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 |
|---|---|---|---|---|
| Artery x-rays lungs CPT 75743 | $47.52 | $216.00 | $15.75 – $4,059.84 | 15 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $17,392.44 | $22,298.00 | $15.75 – $6,972.61 | 15 |
| Artery x-rays spine CPT 75705 | $72.38 | $329.00 | $15.75 – $6,972.61 | 15 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $125.18 | $569.00 | $162.78 – $324.48 | 7 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | $1,127.94 | $5,127.00 | $147.25 – $2,922.54 | 7 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | $1,241.68 | $5,644.00 | $162.27 – $3,190.64 | 7 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | $1,360.26 | $6,183.00 | $168.00 – $3,495.74 | 7 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $785.84 | $3,572.00 | $101.90 – $16,596.43 | 15 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $946.66 | $4,303.00 | $123.04 – $2,437.08 | 7 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | $1,047.20 | $4,760.00 | $135.83 – $2,696.07 | 7 |
| Arthrd ant ntrbdy cervical CPT 22551 | $1,056.22 | $4,801.00 | $136.78 – $16,596.43 | 15 |
| Arthrd ant toral/xoral c1-c2 CPT 22548 | $1,226.94 | $5,577.00 | $157.90 – $3,157.06 | 7 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $1,124.20 | $5,110.00 | $145.53 – $23,720.63 | 14 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | $630.96 | $2,868.00 | $84.02 – $9,214.43 | 15 |
| Arthrd elbow jt autog graft CPT 24802 | $624.14 | $2,837.00 | $81.70 – $16,596.43 | 15 |
| Arthrd glenohumeral jt w/grf CPT 23802 | $797.06 | $3,623.00 | $6.34 – $16,596.43 | 15 |
| Arthrd hip jt sbtrchc osteot CPT 27286 | $1,016.40 | $4,620.00 | $132.90 – $2,610.71 | 7 |
| Arthrd lat xtrcvtry tq ea ad CPT 22534 | $222.20 | $1,010.00 | $61.13 – $571.90 | 7 |
| Arthrd lat xtrcvtry tq lmbr CPT 22533 | $1,031.80 | $4,690.00 | $134.30 – $2,651.79 | 7 |
| Arthrd lat xtrcvtry tq thrc CPT 22532 | $1,112.76 | $5,058.00 | $144.42 – $2,868.09 | 7 |
| Arthrd pst dfrm 13+ vrt sgm CPT 22804 | $1,499.52 | $6,816.00 | $195.82 – $3,879.89 | 7 |
| Arthrd pst dfrm<6 vrt sgm CPT 22800 | $851.18 | $3,869.00 | $110.56 – $2,184.39 | 7 |
| Arthrd pst dfrm 7-12 vrt sgm CPT 22802 | $1,305.92 | $5,936.00 | $170.66 – $3,380.58 | 7 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $973.28 | $4,424.00 | $125.58 – $23,720.63 | 14 |
| Arthrd pst tq atlas-axis CPT 22595 | $948.86 | $4,313.00 | $122.58 – $2,438.09 | 7 |
| Arthrd pst tq craniocervical CPT 22590 | $993.30 | $4,515.00 | $128.18 – $2,550.92 | 7 |
| Arthrd si jt perq/min nvas CPT 27279 | $499.18 | $2,269.00 | $65.13 – $23,720.63 | 12 |
| Arthrd si jt prq wo tfxj dev CPT 27278 | not published | not published | $38.32 – $23,720.63 | 12 |
| Arthrd wrist complete wo grf CPT 25800 | $457.82 | $2,081.00 | $7.99 – $9,214.43 | 15 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | $404.36 | $1,838.00 | $5.78 – $9,214.43 | 15 |
| Arthrd wrist with autograft CPT 25825 | $493.68 | $2,244.00 | $7.21 – $9,214.43 | 15 |
| Arthrd wrist w/sliding graft CPT 25805 | $528.88 | $2,404.00 | $7.50 – $9,214.43 | 15 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $542.52 | $2,466.00 | $4.00 – $16,596.43 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $691.08 | $886.00 | $5.00 – $380.75 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,620.84 | $2,078.00 | $7.00 – $893.26 | 15 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $863.46 | $1,107.00 | $13.00 – $380.75 | 15 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $691.08 | $886.00 | $7.15 – $380.75 | 15 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $863.46 | $1,107.00 | $10.00 – $380.75 | 15 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $243.98 | $1,109.00 | $54.56 – $628.86 | 7 |
| Arthrodesis big toe joint 28760 CPT 28760 | $355.52 | $1,616.00 | $47.15 – $9,214.43 | 15 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $199.54 | $907.00 | $52.82 – $515.07 | 7 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $298.32 | $1,356.00 | $67.14 – $769.02 | 7 |
| Arthrodesis elbw joint local CPT 24800 | $520.30 | $2,365.00 | $6.24 – $9,214.43 | 15 |
| Arthrodesis glenohumeral jt CPT 23800 | $638.44 | $2,902.00 | $7.50 – $9,214.43 | 15 |
| Arthrodesis hip joint CPT 27284 | $991.76 | $4,508.00 | $129.61 – $2,548.19 | 7 |
| Arthrodesis pantalar CPT 28705 | $757.90 | $3,445.00 | $9.00 – $23,720.63 | 15 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $197.56 | $898.00 | $50.02 – $510.28 | 7 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | $1,268.96 | $5,768.00 | $163.29 – $3,265.58 | 7 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $813.34 | $3,697.00 | $105.35 – $2,089.40 | 7 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $241.12 | $1,096.00 | $61.46 – $620.96 | 7 |
