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 |
|---|---|---|---|---|
| Reconstruct lower jaw bone CPT 21247 | $971.30 | $4,415.00 | $128.42 – $2,493.81 | 7 |
| Reconstruct orbit/forehead CPT 21172 | $1,309.66 | $5,953.00 | $169.64 – $7,630.39 | 14 |
| Reconstruct shoulder joint CPT 23470 | $742.50 | $3,375.00 | $97.34 – $16,596.43 | 15 |
| Reconstruct shoulder joint CPT 23472 | $894.30 | $4,065.00 | $117.12 – $23,720.63 | 14 |
| Reconstruct ulna/radioulnar CPT 25337 | $556.16 | $2,528.00 | $72.89 – $9,214.43 | 15 |
| Reconstruct upper jaw bone CPT 21206 | $603.46 | $2,743.00 | $79.17 – $7,630.39 | 15 |
| Reconstruct urethra/bladder CPT 53431 | $709.94 | $3,227.00 | $74.81 – $6,557.17 | 15 |
| Reconstruct urethra stage 1 CPT 53420 | $518.76 | $2,358.00 | $54.70 – $6,557.17 | 14 |
| Reconstruct urethra stage 2 CPT 53425 | $577.50 | $2,625.00 | $60.84 – $6,557.17 | 14 |
| Reconstruct vena cava 34502 CPT 34502 | $940.06 | $4,273.00 | $85.71 – $2,431.35 | 7 |
| Reconstruct windpipe CPT 31780 | $740.08 | $3,364.00 | $47.25 – $1,910.22 | 7 |
| Reconstruct windpipe CPT 31781 | $887.04 | $4,032.00 | $47.25 – $2,291.54 | 7 |
| Rectal sensation test CPT 91120 | $29.26 | $133.00 | $39.22 – $453.58 | 15 |
| Red blood cells each unit HCPCS P9021 | $675.48 | $866.00 | $24.37 – $186.15 | 14 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $45.00 – $626.06 | 13 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | not published | not published | $45.00 – $287.46 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $851.76 | $1,092.00 | $67.37 – $234.75 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | not published | not published | $154.41 – $329.95 | 11 |
| Red blood cells washed each unit HCPCS P9022 | not published | not published | $189.20 – $511.91 | 10 |
| Red cell mass multiple CPT 78121 | $9.02 | $41.00 | $10.60 – $694.29 | 15 |
| Red cell mass single CPT 78120 | $5.94 | $27.00 | $7.79 – $518.31 | 15 |
| Red cell sequestration CPT 78140 | $14.96 | $68.00 | $13.13 – $518.31 | 15 |
| Red cell survival study CPT 78130 | $14.96 | $68.00 | $20.15 – $518.31 | 15 |
| Redo compl cardiac anomaly CPT 33622 | $2,079.88 | $9,454.00 | $188.93 – $5,379.39 | 7 |
| Redo endovas vena cava filtr CPT 37192 | $7,365.54 | $9,443.00 | $269.36 – $4,059.84 | 15 |
| Reduce bowel obstruction 44050 CPT 44050 | $579.70 | $2,635.00 | $67.86 – $1,492.81 | 7 |
| Reduce testis torsion CPT 54600 | $280.94 | $1,277.00 | $37.10 – $4,448.70 | 15 |
| Reduction of facial bones CPT 21209 | $371.14 | $1,687.00 | $49.52 – $7,630.39 | 15 |
| Reduction of procidentia 45900 CPT 45900 | $132.00 | $600.00 | $17.20 – $1,175.98 | 12 |
| Reduction of skull defect CPT 62115 | $1,055.12 | $4,796.00 | $149.51 – $2,715.17 | 7 |
| Reduction of skull defect CPT 62117 | $1,224.74 | $5,567.00 | $173.21 – $3,156.57 | 7 |
| Re-exploration of chest 32120 CPT 32120 | $535.92 | $2,436.00 | $69.59 – $1,377.38 | 7 |
