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 |
|---|---|---|---|---|
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $35.86 | $163.00 | $15.27 – $92.88 | 14 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $42.68 | $194.00 | $15.27 – $111.18 | 14 |
| Osteoplasty humerus CPT 24420 | $658.02 | $2,991.00 | $27.00 – $9,214.43 | 15 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $1,012.88 | $4,604.00 | $130.93 – $2,588.37 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $221.76 | $1,008.00 | $57.46 – $568.51 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | $985.60 | $4,480.00 | $128.34 – $2,526.51 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $1,100.22 | $5,001.00 | $141.88 – $2,829.37 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | $516.56 | $2,348.00 | $6.09 – $9,214.43 | 15 |
| Osteot mlt relignmt imed rod CPT 27712 | $685.30 | $3,115.00 | $89.75 – $1,758.90 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $419.32 | $1,906.00 | $5.72 – $9,214.43 | 15 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $1.71 – $3.61 | 11 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $21.60 – $74.43 | 11 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.97 – $4.15 | 11 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $2.58 – $5.45 | 11 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $3.43 – $7.25 | 11 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.25 – $2.63 | 11 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $6.51 – $13.77 | 11 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $6.13 – $12.97 | 11 |
| Other bone graft microvasc CPT 20962 | $1,650.00 | $7,500.00 | $210.00 – $4,234.08 | 7 |
| Other immunoelectrophoresis CPT 86325 | $11.00 | $50.00 | $11.37 – $25.21 | 15 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $10.41 – $50.63 | 11 |
| Oth resp proc, indiv HCPCS G0238 | not published | not published | $8.26 – $31.59 | 11 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $34.59 – $81.82 | 12 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $5.72 | $26.00 | $7.45 – $14.46 | 7 |
| Otoplasty 69300 CPT 69300 | $291.06 | $1,323.00 | $385.35 – $4,183.11 | 12 |
| Ot re-evaluation patient/family CPT 97168 | not published | not published | $48.49 – $110.71 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $13.20 | $60.00 | $17.55 – $33.98 | 7 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $13.64 | $62.00 | $18.38 – $35.59 | 10 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | $960.52 | $4,366.00 | $87.36 – $2,478.56 | 7 |
| Out of office emerg med serv CPT 99060 | not published | not published | $20.02 – $42.45 | 5 |
| Outrigger HCPCS L1080 | not published | not published | $37.49 – $81.17 | 11 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $103.87 – $219.64 | 11 |
| Ovarian cystectomy 58925 CPT 58925 | $475.64 | $2,162.00 | $69.30 – $6,367.34 | 15 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $137.80 – $434.51 | 4 |
| Ovulation tests CPT 84830 | $8.36 | $38.00 | $6.38 – $13.84 | 12 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.75 – $1.40 | 8 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.06 – $0.13 | 8 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.41 – $4.89 | 3 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.94 – $1.23 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $8.32 | $37.80 | $0.87 – $1.83 | 4 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $128.69 – $338.40 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $130.15 – $310.97 | 12 |
| Pabpn1 gene detc abnor allel CPT 81312 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.35 – $2.84 | 11 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.10 – $0.15 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $8.81 – $17.15 | 15 |
| Palb2 gene full gene seq CPT 81307 | $446.60 | $2,030.00 | $226.30 – $737.39 | 15 |
| Palb2 gene known famil vrnt CPT 81308 | $198.88 | $904.00 | $198.89 – $385.73 | 15 |
| Palifermin injection HCPCS J2425 | not published | not published | $26.10 – $50.82 | 15 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $336.37 – $907.30 | 8 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,269.90 – $1,673.47 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $10.96 – $21.34 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $10.50 – $2,039.14 | 15 |
