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 |
|---|---|---|---|---|
| Opscpy extnd rta draw uni/bi CPT 92201 | $13.86 | $63.00 | $18.44 – $76.62 | 15 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $38.60 – $52.37 | 4 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $15.98 – $33.09 | 4 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $404.14 | $1,837.00 | $53.36 – $9,214.43 | 15 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $357.94 | $1,627.00 | $47.08 – $9,214.43 | 15 |
| Optx acute shoulder dislc CPT 23660 | $366.74 | $1,667.00 | $48.17 – $9,214.43 | 15 |
| Optx carpl scphd fx int fixj CPT 25628 | $450.78 | $2,049.00 | $50.40 – $9,214.43 | 15 |
| Optx clavicular fx w/int fix CPT 23515 | $450.12 | $2,046.00 | $44.18 – $9,214.43 | 15 |
| Optx complicated mndblr fx CPT 21470 | $719.62 | $3,271.00 | $9.52 – $7,630.39 | 15 |
| Optx cranfcl sep comp mlt CPT 21433 | $1,069.64 | $4,862.00 | $126.53 – $2,743.99 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | $439.78 | $1,999.00 | $57.79 – $1,125.24 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | $1,256.86 | $5,713.00 | $164.69 – $3,224.61 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | $869.44 | $3,952.00 | $113.99 – $2,229.37 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $358.82 | $1,631.00 | $39.82 – $4,185.10 | 15 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $488.18 | $2,219.00 | $8.06 – $9,214.43 | 15 |
| Optx lunate dislocation CPT 25695 | $397.76 | $1,808.00 | $3.00 – $9,214.43 | 15 |
| Optx medial ankle fx CPT 27766 | $378.40 | $1,720.00 | $49.68 – $9,214.43 | 15 |
| Optx mndblr cndylr fx CPT 21465 | $500.94 | $2,277.00 | $65.38 – $7,630.39 | 15 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $630.96 | $2,868.00 | $9.36 – $7,630.39 | 15 |
| Optx mndblr fx xtrnl fixj CPT 21454 | $307.34 | $1,397.00 | $29.69 – $7,630.39 | 15 |
| Optx mndblr/max alv ridge fx CPT 21445 | $379.72 | $1,726.00 | $51.18 – $7,630.39 | 12 |
| Optx palatal/max fracture CPT 21422 | $390.72 | $1,776.00 | $50.86 – $7,630.39 | 14 |
| Optx palatal/max fx comp CPT 21423 | $490.60 | $2,230.00 | $64.64 – $1,262.08 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $676.06 | $3,073.00 | $7.13 – $16,596.43 | 15 |
| Optx post ankle fx CPT 27769 | $452.98 | $2,059.00 | $59.45 – $9,214.43 | 15 |
| Optx prox humrl fx w/int fix CPT 23615 | $550.66 | $2,503.00 | $16.00 – $16,596.43 | 15 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $765.60 | $3,480.00 | $100.48 – $23,720.63 | 14 |
| Optx radial shaft fracture CPT 25515 | $420.42 | $1,911.00 | $5.00 – $9,214.43 | 15 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $395.34 | $1,797.00 | $11.68 – $9,214.43 | 15 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $380.16 | $1,728.00 | $4.00 – $9,214.43 | 15 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $494.56 | $2,248.00 | $64.89 – $9,214.43 | 15 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $596.64 | $2,712.00 | $78.24 – $9,214.43 | 15 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $564.96 | $2,568.00 | $6.53 – $9,214.43 | 15 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $423.94 | $1,927.00 | $55.56 – $9,214.43 | 15 |
| Optx scapular fx w/int fixj CPT 23585 | $606.76 | $2,758.00 | $67.20 – $9,214.43 | 15 |
| Optx sho dislc fx CPT 23670 | $544.72 | $2,476.00 | $14.27 – $9,214.43 | 15 |
| Optx sho dislc neck fx fixj CPT 23680 | $580.14 | $2,637.00 | $5.92 – $16,596.43 | 15 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $393.14 | $1,787.00 | $51.54 – $9,214.43 | 15 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $361.46 | $1,643.00 | $47.39 – $9,214.43 | 15 |
| Optx thigh fx CPT 27269 | $769.12 | $3,496.00 | $100.49 – $1,973.48 | 7 |
| Optx tmprmand dislocation CPT 21490 | $494.12 | $2,246.00 | $17.50 – $4,183.11 | 15 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $460.02 | $2,091.00 | $3.00 – $9,214.43 | 15 |
| Optx ulnar shft fx int fixj CPT 25545 | $392.70 | $1,785.00 | $6.53 – $9,214.43 | 15 |
| Optx ulnar styloid fracture CPT 25652 | $392.26 | $1,783.00 | $51.37 – $9,214.43 | 15 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.56 – $3.85 | 8 |
