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 |
|---|---|---|---|---|
| Pet scan brain perf study CPT 78609 | $242.00 | $1,100.00 | $0.02 – $113.39 | 4 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $1,115.40 | $5,070.00 | $1,068.82 – $1,068.82 | 1 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $14.08 | $64.00 | $18.32 – $35.59 | 7 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $19.80 | $90.00 | $25.66 – $49.82 | 7 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $7.26 | $33.00 | $9.43 – $18.30 | 7 |
| Phalangectomy ea toe 28150 CPT 28150 | $174.68 | $794.00 | $12.31 – $4,185.10 | 15 |
| Pharmacologic management w/psytx CPT 90863 | $15.40 | $70.00 | $19.30 – $104.00 | 5 |
| Ph body fluid CPT 83986 | $2.20 | $10.00 | $1.42 – $3.90 | 15 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $9.34 – $34.62 | 8 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $20.29 | $92.24 | $25.81 – $40.14 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $81.12 | $104.00 | $7.28 – $25.62 | 15 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $317.17 – $617.66 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.01 | 3 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $58.80 – $125.65 | 12 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $3.83 | $17.43 | $0.47 – $0.93 | 8 |
| Phenytoin total therapeutic drug level CPT 80185 | $69.42 | $89.00 | $8.43 – $20.80 | 15 |
| Phlebotomy therapeutic CPT 99195 | $301.86 | $387.00 | $10.50 – $166.26 | 15 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $163.68 | $744.00 | $21.45 – $4,059.84 | 15 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $202.18 | $919.00 | $26.30 – $4,059.84 | 15 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | $41.14 | $187.00 | $62.93 – $62.93 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | $60.94 | $277.00 | $92.29 – $92.29 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | $22.00 | $100.00 | $33.23 – $33.23 | 1 |
| Phosphorus CPT 84100 | $24.96 | $32.00 | $3.02 – $10.48 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $3.96 | $18.00 | $3.26 – $11.44 | 15 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $32.00 – $181.17 | 12 |
| Photochemotherapy puva CPT 96912 | not published | not published | $32.00 – $154.20 | 12 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $123.06 – $515.34 | 12 |
| Photodynamic tx addl 15 min CPT 96571 | $15.40 | $70.00 | $20.42 – $39.86 | 4 |
| Photodynmc tx 30 min add-on CPT 96570 | $33.22 | $151.00 | $41.04 – $80.22 | 4 |
| Photo patch test CPT 95052 | not published | not published | $5.04 – $76.62 | 15 |
| Photopheresis CPT 36522 | $58.96 | $268.00 | $77.51 – $6,043.22 | 15 |
| Photosensitivity tests CPT 95056 | not published | not published | $1.63 – $166.26 | 15 |
| Phys blood bank serv authrj CPT 86079 | $29.48 | $134.00 | $21.31 – $68.92 | 15 |
| Phys blood bank serv reactj CPT 86078 | $29.70 | $135.00 | $22.47 – $221.03 | 15 |
| Phys blood bank serv xmatch CPT 86077 | $29.48 | $134.00 | $14.78 – $60.65 | 15 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $512.46 | $657.00 | $68.66 – $159.35 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $262.08 | $336.00 | $68.66 – $159.35 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $409.50 | $525.00 | $40.53 – $159.35 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $177.06 | $227.00 | $47.18 – $110.20 | 15 |
| Physician standby services CPT 99360 | $37.84 | $172.00 | $48.02 – $153.00 | 8 |
| Phys review of motion tests CPT 96004 | $65.56 | $298.00 | $87.76 – $170.90 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $37.71 | $171.39 | $2.21 – $7.00 | 9 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $25.04 – $73.50 | 5 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $241.55 – $627.36 | 12 |
| Pik3ca gene trgt seq alys CPT 81309 | $181.28 | $824.00 | $181.39 – $299.56 | 12 |
| Pild/placebo control clin tr HCPCS G0276 | $225.72 | $1,026.00 | $299.76 – $9,214.43 | 11 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $418.05 – $883.92 | 11 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $283.36 | $1,288.00 | $37.18 – $789.56 | 15 |
| Pin finger dislocation CPT 26776 | $283.58 | $1,289.00 | $19.83 – $4,185.10 | 15 |
| Pin finger fracture each CPT 26756 | $266.86 | $1,213.00 | $26.75 – $4,185.10 | 15 |
| Pin hand dislocation CPT 26676 | $321.20 | $1,460.00 | $23.28 – $4,185.10 | 15 |
