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 |
|---|---|---|---|---|
| Prothrombin complex kcentra HCPCS J7168 | $1,422.65 | $6,466.60 | $1.55 – $3.04 | 12 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $2.64 | $12.00 | $2.51 – $8.69 | 15 |
| Proton treatment complex CPT 77525 | not published | not published | $769.94 – $1,819.79 | 15 |
| Proton trmt intermediate CPT 77523 | not published | not published | $749.59 – $1,646.77 | 15 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $631.65 – $1,645.23 | 15 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $349.18 – $1,412.17 | 15 |
| Protoporphyrin rbc screen CPT 84203 | $6.60 | $30.00 | $5.47 – $19.02 | 15 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $34.39 – $166.22 | 11 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $280.28 | $1,274.00 | $362.95 – $723.30 | 7 |
| Prp i/hern init block >5 yr CPT 49507 | $365.86 | $1,663.00 | $42.86 – $4,552.00 | 15 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $46.20 | $210.00 | $55.84 – $119.99 | 12 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $18.92 | $86.00 | $26.30 – $77.00 | 7 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $42,018.60 | $53,870.00 | $283.44 – $23,161.70 | 12 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $42,018.60 | $53,870.00 | $366.16 – $23,161.70 | 12 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $140.79 – $256.90 | 5 |
| Prq cardiac angio addl art CPT 92921 | $85.14 | $387.00 | $121.61 – $233.64 | 6 |
| Prq card revasc chronic addl CPT 92944 | $119.02 | $541.00 | $282.36 – $389.92 | 5 |
| Prq card revasc mi 1 vsl CPT 92941 | $398.64 | $1,812.00 | $518.93 – $1,031.21 | 7 |
| Prq card stent/ath/angio CPT 92934 | $94.38 | $429.00 | $147.12 – $256.90 | 5 |
| Prq card stent w/angio addl CPT 92929 | $85.36 | $388.00 | $135.10 – $327.69 | 6 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $354.64 | $1,612.00 | $462.09 – $14,627.77 | 15 |
| Prq revasc byp graft addl CPT 92938 | $158.84 | $722.00 | $251.71 – $347.59 | 5 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $368.06 | $1,673.00 | $7.15 – $9,214.43 | 15 |
| Prq skel fix epcndylr hum fx CPT 24566 | $452.10 | $2,055.00 | $59.29 – $2,064.31 | 15 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $490.82 | $2,231.00 | $9.50 – $9,214.43 | 15 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $309.10 | $1,405.00 | $41.00 – $9,214.43 | 15 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $230.34 | $1,047.00 | $29.55 – $9,214.43 | 15 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $354.86 | $1,613.00 | $462.16 – $14,627.77 | 15 |
| Prq trlml c athrc st angiop1 CPT 92933 | $398.20 | $1,810.00 | $518.30 – $23,161.70 | 15 |
| Prq trluml c angiop 1art&/br CPT 92920 | $319.22 | $1,451.00 | $415.38 – $7,354.18 | 15 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $380.38 | $1,729.00 | $495.42 – $14,627.77 | 15 |
| Prq trluml revsc ch occ ant CPT 92943 | $398.64 | $1,812.00 | $518.86 – $14,627.77 | 15 |
| Pr removal drug delivery implant CPT 11982 | $933.66 | $1,197.00 | $59.00 – $514.71 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $301.86 | $387.00 | $31.50 – $166.26 | 15 |
| Pr removal intrauterine device CPT 58301 | $712.14 | $913.00 | $18.11 – $392.36 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,169.22 | $1,499.00 | $15.49 – $515.34 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $464.88 | $596.00 | $33.08 – $256.30 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $581.88 | $746.00 | $46.74 – $256.30 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $464.88 | $596.00 | $25.73 – $256.30 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $581.88 | $746.00 | $37.28 – $256.30 | 15 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $441.76 | $2,008.00 | $58.00 – $2,359.45 | 15 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $24.64 | $112.00 | $19.87 – $103.95 | 8 |
| Prtl exc bone olecrn process CPT 24147 | $393.80 | $1,790.00 | $51.72 – $4,185.10 | 15 |
| Prtl exc bone radial h/n CPT 24145 | $372.90 | $1,695.00 | $48.93 – $9,214.43 | 15 |
| Prtl exchange transfuse nb CPT 36456 | $59.40 | $270.00 | $79.09 – $563.90 | 14 |
| Prtl excision bone clavicle CPT 23180 | $431.86 | $1,963.00 | $54.16 – $9,214.43 | 15 |
| Prtl excision bone scapula CPT 23182 | $421.08 | $1,914.00 | $17.69 – $9,214.43 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,635.58 | $4,661.00 | $124.38 – $2,003.72 | 15 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $9.90 | $45.00 | $13.51 – $31.30 | 4 |
