $33.89 | 6 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | $748.88 | $3,404.00 | $78.95 – $1,929.96 | 7 |
| Opn ax/subcla art expos CPT 34715 | $180.18 | $819.00 | $42.11 – $467.14 | 7 |
| Opn exc/dst ntra-abd CPT 49189 | $1,440.34 | $6,547.00 | $169.91 – $3,730.30 | 6 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $1,237.72 | $5,626.00 | $146.06 – $3,205.13 | 6 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $1,776.50 | $8,075.00 | $209.59 – $4,601.20 | 6 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $1,035.98 | $4,709.00 | $122.24 – $2,683.06 | 6 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $810.26 | $3,683.00 | $95.88 – $2,097.85 | 6 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $163.02 | $741.00 | $37.66 – $421.41 | 7 |
| Opn ilac art expos cndt crtj CPT 34833 | $237.82 | $1,081.00 | $105.28 – $615.68 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $374.88 | $1,704.00 | $53.98 – $39,306.74 | 15 |
| Opn impltj nea neuromuscular CPT 64580 | $195.36 | $888.00 | $28.11 – $27,660.31 | 12 |
| Opn impltj nea perph nerve CPT 64575 | $194.26 | $883.00 | $28.19 – $16,084.98 | 14 |
| Opn impltj nea sacral nerve CPT 64581 | $406.12 | $1,846.00 | $58.75 – $8,465.24 | 15 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $517.22 | $2,351.00 | $75.07 – $39,306.74 | 12 |
| Opn tx complx malar fx CPT 21365 | $670.56 | $3,048.00 | $4.34 – $7,630.39 | 15 |
| Opn tx complx malar w/grft CPT 21366 | $788.26 | $3,583.00 | $103.36 – $7,630.39 | 14 |
| Opn tx depress front sinus fx 21343 CPT 21343 | $667.92 | $3,036.00 | $37.91 – $1,724.32 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | $249.26 | $1,133.00 | $32.90 – $7,630.39 | 15 |
| Opn tx nasomax fx multple CPT 21347 | $638.22 | $2,901.00 | $84.51 – $7,630.39 | 14 |
| Opn tx nasomax fx w/fixj CPT 21346 | $615.56 | $2,798.00 | $6.14 – $7,630.39 | 15 |
| Opn tx nasomax fx w/graft CPT 21348 | $675.40 | $3,070.00 | $89.40 – $1,746.25 | 7 |
| Opn tx orbit fx combined CPT 21387 | $472.34 | $2,147.00 | $62.13 – $7,630.39 | 14 |
| Opn tx orbit fx periorbital CPT 21386 | $429.22 | $1,951.00 | $2.00 – $7,630.39 | 15 |
| Opn tx orbit fx transantral CPT 21385 | $452.10 | $2,055.00 | $4.00 – $7,630.39 | 15 |
| Opn tx orbit fx w/bone grft CPT 21408 | $557.70 | $2,535.00 | $73.22 – $7,630.39 | 14 |
| Opn tx orbit fx w/implant CPT 21407 | $401.06 | $1,823.00 | $52.47 – $7,630.39 | 15 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $361.90 | $1,645.00 | $47.57 – $7,630.39 | 15 |
| Opn tx orbit periorbtl implt CPT 21390 | $492.14 | $2,237.00 | $6.53 – $7,630.39 | 15 |
| Opn tx orbit periorbt w/grft CPT 21395 | $620.84 | $2,822.00 | $12.50 – $7,630.39 | 15 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $257.04 – $549.25 | 10 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $257.49 – $690.24 | 3 |
| Opscpy extnd on/mac draw CPT 92202 | $8.80 | $40.00 | $11.86 – $76.62 | 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.