| Pin knuckle dislocation CPT 26706 | $282.70 | $1,285.00 | $18.22 – $4,185.10 | 15 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $41.02 – $119.31 | 11 |
| Pinworm exam CPT 87172 | $22.62 | $29.00 | $2.82 – $4.65 | 12 |
| Pinworm examinations HCPCS Q0113 | $2.64 | $12.00 | $2.82 – $12.10 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $10.74 | $48.80 | $1.05 – $1.57 | 8 |
| Pituitary evaluation panel CPT 80418 | $382.36 | $1,738.00 | $368.42 – $1,281.47 | 15 |
| Place breast cath for rad CPT 19297 | $57.64 | $262.00 | $74.82 – $148.83 | 7 |
| Place breast rad tube/caths CPT 19298 | $198.44 | $902.00 | $259.28 – $8,411.79 | 15 |
| Place cath intracranial art CPT 36228 | $153.56 | $698.00 | $185.76 – $392.45 | 11 |
| Place cath xtrnl carotid CPT 36227 | $74.14 | $337.00 | $91.20 – $190.49 | 11 |
| Place cecostomy tube perc CPT 49442 | $126.28 | $574.00 | $16.61 – $1,520.85 | 15 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $825.93 – $1,764.87 | 10 |
| Place duod/jej tube perc CPT 49441 | $147.62 | $671.00 | $19.24 – $2,446.86 | 15 |
| Place endorectal app HCPCS C9725 | not published | not published | $550.34 – $1,175.98 | 10 |
| Place gastrostomy tube open 43832 CPT 43832 | $648.34 | $2,947.00 | $75.87 – $1,670.02 | 7 |
| Place gastrostomy tube perc CPT 49440 | $4,438.98 | $5,691.00 | $16.24 – $2,446.86 | 15 |
| Placement bile duct support CPT 47801 | $5,230.68 | $6,706.00 | $80.84 – $1,776.89 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,791.58 | $4,861.00 | $19.50 – $2,089.89 | 15 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,843.88 | $3,646.00 | $20.00 – $77.79 | 11 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $51.26 | $233.00 | $10.00 – $907.53 | 15 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,793.88 | $6,146.00 | $163.35 – $2,642.30 | 15 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $105.60 | $480.00 | $82.00 – $1,241.60 | 6 |
| Placement of drain pancreas CPT 48001 | $1,421.64 | $6,462.00 | $166.09 – $3,666.30 | 7 |
| Placement of seton CPT 46020 | $109.56 | $498.00 | $94.51 – $3,537.31 | 15 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $26,537.16 | $34,022.00 | $345.67 – $14,627.77 | 15 |
| Place ndl musc/tis for right CPT 20555 | $209.66 | $953.00 | $7.15 – $4,185.10 | 15 |
| Place needles h&n for right CPT 41019 | $304.70 | $1,385.00 | $362.52 – $7,630.39 | 15 |
| Place needles pelvic for right CPT 55920 | $286.88 | $1,304.00 | $343.41 – $6,367.34 | 15 |
| Place non-slctv cath thoracic arta CPT 36221 | $121.22 | $551.00 | $157.33 – $4,059.84 | 15 |
| Placental lactogen CPT 83632 | $13.20 | $60.00 | $12.85 – $33.60 | 15 |
| Place po breast cath for rad CPT 19296 | $129.80 | $590.00 | $168.34 – $12,342.76 | 15 |
| Place right device/marker pros CPT 55876 | $62.92 | $286.00 | $83.23 – $1,764.87 | 15 |
| Place slctv cath carotd art uni CPT 36224 | $226.60 | $1,030.00 | $288.13 – $6,972.61 | 15 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $174.02 | $791.00 | $225.73 – $4,059.84 | 15 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $201.96 | $918.00 | $259.49 – $6,972.61 | 15 |
| Place slctv cath subclavian art CPT 36225 | $200.86 | $913.00 | $257.41 – $4,059.84 | 15 |
| Place slctv cath vertebral art uni CPT 36226 | $225.06 | $1,023.00 | $288.64 – $6,972.61 | 15 |
| Plaelet rich plasma unit HCPCS P9020 | not published | not published | $56.25 – $718.87 | 11 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | not published | not published | $36.58 – $190.00 | 10 |
| Plasma cryo redu path each HCPCS P9025 | not published | not published | $63.66 – $174.32 | 10 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $44.50 – $95.09 | 11 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $4.87 – $22.97 | 11 |
| Plasma volume multiple CPT 78111 | $6.38 | $29.00 | $7.24 – $1,683.89 | 15 |
| Plasma volume single CPT 78110 | $4.84 | $22.00 | $6.39 – $1,683.89 | 15 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $69.67 – $147.29 | 11 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $75.61 – $159.86 | 11 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,049.44 – $2,218.91 | 11 |
| Plastic surgery neck CPT 15819 | $499.18 | $2,269.00 | $1,684.43 – $1,684.43 | 1 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $2,347.90 – $4,964.34 | 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.