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 |
|---|---|---|---|---|
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $16,716.18 | $21,431.00 | $38.31 – $9,214.43 | 15 |
| Pq thr inj ext pse CPT 36002 | $1,446.90 | $1,855.00 | $83.09 – $797.47 | 15 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $127.16 | $578.00 | $165.95 – $327.91 | 10 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $265.98 | $1,209.00 | $34.88 – $4,185.10 | 15 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $250.36 | $1,138.00 | $32.84 – $4,185.10 | 15 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $282.52 – $550.19 | 15 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $86.70 – $113.14 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $7,592.52 | $9,734.00 | $18.70 – $4,185.10 | 15 |
| Pr application of long arm splint CPT 29105 | $368.94 | $473.00 | $9.78 – $203.53 | 15 |
| Pr application splint static short arm CPT 29125 | $301.86 | $387.00 | $27.30 – $166.26 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $3.70 – $50.63 | 17 |
| Pr biopsy skin punch single lesion CPT 11104 | $935.22 | $1,199.00 | $14.98 – $515.34 | 15 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $372.90 | $1,695.00 | $49.49 – $16,596.43 | 15 |
| Pr correction hammertoe CPT 28285 | $242.44 | $1,102.00 | $31.95 – $4,185.10 | 15 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $7.26 | $33.00 | $9.62 – $38.43 | 12 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $4,543.50 | $5,825.00 | $227.61 – $452.54 | 7 |
| Prcrd drg 6+yr without anomly CPT 33017 | $4,543.50 | $5,825.00 | $194.95 – $387.35 | 7 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $95.48 | $434.00 | $125.44 – $4,448.70 | 15 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $49.94 | $227.00 | $27.20 – $168.00 | 10 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $70.40 | $320.00 | $80.00 – $246.75 | 10 |
| Prealbumin CPT 84134 | $76.44 | $98.00 | $9.27 – $32.26 | 15 |
| Pr ecg 12 lead report only CPT 93010 | $5.06 | $23.00 | $6.63 – $24.15 | 8 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $11.22 | $51.00 | $15.00 – $63.00 | 9 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.11 – $0.76 | 4 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.26 – $0.74 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.22 | $1.00 | $0.01 – $0.01 | 4 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $105.24 – $222.52 | 11 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $112.71 – $2,144.56 | 14 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $75.04 – $2,144.56 | 14 |
| Pregabalin - sendout CPT 80366 | not published | not published | $13.88 – $23.41 | 4 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $122.10 | $555.00 | $160.72 – $2,446.86 | 15 |
| Pregnancy associated plasma protein-a CPT 84163 | $10.12 | $46.00 | $9.93 – $25.95 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $467.22 | $599.00 | $32.55 – $137.16 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $467.22 | $599.00 | $38.51 – $137.16 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $467.22 | $599.00 | $25.19 – $137.16 | 15 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $63.14 | $287.00 | $32.00 – $364.65 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $267.74 | $1,217.00 | $238.40 – $1,092.00 | 12 |
| Prenatal Care Only (7+ visits) CPT 59426 | $491.70 | $2,235.00 | $128.00 – $1,942.50 | 12 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $187.97 – $401.66 | 10 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $8.74 – $684.40 | 11 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $320.29 – $684.40 | 10 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,250.26 – $2,643.53 | 11 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $1,487.43 – $3,144.98 | 11 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,202.58 – $2,542.72 | 11 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $1,459.60 – $3,086.14 | 11 |
| Preparation for bladder xray CPT 51605 | $23.54 | $107.00 | $31.31 – $61.08 | 4 |
| Preparation palate mold CPT 42280 | $66.88 | $304.00 | $8.88 – $656.86 | 14 |
| Prepare donor heart CPT 33944 | not published | not published | $380.53 – $818.77 | 4 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $462.22 – $945.86 | 4 |
