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 |
|---|---|---|---|---|
| Platelet aggregation each agent teg CPT 85576 | $131.04 | $168.00 | $10.93 – $29.31 | 15 |
| Platelet automated CPT 85049 | $23.40 | $30.00 | $2.96 – $4.88 | 15 |
| Platelet deplete of harvest CPT 38213 | $7.70 | $35.00 | $9.62 – $563.90 | 12 |
| Platelet pheresis each unit HCPCS P9034 | $1,858.74 | $2,383.00 | $129.15 – $512.24 | 11 |
| Platelet pheresis irr ea HCPCS P9036 | not published | not published | $354.72 – $757.99 | 10 |
| Platelets each unit HCPCS P9019 | not published | not published | $15.71 – $97.98 | 14 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | not published | not published | $45.00 – $1,002.86 | 13 |
| Platelets irradiated ea unit HCPCS P9032 | not published | not published | $81.96 – $175.14 | 10 |
| Platelets leukocytes reduced each unit HCPCS P9031 | not published | not published | $58.50 – $162.23 | 11 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | not published | not published | $123.98 – $264.92 | 10 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $45.00 – $293.12 | 14 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | not published | not published | $45.00 – $592.34 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,279.94 | $2,923.00 | $6.76 – $628.29 | 11 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,162.12 | $4,054.00 | $304.81 – $871.51 | 11 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,748.72 | $3,524.00 | $11.55 – $757.51 | 10 |
| Platelet survival CPT 78191 | $14.96 | $68.00 | $20.15 – $518.31 | 15 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $48.00 – $102.63 | 11 |
| Plcg2 gene common variants CPT 81320 | $192.28 | $874.00 | $192.30 – $317.58 | 12 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $159.50 | $725.00 | $209.53 – $4,552.00 | 15 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $10,006.62 | $12,829.00 | $161.13 – $323.82 | 11 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $8,070.66 | $10,347.00 | $162.49 – $4,448.70 | 15 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $8,070.66 | $10,347.00 | $272.21 – $4,448.70 | 15 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $481.36 | $2,188.00 | $43.75 – $1,245.46 | 7 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,646.58 | $2,111.00 | $12.00 – $907.53 | 15 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,234.74 | $1,583.00 | $14.00 – $67.01 | 11 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $194.48 | $884.00 | $45.14 – $503.74 | 7 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $38.72 | $176.00 | $6.34 – $98.76 | 11 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $30.14 | $137.00 | $28.75 – $78.30 | 11 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $25.74 | $117.00 | $12.00 – $66.50 | 11 |
| Plerixafor injection HCPCS J2562 | not published | not published | $29.03 – $169.05 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $7.26 | $33.00 | $9.71 – $401.66 | 15 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $562.54 | $2,557.00 | $73.17 – $1,449.62 | 7 |
| Plmt access bil tree sm bwl CPT 47541 | $14,600.82 | $18,719.00 | $242.07 – $8,048.42 | 15 |
| Plmt biliary drainage cath CPT 47534 | $8,257.86 | $10,587.00 | $293.28 – $4,552.00 | 15 |
| Plmt nephroureteral catheter CPT 50433 | $8,070.66 | $10,347.00 | $202.79 – $4,448.70 | 15 |
| Plmt ureteral stent prq CPT 50694 | $8,070.66 | $10,347.00 | $212.21 – $4,448.70 | 15 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $44.18 – $93.41 | 11 |
| Pm device progr eval dual CPT 93280 | $22.44 | $102.00 | $18.33 – $58.05 | 15 |
| Pm device progr eval multi CPT 93281 | $25.08 | $114.00 | $21.17 – $64.98 | 15 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $136.83 – $552.18 | 15 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $500.52 – $1,013.17 | 15 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $210.12 – $838.84 | 15 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $30.76 – $173.55 | 15 |
| Pm phone r-strip device eval CPT 93293 | $8.58 | $39.00 | $10.63 – $48.10 | 15 |
| Pms2 gene dup/delet variants CPT 81319 | $134.20 | $610.00 | $134.31 – $283.73 | 15 |
| Pms2 gene full seq analysis CPT 81317 | $446.60 | $2,030.00 | $446.49 – $1,000.05 | 15 |
| Pms2 known familial variants CPT 81318 | not published | not published | $147.69 – $360.79 | 15 |