| Reexploration pelvic wound 49014 CPT 49014 | $233.64 | $1,062.00 | $302.30 – $601.33 | 7 |
| Re-explore parathyroids CPT 60502 | $806.96 | $3,668.00 | $94.80 – $7,630.39 | 15 |
| Refill maint impl spine pump CPT 95991 | $24.20 | $110.00 | $32.24 – $380.75 | 14 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $113.78 – $271.76 | 15 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $198.48 | $902.16 | $2.73 – $5.14 | 8 |
| Reimplant artery each 35697 CPT 35697 | $88.66 | $403.00 | $26.85 – $229.24 | 7 |
| Reimplant ureter in bladder CPT 50782 | $662.42 | $3,011.00 | $69.77 – $1,705.49 | 7 |
| Reimplant ureter in bladder CPT 50783 | $693.88 | $3,154.00 | $73.13 – $1,788.01 | 7 |
| Reimplant ureter in bladder CPT 50785 | $748.88 | $3,404.00 | $78.61 – $1,923.87 | 7 |
| Reinforce clavicle CPT 23490 | $536.36 | $2,438.00 | $11.00 – $9,214.43 | 15 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $116.42 – $246.17 | 11 |
| Reinforce eye wall CPT 67250 | $538.78 | $2,449.00 | $73.37 – $3,009.20 | 15 |
| Reinforce/graft eye wall CPT 67255 | $415.36 | $1,888.00 | $55.88 – $5,188.94 | 15 |
| Reinforce hip bones CPT 27187 | $619.74 | $2,817.00 | $81.18 – $1,590.03 | 7 |
| Reinforce shoulder bones CPT 23491 | $632.06 | $2,873.00 | $15.00 – $16,596.43 | 15 |
| Reinforce thigh CPT 27495 | $701.58 | $3,189.00 | $91.86 – $1,801.27 | 7 |
| Reinforce tibia CPT 27745 | $457.38 | $2,079.00 | $10.50 – $9,214.43 | 15 |
| Reinnervate larynx CPT 31590 | $564.96 | $2,568.00 | $75.36 – $7,630.39 | 15 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $812.02 | $3,691.00 | $105.36 – $2,087.88 | 7 |
| Reinsert ocular implant CPT 65155 | $578.16 | $2,628.00 | $78.47 – $4,864.07 | 15 |
| Release encircling material CPT 67115 | $301.40 | $1,370.00 | $40.47 – $5,188.94 | 15 |
| Release eye tissue CPT 67343 | $408.32 | $1,856.00 | $54.60 – $3,009.20 | 15 |
| Release facial nerve CPT 69720 | $720.28 | $3,274.00 | $67.25 – $7,630.39 | 15 |
| Release facial nerve CPT 69725 | $1,143.78 | $5,199.00 | $106.62 – $7,630.39 | 15 |
| Release facial nerve CPT 69955 | $1,203.40 | $5,470.00 | $112.14 – $7,630.39 | 14 |
| Release finger contracture CPT 26525 | $416.68 | $1,894.00 | $56.13 – $2,064.31 | 15 |
| Release forearm/hand tendon CPT 26449 | $439.12 | $1,996.00 | $28.00 – $4,185.10 | 15 |
| Release inner ear canal CPT 69960 | $1,155.66 | $5,253.00 | $107.46 – $7,630.39 | 14 |
| Release knuckle contracture CPT 26520 | $413.60 | $1,880.00 | $55.81 – $4,185.10 | 15 |
| Release middle ear bone CPT 69650 | $489.28 | $2,224.00 | $45.99 – $4,183.11 | 15 |
| Release muscles of hand CPT 26593 | $394.02 | $1,791.00 | $52.86 – $4,185.10 | 15 |
| Release of eye fluid CPT 67015 | $363.22 | $1,651.00 | $49.03 – $2,941.83 | 15 |
| Release of foot tendon CPT 28220 | $190.30 | $865.00 | $25.26 – $2,064.31 | 15 |
| Release of foot tendon 28225 CPT 28225 | $165.88 | $754.00 | $21.89 – $4,185.10 | 15 |
| Release of foot tendons CPT 28222 | $230.78 | $1,049.00 | $30.57 – $4,185.10 | 15 |