| Prepare donor intestine CPT 44715 | not published | not published | $243.78 – $722.47 | 4 |
| Prepare donor lung double CPT 32856 | not published | not published | $393.98 – $861.20 | 4 |
| Prepare donor lung single CPT 32855 | not published | not published | $320.63 – $722.47 | 4 |
| Prepare embryo for transfer CPT 89255 | $79.20 | $360.00 | $32.25 – $68.92 | 11 |
| Prepare fecal microbiota CPT 44705 | $46.64 | $212.00 | $58.05 – $113.56 | 8 |
| Prepare heart-aorta conduit CPT 33404 | $1,061.28 | $4,824.00 | $96.52 – $2,737.11 | 7 |
| Prepare penis study CPT 54230 | $49.50 | $225.00 | $64.86 – $126.47 | 7 |
| Prepare sperm duct x-ray CPT 55300 | $114.62 | $521.00 | $120.75 – $294.39 | 8 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,127.46 – $2,478.17 | 11 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,109.96 – $2,346.86 | 11 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $900.82 – $1,904.67 | 11 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $976.00 – $2,381.41 | 11 |
| Prep cadaver renal allograft CPT 50323 | $241.78 | $1,099.00 | $145.62 – $970.95 | 4 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $78.86 – $530.89 | 4 |
| Prep donor intestine/artery CPT 44721 | $234.96 | $1,068.00 | $303.87 – $605.46 | 4 |
| Prep donor intestine/venous CPT 44720 | $167.64 | $762.00 | $217.12 – $432.62 | 4 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $84.59 – $855.79 | 4 |
| Prep donor liver/arterial CPT 47147 | $234.74 | $1,067.00 | $303.79 – $604.95 | 4 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $521.04 – $939.89 | 4 |
| Prep donor liver/venous CPT 47146 | $200.64 | $912.00 | $260.05 – $518.02 | 4 |
| Prep donor liver whole CPT 47143 | $320.54 | $1,457.00 | $393.42 – $751.91 | 4 |
| Prep donor pancreas CPT 48551 | $179.74 | $817.00 | $255.64 – $722.47 | 4 |
| Prep donor pancreas/venous CPT 48552 | $144.32 | $656.00 | $187.02 – $372.83 | 4 |
| Prep donor renal graft CPT 50325 | $120.56 | $548.00 | $145.62 – $484.17 | 4 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $78.32 | $356.00 | $4,376.63 – $9,352.15 | 10 |
| Prepj tum cav iort prtl mast CPT 19294 | $101.20 | $460.00 | $131.03 – $260.79 | 4 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $614.13 – $1,312.29 | 10 |
| Prep renal graft/arterial CPT 50328 | $116.38 | $529.00 | $151.00 – $300.44 | 4 |
| Prep renal graft/ureteral CPT 50329 | $110.66 | $503.00 | $143.09 – $284.54 | 4 |
| Prep renal graft/venous CPT 50327 | $132.44 | $602.00 | $172.20 – $342.64 | 4 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $4,376.63 – $9,352.15 | 10 |
| Prep skin to 100cm2 other CPT 15004 | $160.60 | $730.00 | $203.50 – $1,187.28 | 15 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $135.30 | $615.00 | $164.27 – $2,359.45 | 15 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $27.28 | $124.00 | $33.75 – $71.38 | 10 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | $0.01 | $94.44 – $201.81 | 10 |
| Pressure treatment esophagus CPT 43460 | $3,285.36 | $4,212.00 | $77.18 – $333.71 | 7 |
| Pressure velocity wire add ves CPT 93572 | $31.68 | $144.00 | $41.36 – $97.76 | 4 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $329.02 – $706.91 | 11 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $27.12 – $221.03 | 12 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $27.12 – $76.62 | 12 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $31.68 – $221.03 | 12 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $22.56 – $76.62 | 12 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $17.99 – $221.03 | 12 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $105.60 | $480.00 | $96.99 – $275.17 | 15 |
| Preventive counseling group CPT 99411 | $4.84 | $22.00 | $6.06 – $46.20 | 5 |
| Preventive counseling group CPT 99412 | $8.14 | $37.00 | $10.17 – $58.80 | 5 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $15.40 | $70.00 | $16.00 – $92.40 | 5 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $31.02 | $141.00 | $39.17 – $151.20 | 5 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $46.42 | $211.00 | $58.48 – $215.00 | 5 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $61.82 | $281.00 | $78.07 – $278.00 | 5 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $80.30 | $365.00 | $77.79 – $166.22 | 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.