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 |
|---|---|---|---|---|
| Rdctj forehead cntrg only CPT 21137 | $465.52 | $2,116.00 | $61.03 – $4,183.11 | 12 |
| Rdctj forehead cntrg&prostc CPT 21138 | $566.06 | $2,573.00 | $74.22 – $7,630.39 | 15 |
| Rdctj forehead cntrg&setback CPT 21139 | $671.22 | $3,051.00 | $88.27 – $7,630.39 | 14 |
| Realignment of knee CPT 27457 | $594.00 | $2,700.00 | $76.93 – $1,507.82 | 7 |
| Realignment of knee CPT 27455 | $596.64 | $2,712.00 | $78.32 – $1,533.13 | 7 |
| Realignment of tendons CPT 26437 | $408.10 | $1,855.00 | $54.67 – $4,185.10 | 15 |
| Realignment of thigh bone CPT 27454 | $802.56 | $3,648.00 | $105.03 – $2,060.60 | 7 |
| Rebuild eardrum structures CPT 69632 | $657.80 | $2,990.00 | $61.81 – $7,630.39 | 15 |
| Rebuild eardrum structures CPT 69633 | $640.42 | $2,911.00 | $60.15 – $7,630.39 | 15 |
| Rebuild eardrum structures CPT 69636 | $856.90 | $3,895.00 | $80.25 – $7,630.39 | 15 |
| Rebuild outer ear canal CPT 69310 | $677.82 | $3,081.00 | $63.62 – $7,630.39 | 15 |
| Rebuild outer ear canal CPT 69320 | $948.20 | $4,310.00 | $88.87 – $7,630.39 | 15 |
| Rechanneling of artery CPT 35361 | $923.34 | $4,197.00 | $83.64 – $2,390.06 | 7 |
| Rechanneling of artery CPT 35306 | $269.50 | $1,225.00 | $58.75 – $696.86 | 7 |
| Rechanneling of artery CPT 35311 | $941.82 | $4,281.00 | $85.64 – $2,431.43 | 7 |
| Rechanneling of artery CPT 35363 | $985.16 | $4,478.00 | $89.16 – $2,548.08 | 7 |
| Rechanneling of artery 35305 CPT 35305 | $739.86 | $3,363.00 | $67.39 – $1,922.42 | 7 |
| Rechanneling of artery 35341 CPT 35341 | $832.70 | $3,785.00 | $76.23 – $2,171.99 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $770.88 | $3,504.00 | $70.05 – $1,998.66 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $10,987.86 | $14,087.00 | $79.90 – $2,278.25 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $589.82 | $2,681.00 | $53.66 – $1,529.41 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $741.84 | $3,372.00 | $67.31 – $1,919.88 | 7 |
| Recipient nephrectomy CPT 50340 | $597.30 | $2,715.00 | $62.16 – $1,532.19 | 7 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $34.62 – $45.44 | 3 |
| Reconst lwr jaw w/fixation CPT 21196 | $876.04 | $3,982.00 | $116.24 – $7,630.39 | 14 |
| Reconst lwr jaw w/graft CPT 21194 | $874.94 | $3,977.00 | $115.68 – $7,630.39 | 14 |
| Reconst lwr jaw without fixation CPT 21195 | $819.72 | $3,726.00 | $108.79 – $7,630.39 | 14 |
| Reconst lwr jaw without graft CPT 21193 | $757.24 | $3,442.00 | $100.09 – $7,630.39 | 14 |
| Reconst major injured chest 32820 CPT 32820 | $853.38 | $3,879.00 | $105.95 – $2,100.78 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | $630.74 | $2,867.00 | $82.01 – $1,626.67 | 7 |
| Reconstr lwr jaw segment CPT 21198 | $622.82 | $2,831.00 | $82.20 – $7,630.39 | 12 |
| Reconstr lwr jaw w/advance CPT 21199 | $627.44 | $2,852.00 | $82.74 – $7,630.39 | 15 |
| Reconstruct ankle joint CPT 27702 | $597.30 | $2,715.00 | $78.44 – $23,720.63 | 14 |
