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 |
|---|---|---|---|---|
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $140.80 – $569.92 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,887.60 | $2,420.00 | $47.04 – $229.62 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,510.08 | $1,936.00 | $45.07 – $229.62 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $902.46 | $1,157.00 | $42.29 – $137.16 | 15 |
| Pelvic exenteration CPT 45126 | $1,674.64 | $7,612.00 | $265.44 – $4,348.01 | 4 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $707.63 – $1,496.20 | 11 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,134.04 | $4,018.00 | $85.20 – $722.56 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $2,507.70 | $3,215.00 | $66.92 – $460.65 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $1,697.28 | $2,176.00 | $56.93 – $399.51 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $660.88 | $3,004.00 | $86.54 – $9,214.43 | 14 |
| Pelvic ring fx treat int fix HCPCS G0414 | $624.14 | $2,837.00 | $81.66 – $1,053.04 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $467.22 | $599.00 | $26.59 – $137.16 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $467.22 | $599.00 | $13.65 – $137.16 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $342.42 | $439.00 | $6.90 – $137.16 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $427.44 | $548.00 | $9.97 – $137.16 | 15 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.10 – $175.71 | 11 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $42.55 – $82.87 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $2.71 – $5.28 | 15 |
| Pemivibart infusion HCPCS M0224 | not published | not published | $271.94 – $581.08 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $12.62 – $24.58 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $284.73 | $1,294.21 | $21.29 – $41.46 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.75 – $1.24 | 8 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $34.29 – $51.44 | 12 |
| Penile injection CPT 54235 | $45.98 | $209.00 | $60.14 – $313.71 | 12 |
| Penile vascular study CPT 93980 | $36.52 | $166.00 | $46.93 – $144.03 | 15 |
| Penile vascular study CPT 93981 | $12.98 | $59.00 | $17.10 – $137.16 | 15 |
| Penile venous occlusion CPT 37790 | $300.52 | $1,366.00 | $31.70 – $4,448.70 | 14 |
| Penis plastic surgery CPT 54360 | $445.94 | $2,027.00 | $58.78 – $4,448.70 | 15 |
| Penis study CPT 54240 | $39.82 | $181.00 | $35.32 – $401.66 | 15 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $77.71 – $116.55 | 8 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $12.72 – $19.93 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $4.30 – $160.12 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $53.88 – $68.94 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $1,848.39 – $3,599.61 | 15 |
| Perc cryo ablate renal tum CPT 50593 | $24,362.52 | $31,234.00 | $36.67 – $13,429.04 | 12 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $10,839.25 – $23,161.70 | 10 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $6,845.53 – $14,627.77 | 10 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $10,839.25 – $23,161.70 | 10 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $6,845.53 – $14,627.77 | 10 |
| Perc rf ablate renal tumor CPT 50592 | $13,652.34 | $17,503.00 | $27.49 – $7,525.52 | 15 |
| Percut ablate liver rf CPT 47382 | $13,652.34 | $17,503.00 | $58.95 – $7,525.52 | 15 |
| Percutaneous islet celltrans HCPCS G0341 | $351.56 | $1,598.00 | $250.15 – $319.53 | 6 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $285.48 | $1,297.64 | $38.70 – $58.30 | 8 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $4,543.50 | $5,825.00 | $168.13 – $330.11 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $1,502.38 | $6,829.00 | $136.62 – $3,881.41 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,635.58 | $4,661.00 | $184.86 – $2,003.72 | 15 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $3,729.96 | $4,782.00 | $45.81 – $1,297.17 | 7 |
| Peri-implt capslc brst compl CPT 19371 | $442.20 | $2,010.00 | $57.84 – $4,939.24 | 15 |
| Perineoplasty rpr per nonob CPT 56810 | $167.64 | $762.00 | $22.36 – $4,101.16 | 15 |
| Peripheral vascular rehab CPT 93668 | $139.62 | $179.00 | $11.75 – $76.62 | 12 |
| Peri-proc device eval icd CPT 93287 | $13.20 | $60.00 | $17.50 – $33.86 | 4 |