| Palonosetron hcl HCPCS J2469 | not published | not published | $0.42 – $0.77 | 8 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | not published | not published | $10.53 – $16.42 | 8 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $210.00 – $4,925.88 | 7 |
| Pancreatectomy CPT 48146 | $1,161.38 | $5,279.00 | $136.09 – $2,995.54 | 7 |
| Pancreatectomy CPT 48152 | $1,775.40 | $8,070.00 | $207.86 – $4,583.89 | 7 |
| Pancreatectomy CPT 48154 | $1,783.32 | $8,106.00 | $208.78 – $4,604.14 | 7 |
| Pancreatectomy 48153 CPT 48153 | $1,909.16 | $8,678.00 | $210.00 – $4,933.20 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $968.22 | $4,401.00 | $113.34 – $2,495.58 | 7 |
| Pancreatorrhaphy CPT 48545 | $833.14 | $3,787.00 | $97.43 – $2,145.95 | 7 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $125.37 – $244.16 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | not published | $1.93 – $5.94 | 4 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $38.25 – $48.94 | 4 |
| Parathormone (pth) intact CPT 83970 | $217.62 | $279.00 | $26.24 – $68.00 | 15 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $861.74 | $3,917.00 | $102.21 – $2,234.39 | 7 |
| Parathyrd planar w/spect&ct CPT 78072 | $45.10 | $205.00 | $59.88 – $694.29 | 15 |
| Parathyroid autotransplantation 60512 CPT 60512 | $148.06 | $673.00 | $36.45 – $383.59 | 7 |
| Parathyroid planar imaging CPT 78070 | $23.10 | $105.00 | $28.10 – $518.31 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $822.90 | $1,055.00 | $45.67 – $518.31 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | $517.44 | $2,352.00 | $54.41 – $6,367.34 | 15 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $12.71 – $18.30 | 3 |
| Parial mast w/lymph removal 19302 CPT 19302 | $562.10 | $2,555.00 | $73.31 – $8,411.79 | 15 |
| Paricalcitol HCPCS J2501 | not published | not published | $0.63 – $1.17 | 8 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $464.88 | $596.00 | $11.00 – $256.30 | 15 |
| Parotid duct diversion CPT 42507 | $303.38 | $1,379.00 | $36.50 – $7,630.39 | 15 |
| Parotid duct diversion CPT 42509 | $502.48 | $2,284.00 | $60.18 – $7,630.39 | 15 |
| Parotid duct diversion CPT 42510 | $374.00 | $1,700.00 | $44.80 – $4,183.11 | 14 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $555.28 | $2,524.00 | $71.26 – $9,214.43 | 14 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $125.18 | $569.00 | $16.63 – $4,101.16 | 15 |
| Partial complicated cystectomy 51555 CPT 51555 | $776.82 | $3,531.00 | $81.76 – $2,001.45 | 7 |
| Partial exc bone humerus CPT 24140 | $440.00 | $2,000.00 | $14.65 – $4,185.10 | 15 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $274.12 | $1,246.00 | $10.25 – $4,185.10 | 15 |
| Partial excision of lip CPT 40500 | $228.80 | $1,040.00 | $27.39 – $4,183.11 | 15 |
| Partial hip replacement CPT 27125 | $702.46 | $3,193.00 | $91.95 – $1,803.19 | 7 |
| Partial hysterectomy CPT 58180 | $594.88 | $2,704.00 | $94.11 – $1,540.00 | 7 |
| Partial proctectomy CPT 45113 | $1,141.36 | $5,188.00 | $135.56 – $2,948.90 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | $684.86 | $3,113.00 | $80.96 – $1,765.80 | 7 |
| Partial removal donor liver CPT 47140 | $2,208.80 | $10,040.00 | $257.89 – $5,683.14 | 4 |
| Partial removal donor liver CPT 47141 | $2,637.80 | $11,990.00 | $308.04 – $6,790.32 | 4 |
| Partial removal donor liver CPT 47142 | $2,904.44 | $13,202.00 | $339.05 – $7,476.87 | 4 |
| Partial removal finger bone CPT 26235 | $309.98 | $1,409.00 | $14.50 – $2,064.31 | 15 |
| Partial removal finger bone CPT 26236 | $278.30 | $1,265.00 | $14.50 – $2,064.31 | 15 |
| Partial removal foot fascia CPT 28060 | $224.40 | $1,020.00 | $29.74 – $4,185.10 | 15 |
| Partial removal leg bone(s) CPT 27360 | $558.36 | $2,538.00 | $3.28 – $4,185.10 | 15 |
| Partial removal of bladder CPT 51550 | $594.00 | $2,700.00 | $62.57 – $1,531.88 | 7 |
| Partial removal of esophagus CPT 43116 | $3,017.52 | $13,716.00 | $210.00 – $7,807.74 | 7 |
| Partial removal of esophagus CPT 43118 | $2,202.64 | $10,012.00 | $210.00 – $5,697.97 | 7 |
| Partial removal of esophagus CPT 43121 | $1,740.64 | $7,912.00 | $203.58 – $4,499.33 | 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.