| Reconstruct bronchus CPT 31775 | $852.50 | $3,875.00 | $84.00 – $2,202.19 | 7 |
| Reconstruct cleft foot CPT 28360 | $683.10 | $3,105.00 | $89.60 – $9,214.43 | 15 |
| Reconstruct cleft palate CPT 42200 | $571.12 | $2,596.00 | $67.63 – $7,630.39 | 15 |
| Reconstruct cleft palate CPT 42205 | $594.44 | $2,702.00 | $70.34 – $4,183.11 | 15 |
| Reconstruct cleft palate CPT 42210 | $663.74 | $3,017.00 | $78.50 – $7,630.39 | 15 |
| Reconstruct cleft palate CPT 42215 | $433.18 | $1,969.00 | $51.36 – $7,630.39 | 15 |
| Reconstruct cleft palate CPT 42220 | $356.62 | $1,621.00 | $42.35 – $7,630.39 | 15 |
| Reconstruct cleft palate CPT 42225 | $603.68 | $2,744.00 | $71.52 – $7,630.39 | 15 |
| Reconstruct cranial bone CPT 21182 | $1,303.06 | $5,923.00 | $170.67 – $3,345.66 | 7 |
| Reconstruct cranial bone CPT 21183 | $1,417.02 | $6,441.00 | $185.62 – $3,639.52 | 7 |
| Reconstruct cranial bone CPT 21184 | $1,523.72 | $6,926.00 | $199.64 – $3,915.28 | 7 |
| Reconstruct elbow joint CPT 24360 | $562.32 | $2,556.00 | $23.38 – $9,214.43 | 15 |
| Reconstruct elbow joint CPT 24361 | $627.44 | $2,852.00 | $82.10 – $23,720.63 | 15 |
| Reconstruct elbow joint CPT 24362 | $659.56 | $2,998.00 | $86.38 – $16,596.43 | 15 |
| Reconstruct elbow lat ligmnt CPT 24344 | $688.16 | $3,128.00 | $6.50 – $9,214.43 | 15 |
| Reconstruct elbow med ligmnt CPT 24346 | $688.16 | $3,128.00 | $90.19 – $16,596.43 | 15 |
| Reconstruct extra finger CPT 26587 | $650.76 | $2,958.00 | $85.22 – $4,185.10 | 15 |
| Reconstruct finger joint CPT 26545 | $449.24 | $2,042.00 | $60.25 – $4,185.10 | 15 |
| Reconstruct finger joint CPT 26548 | $491.26 | $2,233.00 | $17.79 – $4,185.10 | 15 |
| Reconstruct head of radius CPT 24365 | $401.72 | $1,826.00 | $52.65 – $16,596.43 | 14 |
| Reconstruct head of radius CPT 24366 | $426.58 | $1,939.00 | $6.09 – $16,596.43 | 15 |
| Reconstruction ankle joint CPT 27703 | $691.24 | $3,142.00 | $90.41 – $1,770.84 | 7 |
| Reconstruction knee CPT 27427 | $442.42 | $2,011.00 | $9.70 – $9,214.43 | 15 |
| Reconstruction knee CPT 27428 | $695.86 | $3,163.00 | $9.70 – $16,596.43 | 15 |
| Reconstruction knee CPT 27429 | $784.52 | $3,566.00 | $16.00 – $16,596.43 | 15 |
| Reconstruction of anus CPT 46753 | $385.22 | $1,751.00 | $45.11 – $3,537.31 | 15 |
| Reconstruction of bile ducts 47800 CPT 47800 | $962.50 | $4,375.00 | $112.66 – $2,475.19 | 7 |
| Reconstruction of eyelid CPT 67971 | $435.38 | $1,979.00 | $58.16 – $3,009.20 | 15 |
| Reconstruction of eyelid CPT 67973 | $560.12 | $2,546.00 | $74.81 – $3,009.20 | 15 |
| Reconstruction of eyelid CPT 67974 | $558.58 | $2,539.00 | $74.65 – $4,864.07 | 15 |
| Reconstruction of eyelid CPT 67975 | $412.72 | $1,876.00 | $55.08 – $3,009.20 | 15 |
| Reconstruction of hip socket CPT 27120 | $804.98 | $3,659.00 | $105.41 – $2,068.04 | 7 |
| Reconstruction of hip socket CPT 27122 | $684.64 | $3,112.00 | $89.73 – $1,759.27 | 7 |
| Reconstruction of jaw CPT 21245 | $580.36 | $2,638.00 | $77.00 – $7,630.39 | 12 |