| Oral busulfan HCPCS J8510 | not published | not published | $61.19 – $140.11 | 12 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.87 – $3.03 | 8 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $7.91 – $13.06 | 11 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $13.46 – $26.22 | 15 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $16.46 – $32.06 | 15 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $297.56 – $579.47 | 15 |
| Orbitocranial approach/skull CPT 61584 | $1,775.62 | $8,071.00 | $210.00 – $4,588.63 | 7 |
| Orbitocranial approach/skull CPT 61585 | $2,017.62 | $9,171.00 | $210.00 – $5,227.65 | 7 |
| Orbitocranial approach/skull CPT 61592 | $1,950.30 | $8,865.00 | $210.00 – $5,059.83 | 7 |
| Orchiectomy partial CPT 54522 | $363.88 | $1,654.00 | $47.97 – $4,448.70 | 15 |
| Orchiopexy (fowler-stephens) CPT 54650 | $440.88 | $2,004.00 | $58.16 – $4,552.00 | 15 |
| Orchiopexy ingun/scrot appr CPT 54640 | $268.40 | $1,220.00 | $35.18 – $4,552.00 | 15 |
| Organic acids total quant ea spec CPT 83918 | $15.40 | $70.00 | $10.47 – $36.40 | 15 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $30.08 – $58.59 | 15 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $20.72 – $40.36 | 15 |
| Oropharyngeal biopsy 42800 CPT 42800 | $72.82 | $331.00 | $9.61 – $1,910.65 | 15 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $8.91 – $18.26 | 8 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $12.00 – $32.72 | 11 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $159.32 – $336.84 | 11 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $275.91 – $583.37 | 11 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $294.27 – $1,495.82 | 11 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $283.52 – $818.86 | 11 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $149.43 – $315.95 | 11 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $177.22 – $374.72 | 11 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $58.30 – $123.29 | 11 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $149.43 – $315.95 | 11 |
| Orthopantogram CPT 70355 | $6.16 | $28.00 | $6.92 – $113.57 | 15 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $17.73 – $37.50 | 11 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $23.54 | $107.00 | $6.79 – $53.23 | 10 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $21.15 – $76.62 | 12 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $30.85 – $65.23 | 11 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $19.26 – $40.72 | 11 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $17.73 – $37.50 | 11 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $25.43 – $53.78 | 11 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $78.98 – $166.99 | 11 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $234.84 – $496.53 | 11 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $70.99 – $138.24 | 15 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $206.32 – $498.35 | 11 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $376.90 – $1,156.92 | 11 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $16.53 – $262.35 | 12 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $19.26 – $40.72 | 11 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $13.89 – $29.36 | 11 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $51.68 – $109.27 | 11 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $39.06 – $83.15 | 11 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $5.38 – $11.38 | 11 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $32.38 – $68.46 | 11 |
| Osmolality blood CPT 83930 | $34.32 | $44.00 | $3.00 – $7.20 | 15 |
| Osmolality urine CPT 83935 | $35.88 | $46.00 | $3.00 – $7.43 | 15 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $198.88 | $904.00 | $22.97 – $4,185.10 | 15 |
| Ostectomy scapula partial CPT 23190 | $361.02 | $1,641.00 | $7.19 – $4,185.10 | 15 |
| Osteoart algrft w/surf & b1 CPT 20932 | $463.32 | $2,106.00 | $604.53 – $1,193.31 | 4 |
| Osteochondral knee allograft CPT 27415 | $852.06 | $3,873.00 | $111.52 – $16,596.43 | 12 |
| Osteochondral knee autograft CPT 27416 | $610.50 | $2,775.00 | $79.87 – $9,214.43 | 15 |
| Osteochondral talus autogrft CPT 28446 | $760.76 | $3,458.00 | $99.60 – $9,214.43 | 12 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $28.38 | $129.00 | $15.27 – $73.56 | 14 |
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.