| Pne flu hepb cov home admin HCPCS M0201 | $22.22 | $101.00 | $22.24 – $47.53 | 11 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $118.18 – $249.87 | 11 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $55.66 | $253.00 | $40.42 – $1,187.28 | 15 |
| #pnh-flow cytometry interp CPT 88187 | $22.00 | $100.00 | $29.08 – $78.27 | 8 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $8.40 – $12.11 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $137.28 | $176.00 | $12.30 – $42.78 | 15 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $98.98 – $192.77 | 15 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $122.95 – $259.95 | 11 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $81.40 | $370.00 | $109.86 – $1,312.29 | 15 |
| Polysom any age 1-3> param CPT 95808 | $49.94 | $227.00 | $67.66 – $1,312.29 | 15 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,975.70 | $3,815.00 | $100.07 – $1,312.29 | 15 |
| Polyvalent mult org ea ag ia CPT 87451 | $7.04 | $32.00 | $6.94 – $16.96 | 15 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $17,604.37 – $26,408.98 | 12 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $31.38 – $62.58 | 11 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $31.38 – $62.58 | 11 |
| Positional change of finger CPT 26555 | $850.30 | $3,865.00 | $94.08 – $9,214.43 | 15 |
| Positional nystagmus test CPT 92532 | not published | not published | $14.62 – $29.94 | 4 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $49.60 – $108.50 | 3 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $37.39 – $2,144.56 | 14 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $75.04 – $2,144.56 | 14 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $107.05 – $2,144.56 | 14 |
| Post-coital mucous exam HCPCS Q0115 | $16.72 | $76.00 | $16.50 – $27.25 | 11 |
| Post d/c phone follow up HCPCS G0544 | $30.58 | $139.00 | $40.81 – $119.31 | 11 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $464.20 | $2,110.00 | $120.31 – $1,199.87 | 7 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $272.01 – $575.14 | 11 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $265.58 – $561.54 | 11 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $391.44 – $827.65 | 11 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $744.68 – $1,574.55 | 11 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $880.00 – $1,988.59 | 11 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $415.15 – $877.79 | 11 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $301.50 – $689.84 | 11 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $968.07 – $2,046.85 | 11 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $808.98 – $1,710.49 | 11 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $283.29 – $598.98 | 11 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,099.18 – $2,324.09 | 11 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $722.18 – $1,526.95 | 11 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $320.29 – $684.40 | 10 |
| Postpartum Care Only CPT 59430 | $110.22 | $501.00 | $143.85 – $483.00 | 8 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $469.70 | $2,135.00 | $120.32 – $1,210.70 | 7 |
| Potassium 24 hour urine CPT 84133 | $24.96 | $32.00 | $2.73 – $9.50 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $9.24 | $42.00 | $0.10 – $0.24 | 8 |
| Potassium hydroxide preps HCPCS Q0112 | $3.96 | $18.00 | $3.85 – $7.20 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.96 | $32.00 | $2.92 – $10.14 | 15 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.49 – $3.14 | 11 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $2.54 – $5.38 | 11 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $3.97 – $8.39 | 11 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $3.14 – $6.64 | 11 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.61 – $3.40 | 11 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $2.59 – $5.46 | 11 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $2.62 – $5.56 | 11 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $90.64 | $412.00 | $90.42 – $149.33 | 12 |
| Pq biliary strict dil s&i CPT 74363 | $1,065.48 | $1,366.00 | $33.72 – $143.41 | 8 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,493.66 | $3,197.00 | $7.88 – $60.32 | 8 |
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.