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 |
|---|---|---|---|---|
| Partial removal of esophagus CPT 43123 | $2,737.90 | $12,445.00 | $210.00 – $7,079.40 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | $1,987.04 | $9,032.00 | $210.00 – $5,131.12 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | $1,579.60 | $7,180.00 | $184.42 – $4,065.39 | 7 |
| Partial removal of eye fluid CPT 67005 | $289.30 | $1,315.00 | $38.73 – $2,941.83 | 15 |
| Partial removal of eye fluid CPT 67010 | $330.44 | $1,502.00 | $44.29 – $2,941.83 | 15 |
| Partial removal of fibula CPT 27641 | $409.42 | $1,861.00 | $53.50 – $4,185.10 | 15 |
| Partial removal of foot bone CPT 28288 | $270.82 | $1,231.00 | $35.93 – $4,185.10 | 15 |
| Partial removal of hand bone CPT 26230 | $314.82 | $1,431.00 | $14.47 – $4,185.10 | 15 |
| Partial removal of heart sac 33030 CPT 33030 | $1,217.04 | $5,532.00 | $110.65 – $3,141.77 | 7 |
| Partial removal of larynx CPT 31367 | $1,329.68 | $6,044.00 | $176.67 – $3,438.54 | 7 |
| Partial removal of larynx CPT 31368 | $1,469.38 | $6,679.00 | $195.29 – $3,802.09 | 7 |
| Partial removal of larynx CPT 31370 | $1,245.86 | $5,663.00 | $165.76 – $3,223.00 | 7 |
| Partial removal of larynx CPT 31375 | $1,184.70 | $5,385.00 | $157.60 – $3,063.83 | 7 |
| Partial removal of larynx CPT 31380 | $1,168.20 | $5,310.00 | $155.42 – $3,021.13 | 7 |
| Partial removal of larynx CPT 31382 | $1,279.30 | $5,815.00 | $170.16 – $3,309.43 | 7 |
| Partial removal of lip CPT 40530 | $251.24 | $1,142.00 | $29.90 – $4,183.11 | 15 |
| Partial removal of liver CPT 47125 | $1,896.40 | $8,620.00 | $186.90 – $4,887.90 | 7 |
| Partial removal of liver CPT 47130 | $2,033.46 | $9,243.00 | $186.90 – $5,245.38 | 7 |
| Partial removal of lung 32480 CPT 32480 | $902.44 | $4,102.00 | $117.32 – $2,328.72 | 7 |
| Partial removal of nose CPT 30150 | $485.98 | $2,209.00 | $65.32 – $7,630.39 | 15 |
| Partial removal of pancreas CPT 48145 | $1,008.92 | $4,586.00 | $117.95 – $2,600.07 | 7 |
| Partial removal of pancreas CPT 48150 | $1,919.94 | $8,727.00 | $210.00 – $4,953.27 | 7 |
| Partial removal of penis CPT 54120 | $392.04 | $1,782.00 | $51.67 – $4,448.70 | 15 |
| Partial removal of pharynx 42890 CPT 42890 | $863.94 | $3,927.00 | $82.95 – $7,630.39 | 15 |
| Partial removal of radius CPT 25151 | $367.40 | $1,670.00 | $3.23 – $4,185.10 | 15 |
| Partial removal of radius CPT 25230 | $273.46 | $1,243.00 | $35.89 – $4,185.10 | 15 |
| Partial removal of rectum CPT 45111 | $668.36 | $3,038.00 | $78.99 – $1,728.25 | 7 |
| Partial removal of rectum CPT 45114 | $1,122.00 | $5,100.00 | $131.08 – $2,890.95 | 7 |
| Partial removal of rectum CPT 45116 | $948.20 | $4,310.00 | $112.47 – $2,447.05 | 7 |
| Partial removal of rib CPT 21600 | $355.52 | $1,616.00 | $44.10 – $9,214.43 | 15 |
| Partial removal of sternum CPT 21620 | $311.08 | $1,414.00 | $40.70 – $800.48 | 7 |
| Partial removal of thyroid CPT 60220 | $438.02 | $1,991.00 | $51.77 – $7,525.52 | 15 |
| Partial removal of thyroid CPT 60225 | $581.46 | $2,643.00 | $68.65 – $7,525.52 | 15 |
| Partial removal of tibia CPT 27640 | $514.80 | $2,340.00 | $67.96 – $4,185.10 | 15 |
| Partial removal of toe CPT 28160 | $166.98 | $759.00 | $22.08 – $4,185.10 | 15 |
| Partial removal of tongue CPT 41120 | $641.30 | $2,915.00 | $77.15 – $7,630.39 | 15 |
| Partial removal of tongue CPT 41130 | $795.96 | $3,618.00 | $95.51 – $2,058.23 | 7 |
| Partial removal of ulna CPT 25119 | $315.92 | $1,436.00 | $3.23 – $4,185.10 | 15 |
| Partial removal of ulna CPT 25150 | $356.84 | $1,622.00 | $46.71 – $4,185.10 | 15 |
| Partial removal of ulna CPT 25240 | $271.48 | $1,234.00 | $35.66 – $4,185.10 | 15 |
| Partial removal of vaginal wall 57106 CPT 57106 | $330.88 | $1,504.00 | $52.85 – $4,101.16 | 15 |
| Partial removal tear gland CPT 68505 | $636.46 | $2,893.00 | $85.82 – $4,864.07 | 15 |
| Partial thyroid excision CPT 60210 | $439.34 | $1,997.00 | $51.75 – $7,525.52 | 15 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $635.36 | $2,888.00 | $74.40 – $7,525.52 | 15 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.41 – $3.62 | 8 |
| Part removal hip bone deep CPT 27071 | $597.96 | $2,718.00 | $79.21 – $1,546.56 | 7 |
| Part removal of metatarsal CPT 28110 | $184.36 | $838.00 | $24.26 – $4,185.10 | 15 |