| Peri-proc device eval pm CPT 93286 | $8.80 | $40.00 | $11.92 – $28.11 | 4 |
| Peritoneal cath sub q resv per CPT 49419 | $255.64 | $1,162.00 | $30.23 – $6,972.61 | 15 |
| Peritoneogram rs&i CPT 74190 | $13.42 | $61.00 | $15.02 – $707.23 | 15 |
| Perit-vens shunt pat tst CPT 78291 | $25.74 | $117.00 | $34.26 – $518.31 | 15 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $16.77 – $37.14 | 2 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $11.37 – $28.29 | 11 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $889.79 – $1,881.35 | 11 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.47 – $0.61 | 4 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $9.80 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | $12,543.96 | $16,082.00 | $671.77 – $1,340.56 | 4 |
| Perq clsr tcat l atr apndge CPT 33340 | $470.80 | $2,140.00 | $613.90 – $1,218.09 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $76.56 | $348.00 | $6.34 – $907.53 | 15 |
| Perq dev breast 1st strtctc CPT 19283 | $60.50 | $275.00 | $22.00 – $907.53 | 15 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $692.56 | $3,148.00 | $72.99 – $11,927.55 | 15 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $430.32 | $1,956.00 | $45.35 – $11,927.55 | 15 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $26,537.16 | $34,022.00 | $685.91 – $14,627.77 | 12 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $42,018.60 | $53,870.00 | $582.02 – $23,161.70 | 12 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $26,537.16 | $34,022.00 | $602.80 – $14,627.77 | 12 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $26,537.16 | $34,022.00 | $458.67 – $14,627.77 | 12 |
| Perq p-art revsc each addl CPT 33904 | $19,903.26 | $25,517.00 | $230.31 – $455.63 | 4 |
| Perq plmt bile duct stent CPT 47538 | $13,652.34 | $17,503.00 | $186.44 – $7,525.52 | 15 |
| Perq plmt bile duct stent CPT 47539 | $13,652.34 | $17,503.00 | $338.47 – $7,525.52 | 15 |
| Perq plmt bile duct stent CPT 47540 | $13,652.34 | $17,503.00 | $348.69 – $7,525.52 | 15 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $622.44 | $798.00 | $70.46 – $313.71 | 15 |
| Perq skel fix rad/uln dislc CPT 25671 | $337.26 | $1,533.00 | $44.31 – $4,185.10 | 15 |
| Perq skel fix ulnar styld fx CPT 25651 | $308.88 | $1,404.00 | $24.84 – $4,185.10 | 15 |
| Perq transcath closure each CPT 93592 | $234.08 | $1,064.00 | $310.58 – $605.02 | 4 |
| Perq transcath closure pda CPT 93582 | $399.08 | $1,814.00 | $92.80 – $23,161.70 | 15 |
| Perq transcath cls aortic CPT 93591 | $537.46 | $2,443.00 | $707.78 – $23,161.70 | 12 |
| Perq transcath cls mitral CPT 93590 | $648.34 | $2,947.00 | $859.88 – $23,161.70 | 12 |
| Perq transcath septal reduxn CPT 93583 | $447.48 | $2,034.00 | $103.30 – $1,158.06 | 7 |
| Perq trluml angp nt/recr coa CPT 33897 | $350.46 | $1,593.00 | $456.25 – $907.16 | 4 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $172.26 | $783.00 | $22.69 – $4,185.10 | 15 |
| Perq tx malar fracture CPT 21355 | $203.50 | $925.00 | $24.46 – $4,183.11 | 15 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $271.04 | $1,232.00 | $8.00 – $7,630.39 | 15 |
| Perq tx nasoethmoid fx CPT 21340 | $466.84 | $2,122.00 | $11.70 – $4,183.11 | 15 |
| Pertussis ag if CPT 87265 | $63.18 | $81.00 | $7.91 – $13.06 | 12 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $12.27 – $23.90 | 15 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $46.06 – $89.69 | 15 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $17.60 | $80.00 | $35.78 – $75.67 | 11 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $14.37 – $30.38 | 11 |
| Pet CT skull-mid thgh initial CPT 78815 | $69.96 | $318.00 | $92.26 – $1,881.38 | 15 |
| Pet CT whole body initial CPT 78816 | $70.40 | $320.00 | $93.21 – $1,881.38 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | $42.24 | $192.00 | $56.30 – $1,881.38 | 15 |
| Pet image full body CPT 78813 | $56.10 | $255.00 | $74.83 – $1,881.38 | 15 |
| Pet image ltd area CPT 78811 | $43.78 | $199.00 | $57.91 – $1,847.09 | 15 |
| Pet image skull-thigh CPT 78812 | $55.00 | $250.00 | $73.12 – $1,881.38 | 15 |
| Pet image w/ct lmtd CPT 78814 | $62.48 | $284.00 | $82.85 – $1,881.38 | 15 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $242.56 – $518.31 | 10 |
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.