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 |
|---|---|---|---|---|
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $51.04 | $232.00 | $6.75 – $2,089.89 | 15 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $102.30 | $465.00 | $11.00 – $2,089.89 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $935.22 | $1,199.00 | $1.00 – $515.34 | 15 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $841.72 | $3,826.00 | $98.43 – $2,167.19 | 7 |
| Prgrmg dev eval impltbl sys CPT 93260 | $25.30 | $115.00 | $22.51 – $53.43 | 12 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $19.14 | $87.00 | $15.81 – $48.91 | 15 |
| Prgrmg dev eval scrms ip CPT 93285 | $15.40 | $70.00 | $14.55 – $48.10 | 15 |
| Prgrmg eval implantable dfb CPT 93282 | $25.08 | $114.00 | $18.96 – $59.54 | 15 |
| Prgrmg eval implantable dfb CPT 93283 | $33.88 | $154.00 | $21.79 – $65.14 | 15 |
| Prgrmg eval implantable dfb CPT 93284 | $36.96 | $168.00 | $22.51 – $69.72 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $74.58 | $339.00 | $33.58 – $274.05 | 7 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $106.92 | $486.00 | $138.00 – $462.00 | 10 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $80.08 | $364.00 | $106.00 – $315.00 | 10 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $50.82 | $231.00 | $65.00 – $250.00 | 10 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $72.82 | $331.00 | $71.00 – $260.00 | 10 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $48.84 | $222.00 | $51.00 – $179.00 | 10 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $30.14 | $137.00 | $34.00 – $91.35 | 10 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $42,018.60 | $53,870.00 | $339.48 – $23,161.70 | 15 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $7,293.00 | $9,350.00 | $128.14 – $254.30 | 10 |
| Prin care mgmt staff 1st 30 CPT 99426 | $30.36 | $138.00 | $40.42 – $119.31 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $935.22 | $1,199.00 | $14.00 – $515.34 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $464.88 | $596.00 | $8.74 – $256.30 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $712.14 | $913.00 | $10.40 – $392.36 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $935.22 | $1,199.00 | $8.65 – $515.34 | 15 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $116.60 | $530.00 | $77.79 – $302.69 | 12 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $85.80 | $390.00 | $77.79 – $222.82 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $509.34 | $653.00 | $9.84 – $115.50 | 12 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $377.52 | $1,716.00 | $54.53 – $2,518.80 | 15 |
| Probe nasolacrimal duct CPT 68810 | $77.88 | $354.00 | $10.38 – $385.58 | 12 |
| Probe nasolacrimal duct CPT 68811 | $82.50 | $375.00 | $10.95 – $3,009.20 | 15 |
| Probe nasolacrimal duct CPT 68815 | $134.42 | $611.00 | $18.03 – $3,009.20 | 15 |
| Probe nl duct w/balloon CPT 68816 | $95.04 | $432.00 | $12.74 – $3,009.20 | 15 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $462.00 | $2,100.00 | $141.19 – $274.96 | 15 |
| Procalcitonin CPT 84145 | $143.52 | $184.00 | $17.96 – $35.54 | 15 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $131.85 – $168.70 | 4 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $4.08 | $18.55 | $2.38 – $30.00 | 9 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.35 – $0.46 | 4 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $1,112.76 | $5,058.00 | $131.91 – $2,871.90 | 7 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,112.32 | $5,056.00 | $131.67 – $2,875.32 | 7 |
| Proctosigmoidoscopy ablate CPT 45320 | $65.34 | $297.00 | $84.16 – $3,537.31 | 15 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $68.20 | $310.00 | $82.19 – $1,520.85 | 15 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $52.58 | $239.00 | $29.73 – $1,520.85 | 15 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $29.92 | $136.00 | $25.59 – $1,175.98 | 15 |
| Proctosigmoidoscopy removal CPT 45308 | $52.36 | $238.00 | $48.87 – $3,537.31 | 15 |
| Proctosigmoidoscopy removal CPT 45309 | $55.66 | $253.00 | $72.04 – $1,520.85 | 15 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $65.78 | $299.00 | $71.93 – $1,520.85 | 15 |