| Arthrodesis subtalar CPT 28725 | $484.22 | $2,201.00 | $11.50 – $16,596.43 | 15 |
| Arthrodesis symphysis pubis CPT 27282 | $535.92 | $2,436.00 | $70.27 – $1,374.95 | 7 |
| Arthrodesis triple CPT 28715 | $585.20 | $2,660.00 | $11.50 – $16,596.43 | 15 |
| Arthro, loose body + chondro HCPCS G0289 | $52.14 | $237.00 | $68.50 – $104.02 | 3 |
| Arthroplasty finger joint 26535 CPT 26535 | $277.86 | $1,263.00 | $6.09 – $4,185.10 | 15 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $422.62 | $1,921.00 | $4.50 – $4,185.10 | 15 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $7,766.82 – $16,596.43 | 10 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $203.72 | $926.00 | $7.00 – $2,064.31 | 15 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $301.40 | $1,370.00 | $14.00 – $4,185.10 | 15 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | $318.34 | $1,447.00 | $3.50 – $4,185.10 | 15 |
| Arthrotomy glenohumeral jt CPT 23105 | $401.50 | $1,825.00 | $3.00 – $9,214.43 | 15 |
| Arthrotomy hip w/drainage CPT 27030 | $582.12 | $2,646.00 | $75.26 – $1,494.59 | 7 |
| Arthrotomy strnclav joint CPT 23106 | $315.92 | $1,436.00 | $13.00 – $4,185.10 | 15 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $500.06 | $2,273.00 | $68.30 – $4,185.10 | 15 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $552.42 | $2,511.00 | $73.22 – $4,185.10 | 15 |
| Arthrp prostc dstl scph crpl CPT 25443 | $490.82 | $2,231.00 | $9.86 – $9,214.43 | 15 |
| Arthrp w/prostc dstl rds CPT 25441 | $584.76 | $2,658.00 | $5.00 – $16,596.43 | 15 |
| Arthrp w/prostc dstl ulna CPT 25442 | $506.44 | $2,302.00 | $10.60 – $23,720.63 | 15 |
| Arthrp w/prostc dst rds&crps CPT 25446 | $728.64 | $3,312.00 | $3.00 – $23,720.63 | 15 |
| Arthrp w/prostc lunate CPT 25444 | $517.44 | $2,352.00 | $67.39 – $16,596.43 | 15 |
| Arthrp w/prostc trapezium CPT 25445 | $451.44 | $2,052.00 | $9.05 – $9,214.43 | 15 |
| Arthr si jt opn b1grf instrm CPT 27280 | $847.44 | $3,852.00 | $109.68 – $2,173.12 | 7 |
| Arthrs kne srg drlg ost diss CPT 29885 | $472.78 | $2,149.00 | $61.94 – $9,214.43 | 15 |
| Arthrt acrmclv/strnclav jt CPT 23101 | $287.54 | $1,307.00 | $3.00 – $4,185.10 | 15 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | $350.46 | $1,593.00 | $6.53 – $4,185.10 | 15 |
| Arthrt elbow w/synovectomy CPT 24102 | $386.76 | $1,758.00 | $22.21 – $4,185.10 | 15 |
| Arthrt elbw capsl exc rls CPT 24006 | $447.48 | $2,034.00 | $23.00 – $4,185.10 | 15 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | $316.58 | $1,439.00 | $41.56 – $4,185.10 | 15 |
| Arthrt elbw synovial bx only CPT 24100 | $264.66 | $1,203.00 | $17.00 – $4,185.10 | 15 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $447.70 | $2,035.00 | $5.00 – $4,185.10 | 15 |
| Arthrt glenhumrl jt w/expl CPT 23107 | $415.80 | $1,890.00 | $54.60 – $9,214.43 | 15 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | $605.00 | $2,750.00 | $75.26 – $9,214.43 | 15 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | $351.12 | $1,596.00 | $36.00 – $4,185.10 | 15 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $105.82 | $481.00 | $114.14 – $271.50 | 7 |
| Artificial insemination CPT 58321 | $29.70 | $135.00 | $39.01 – $392.36 | 12 |
| Artificial larynx HCPCS L8500 | not published | not published | $360.00 – $1,151.20 | 11 |
| Artific inseminationintrauterine 58322 CPT 58322 | $35.20 | $160.00 | $46.61 – $259.48 | 12 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $103.23 – $182.10 | 11 |
| Art pressure waveform analys CPT 93050 | $5.06 | $23.00 | $6.38 – $31.59 | 12 |
| Art trnsposj carotid subclav CPT 35695 | $623.04 | $2,832.00 | $56.42 – $1,610.62 | 7 |
| Art trnsposj subclav carotid 35694 CPT 35694 | $600.38 | $2,729.00 | $54.38 – $1,552.05 | 7 |
| Art trnsposj subclavian CPT 35693 | $509.08 | $2,314.00 | $46.18 – $1,315.53 | 7 |
| Art trnsposj vertbrl carotid CPT 35691 | $574.64 | $2,612.00 | $52.07 – $1,485.99 | 7 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | $1,948.10 | $8,855.00 | $176.79 – $5,029.99 | 7 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | $1,478.18 | $6,719.00 | $134.29 – $3,817.82 | 7 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | $2,056.78 | $9,349.00 | $186.79 – $5,313.44 | 7 |
| Ascvd rsk mng clin stf pr mo HCPCS G0538 | $5.50 | $25.00 | $7.45 – $119.31 | 11 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | $996.82 | $4,531.00 | $90.62 – $2,575.74 | 7 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $1,616.05 – $2,668.93 | 12 |
| Aspa gene CPT 81200 | $38.50 | $175.00 | $31.19 – $200.83 | 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.