| Part removal of metatarsal CPT 28113 | $267.08 | $1,214.00 | $23.19 – $4,185.10 | 15 |
| Part removal of metatarsal 28112 CPT 28112 | $195.80 | $890.00 | $22.97 – $4,185.10 | 15 |
| Part remove hip bone super CPT 27070 | $542.08 | $2,464.00 | $72.16 – $1,408.41 | 7 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $74.75 – $158.04 | 11 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $4.12 – $8.72 | 11 |
| Path clin consltj high 41-60 CPT 80505 | $400.92 | $514.00 | $72.47 – $221.03 | 12 |
| Path clin consltj mod 21-40 CPT 80504 | $400.92 | $514.00 | $38.60 – $221.03 | 12 |
| Path clin consltj prolng svc CPT 80506 | $128.70 | $165.00 | $34.74 – $47.12 | 4 |
| Path clin consltj sf 5-20 CPT 80503 | $125.58 | $161.00 | $17.95 – $68.92 | 12 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $33.87 – $72.37 | 10 |
| Pathogen reduced plasma sing HCPCS P9071 | not published | not published | $86.78 – $377.32 | 10 |
| Patient recorded spirometry CPT 94014 | not published | not published | $18.23 – $514.71 | 12 |
| Patient recorded spirometry CPT 94015 | not published | not published | $18.92 – $401.66 | 12 |
| Patten bottom HCPCS L2370 | not published | not published | $194.72 – $411.70 | 11 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $168.33 – $278.00 | 12 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $15.00 – $381.11 | 9 |
| Pdgfra gene CPT 81314 | $217.36 | $988.00 | $217.48 – $421.78 | 15 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $13.89 – $29.36 | 11 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $119.94 – $347.97 | 15 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $446.60 | $2,030.00 | $60.21 – $2,359.45 | 15 |
| Ped crit care age 2-5 init CPT 99475 | $342.98 | $1,559.00 | $347.68 – $1,431.00 | 8 |
| Ped crit care age 2-5 subsq CPT 99476 | $207.90 | $945.00 | $208.76 – $861.00 | 8 |
| Ped crit care transport CPT 99466 | $141.68 | $644.00 | $189.35 – $572.00 | 5 |
| Ped crit care transport addl CPT 99467 | $71.06 | $323.00 | $95.06 – $291.00 | 5 |
| Ped critical care initial CPT 99471 | $472.56 | $2,148.00 | $504.03 – $2,166.00 | 8 |
| Ped critical care subsq CPT 99472 | $245.08 | $1,114.00 | $252.23 – $1,017.00 | 8 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $42.47 – $201.81 | 12 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $94.44 – $368.58 | 12 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $1,600.00 – $8,016.24 | 11 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,000.10 – $2,114.59 | 11 |
| Pedicle enel/ntroral 15576 CPT 15576 | $400.62 | $1,821.00 | $52.79 – $2,359.45 | 15 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $803.78 – $1,699.50 | 11 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $948.99 – $2,006.54 | 11 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $751.90 – $1,589.79 | 11 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $408.37 – $863.45 | 11 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $198.33 – $466.59 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $785.50 – $1,160.47 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $20,652.92 – $40,220.04 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $19.98 – $82.63 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $95.94 – $186.84 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $98.85 – $192.50 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $166.47 – $324.19 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $75.35 – $146.74 | 15 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $108.42 – $211.13 | 15 |
| Peginesatide injection HCPCS J0890 | not published | not published | $8.20 – $16.93 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,453.01 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $2,644.00 – $5,148.99 | 15 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $167.32 – $325.84 | 15 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $299.57 – $633.41 | 11 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $237.82 – $502.84 | 11 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $195.18 – $412.66 | 11 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $143.82 – $304.08 | 11 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $175.79 – $371.69 | 11 |
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.