| Release of foot tendons CPT 28226 | $250.36 | $1,138.00 | $26.50 – $4,185.10 | 15 |
| Release of lower leg tendon CPT 27680 | $264.88 | $1,204.00 | $34.68 – $4,185.10 | 15 |
| Release of lower leg tendons CPT 27681 | $318.12 | $1,446.00 | $41.76 – $4,185.10 | 15 |
| Release of lung 32220 CPT 32220 | $977.24 | $4,442.00 | $127.20 – $2,519.30 | 7 |
| Release of midfoot joint CPT 28260 | $334.62 | $1,521.00 | $37.13 – $4,185.10 | 15 |
| Release of midfoot joint CPT 28264 | $428.34 | $1,947.00 | $54.99 – $2,064.31 | 15 |
| Release of shoulder ligament CPT 23415 | $438.02 | $1,991.00 | $57.27 – $9,214.43 | 15 |
| Release of skull seams CPT 61550 | $751.30 | $3,415.00 | $106.55 – $1,930.45 | 7 |
| Release of skull seams CPT 61552 | $930.60 | $4,230.00 | $131.75 – $2,393.78 | 7 |
| Release of ureter CPT 50715 | $746.68 | $3,394.00 | $78.23 – $1,922.50 | 7 |
| Release of ureter CPT 50722 | $629.64 | $2,862.00 | $66.38 – $1,630.37 | 7 |
| Release of ureter CPT 50940 | $548.02 | $2,491.00 | $57.75 – $1,410.69 | 7 |
| Release palm contracture CPT 26040 | $199.76 | $908.00 | $9.64 – $2,064.31 | 15 |
| Release palm contracture CPT 26121 | $376.42 | $1,711.00 | $49.43 – $4,185.10 | 15 |
| Release palm contracture CPT 26123 | $524.92 | $2,386.00 | $68.89 – $4,185.10 | 15 |
| Release palm contracture CPT 26125 | $165.44 | $752.00 | $216.11 – $425.46 | 7 |
| Release palm contracture 26045 CPT 26045 | $297.66 | $1,353.00 | $9.22 – $4,185.10 | 15 |
| Release palm & finger tendon CPT 26442 | $607.64 | $2,762.00 | $8.00 – $4,185.10 | 15 |
| Release palm/finger tendon CPT 26440 | $395.34 | $1,797.00 | $17.00 – $2,064.31 | 15 |
| Release/revise ureter CPT 50725 | $678.70 | $3,085.00 | $71.52 – $1,748.35 | 7 |
| Release spinal cord lumbar CPT 63200 | $967.34 | $4,397.00 | $135.74 – $2,465.11 | 7 |
| Release thumb contracture CPT 26508 | $412.94 | $1,877.00 | $55.55 – $4,185.10 | 15 |
| Release wrist/forearm tendon CPT 25295 | $331.54 | $1,507.00 | $43.53 – $4,185.10 | 15 |
| Relieve bladder contracture CPT 52640 | $200.86 | $913.00 | $21.19 – $4,448.70 | 15 |
| Relieve cranial pressure 61345 CPT 61345 | $1,274.46 | $5,793.00 | $180.19 – $3,282.19 | 7 |
| Relocation of testis(es) CPT 54680 | $486.86 | $2,213.00 | $64.13 – $4,448.70 | 14 |
| Relocation skin pocket aicd CPT 33223 | $247.94 | $1,127.00 | $22.74 – $2,359.45 | 15 |
| Relocation skin pocket pm CPT 33222 | $208.56 | $948.00 | $19.14 – $2,359.45 | 15 |
| Rem/biv cast full arm/leg CPT 29705 | $27.94 | $127.00 | $36.07 – $342.56 | 12 |
| Rem/biv cast shldr/hip spica CPT 29710 | $51.04 | $232.00 | $66.33 – $342.56 | 12 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $501.05 | $2,277.52 | $4.89 – $9.52 | 15 |
| Rem endovas vena cava filter CPT 37193 | $7,365.54 | $9,443.00 | $274.67 – $4,059.84 | 15 |
| Rem interrog dev eval icpms CPT 93297 | $15.18 | $69.00 | $19.66 – $48.10 | 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.