| Proctosigmoidoscopy volvul CPT 45321 | $64.24 | $292.00 | $66.75 – $3,537.31 | 15 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $45.10 | $205.00 | $55.65 – $1,520.85 | 15 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $62.26 | $283.00 | $54.93 – $3,537.31 | 15 |
| Proctosigmoidoscopy w/stent CPT 45327 | $72.60 | $330.00 | $82.13 – $7,678.31 | 15 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $116.96 – $180.48 | 8 |
| Progesterone CPT 84144 | $109.98 | $141.00 | $13.26 – $27.20 | 15 |
| Prolactin CPT 84146 | $102.18 | $131.00 | $12.32 – $38.40 | 15 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $17.01 – $31.55 | 5 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $7.33 – $14.76 | 5 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $25.30 | $115.00 | $32.28 – $62.78 | 4 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $19.36 | $88.00 | $25.25 – $77.00 | 5 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $200.22 – $427.83 | 10 |
| Prolong home eval add 15m HCPCS G0318 | $18.48 | $84.00 | $24.47 – $32.30 | 7 |
| Prolong service without contact CPT 99358 | $58.74 | $267.00 | $72.00 – $257.25 | 5 |
| Prolong serv without contact add CPT 99359 | $27.72 | $126.00 | $30.04 – $131.00 | 5 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.06 – $0.10 | 4 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.70 – $5.25 | 9 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $220.66 | $1,003.00 | $17.56 – $529.38 | 15 |
| Proph rta dtchmnt pc CPT 67145 | $225.50 | $1,025.00 | $17.56 – $707.62 | 15 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $538.12 | $2,446.00 | $70.82 – $16,596.43 | 15 |
| Prophylactic tx radius CPT 25490 | $449.68 | $2,044.00 | $53.42 – $9,214.43 | 15 |
| Prophylactic tx radius&ulna CPT 25492 | $565.18 | $2,569.00 | $74.09 – $4,185.10 | 15 |
| Prophylactic tx ulna CPT 25491 | $462.66 | $2,103.00 | $60.62 – $16,596.43 | 15 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $23.10 | $105.00 | $0.08 – $0.13 | 8 |
| _propoxygc/msur CPT 80367 | not published | not published | $13.88 – $23.41 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $9.74 – $12.71 | 4 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $45.64 – $96.52 | 11 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $89.16 – $188.53 | 11 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $13.01 – $27.51 | 11 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $5.70 – $12.04 | 11 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $7.15 – $15.13 | 11 |
| Prostate biopsy, any mthd HCPCS G0416 | $106.70 | $485.00 | $142.84 – $463.99 | 11 |
| Prostate ca screening; dre HCPCS G0102 | $5.28 | $24.00 | $7.18 – $52.50 | 7 |
| Prostatectomy (turp) CPT 52601 | $449.68 | $2,044.00 | $47.41 – $6,557.17 | 15 |
| Prostate laser enucleation CPT 52649 | $509.52 | $2,316.00 | $53.74 – $6,557.17 | 15 |
| Prostatic microwave thermotx CPT 53850 | $220.88 | $1,004.00 | $23.33 – $4,448.70 | 12 |
| Prostatic rf thermotx CPT 53852 | $236.50 | $1,075.00 | $24.99 – $4,448.70 | 12 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $66.33 – $140.25 | 11 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $25.44 – $53.79 | 11 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $12.68 – $26.80 | 11 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $577.42 – $1,220.89 | 11 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $4.13 – $8.73 | 11 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $25.39 | $115.42 | $1.14 – $2.32 | 8 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $39.26 – $83.00 | 11 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $1,174.15 | $5,337.05 | $366.56 – $1,242.20 | 3 |
| Protein analysis w/probe CPT 88372 | $11.00 | $50.00 | $11.57 – $28.58 | 15 |
| Protein c activity CPT 85303 | $73.32 | $94.00 | $8.11 – $30.58 | 15 |
| Protein c concentrate HCPCS J2724 | not published | not published | $1.09 – $15.03 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $56.94 | $73.00 | $5.46 – $22.05 | 15 |
| Protein s total CPT 85305 | $60.84 | $78.00 | $7.37 – $25.63 | 15 |
| Protein total 24 hour urine CPT 84156 | $19.50 | $25.00 | $2.42 – $6.56 | 15 |
| Protein total body fluid CPT 84157 | $21.06 | $27.00 | $2.64 – $6.56 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $19.50 | $25.00 | $2.33 – $7.47 | 15 |
| Protein western blot tissue CPT 88371 | $11.66 | $53.00 | $10.23 – $24.23 | 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.