| Reconstruction of jaw CPT 21246 | $522.94 | $2,377.00 | $69.14 – $7,630.39 | 12 |
| Reconstruction of jaw CPT 21248 | $494.34 | $2,247.00 | $64.82 – $7,630.39 | 12 |
| Reconstruction of jaw CPT 21249 | $691.46 | $3,143.00 | $90.56 – $7,630.39 | 12 |
| Reconstruction of jaw joint CPT 21240 | $647.90 | $2,945.00 | $85.33 – $7,630.39 | 15 |
| Reconstruction of jaw joint CPT 21242 | $622.60 | $2,830.00 | $82.40 – $7,630.39 | 15 |
| Reconstruction of jaw joint CPT 21243 | $995.72 | $4,526.00 | $136.39 – $23,720.63 | 15 |
| Reconstruction of lower jaw CPT 21244 | $616.22 | $2,801.00 | $82.00 – $7,630.39 | 12 |
| Reconstruction of midface CPT 21188 | $966.90 | $4,395.00 | $128.22 – $2,486.90 | 7 |
| Reconstruction of mouth CPT 40840 | $389.18 | $1,769.00 | $46.52 – $7,630.39 | 15 |
| Reconstruction of mouth CPT 40842 | $379.94 | $1,727.00 | $49.60 – $7,630.39 | 15 |
| Reconstruction of mouth CPT 40843 | $539.00 | $2,450.00 | $63.58 – $7,630.39 | 15 |
| Reconstruction of mouth CPT 40844 | $729.30 | $3,315.00 | $86.01 – $7,630.39 | 15 |
| Reconstruction of mouth CPT 40845 | $746.46 | $3,393.00 | $88.55 – $7,630.39 | 15 |
| Reconstruction of nail bed CPT 11762 | $116.38 | $529.00 | $15.29 – $2,359.45 | 15 |
| Reconstruction of nose CPT 30410 | $857.78 | $3,899.00 | $114.82 – $7,630.39 | 12 |
| Reconstruction of nose CPT 30420 | $878.02 | $3,991.00 | $118.51 – $7,630.39 | 12 |
| Reconstruction of orbit CPT 21256 | $766.70 | $3,485.00 | $100.54 – $7,630.39 | 14 |
| Reconstruction of throat CPT 42950 | $484.00 | $2,200.00 | $58.30 – $7,630.39 | 15 |
| Reconstruction of urethra CPT 53410 | $603.68 | $2,744.00 | $63.69 – $6,557.17 | 15 |
| Reconstruction of urethra CPT 53415 | $695.64 | $3,162.00 | $73.32 – $1,792.59 | 7 |
| Reconstruction of urethra CPT 53430 | $600.60 | $2,730.00 | $63.29 – $6,557.17 | 15 |
| Reconstruction of urethra CPT 54308 | $443.08 | $2,014.00 | $58.39 – $6,557.17 | 15 |
| Reconstruction of urethra CPT 54312 | $505.78 | $2,299.00 | $66.66 – $4,448.70 | 15 |
| Reconstruction of urethra CPT 54316 | $613.14 | $2,787.00 | $80.81 – $11,927.55 | 15 |
| Reconstruction of urethra CPT 54318 | $440.88 | $2,004.00 | $58.08 – $4,448.70 | 15 |
| Reconstruction of urethra CPT 54322 | $482.90 | $2,195.00 | $63.59 – $4,448.70 | 15 |
| Reconstruction of urethra CPT 54324 | $597.74 | $2,717.00 | $78.71 – $4,448.70 | 15 |
| Reconstruction of urethra CPT 54326 | $581.68 | $2,644.00 | $76.63 – $4,448.70 | 15 |
| Reconstruction tongue fold CPT 41520 | $154.88 | $704.00 | $18.54 – $4,183.11 | 12 |
| Reconstruct larynx & pharynx CPT 31395 | $1,793.88 | $8,154.00 | $210.00 – $4,650.11 | 7 |
| Reconstruct lip with flap CPT 40527 | $389.18 | $1,769.00 | $46.37 – $7,630.39 | 15 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $340.56 | $1,548.00 | $40.63 – $4,183.11 | 15 |
| Reconstruct lower jaw bone CPT 21255 | $817.08 | $3,714.00 | $108.51 – $7,630.39 | 14 |
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.