| PSA (Prostate) Test CPT 84153 | $102.18 | $131.00 | $11.69 – $38.98 | 15 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $1.82 – $31.59 | 14 |
| Psychoanalysis CPT 90845 | $56.32 | $256.00 | $72.56 – $207.24 | 12 |
| Psychophysiological therapy CPT 90875 | $37.84 | $172.00 | $46.80 – $93.35 | 7 |
| Psychophysiological therapy CPT 90876 | $60.06 | $273.00 | $76.11 – $148.06 | 4 |
| Psychotherapy group therapy CPT 90853 | $15.62 | $71.00 | $5.39 – $119.31 | 15 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $44.66 | $203.00 | $32.32 – $207.24 | 15 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $58.74 | $267.00 | $62.40 – $207.24 | 15 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $87.12 | $396.00 | $80.81 – $217.46 | 15 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $68.20 | $310.00 | $60.00 – $401.66 | 18 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $46.86 | $213.00 | $60.00 – $122.35 | 14 |
| Psycl/nrpsyc tech 1st CPT 96138 | $20.68 | $94.00 | $27.60 – $514.71 | 14 |
| Psy evaluation of records CPT 90885 | $30.80 | $140.00 | $38.89 – $75.64 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $14.52 | $66.00 | $19.20 – $166.26 | 18 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $11.00 | $50.00 | $14.83 – $60.00 | 14 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $20.68 | $94.00 | $28.40 – $60.00 | 6 |
| Psytx complex interactive CPT 90785 | $7.92 | $36.00 | $10.89 – $45.00 | 9 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $41.58 | $189.00 | $42.50 – $164.00 | 10 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $52.80 | $240.00 | $67.63 – $208.00 | 10 |
| Psytx pt w/e&m 53+ min CPT 90838 | $70.40 | $320.00 | $89.57 – $274.00 | 10 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $99.84 | $128.00 | $5.13 – $24.29 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $64.74 | $83.00 | $13.08 – $30.56 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $42.12 | $54.00 | $9.73 – $22.21 | 14 |
| Pt application of modality traction mechanical CPT 97012 | $46.02 | $59.00 | $10.01 – $22.37 | 14 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $54.23 – $141.00 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $198.00 – $327.00 | 12 |
| Pten gene full sequence CPT 81321 | not published | not published | $396.00 – $654.00 | 12 |
| Pten gene known fam variant CPT 81322 | not published | not published | $30.76 – $50.79 | 12 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $490.82 | $2,231.00 | $65.89 – $7,630.39 | 15 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $2.42 – $38.43 | 15 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $14.96 | $68.00 | $19.96 – $38.72 | 4 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $667.50 – $1,411.35 | 11 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $119.34 | $153.00 | $29.36 – $103.95 | 8 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $8.59 – $12.88 | 11 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $95.16 | $122.00 | $20.64 – $47.71 | 12 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $21.52 – $50.27 | 12 |
| Pul art balloon repr percut CPT 92997 | $382.58 | $1,739.00 | $500.54 – $14,627.77 | 15 |
| Pul art balloon repr percut CPT 92998 | $192.50 | $875.00 | $250.38 – $497.14 | 7 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $3,593.92 | $16,336.00 | $3,593.70 – $5,935.05 | 12 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | $2,530.66 | $11,503.00 | $210.00 – $6,526.29 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | $608.96 | $2,768.00 | $79.20 – $1,568.96 | 7 |
| Pulmonary vent imaging CPT 78579 | $13.86 | $63.00 | $18.57 – $518.31 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | not published | not published | $20.35 – $201.81 | 12 |
| Pulse ox multiple CPT 94761 | $187.20 | $240.00 | $2.82 – $12.60 | 9 |
| Pulse ox single CPT 94760 | $153.66 | $197.00 | $1.84 – $8.00 | 9 |
| Punc of shunt for asp or inj CPT 61070 | $1,620.84 | $2,078.00 | $45.41 – $893.26 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $678.60 | $870.00 | $12.15 – $166.26 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $935.22 | $1,199.00 | $7.90 – $515.34 | 15 |
| Puncture/clear windpipe 31612 CPT 31612 | $29.92 | $136.00 | $38.85 – $4,183.11 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,620.84 | $2,078.00 | $44.10 – $893.26 | 15 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $101.81 – $152.70 | 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.