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 |
|---|---|---|---|---|
| Rem interrog dev eval scrms CPT 93298 | $15.18 | $69.00 | $19.66 – $86.20 | 15 |
| Rem interrog evl pm/ids CPT 93296 | $11.88 | $54.00 | $17.12 – $48.10 | 15 |
| Rem interrog evl pm/ldls pm CPT 93294 | $18.04 | $82.00 | $23.01 – $46.67 | 8 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $22.51 – $72.26 | 12 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $15.99 – $166.22 | 12 |
| Rem mntr wrls p-art prs snr CPT 93264 | $21.78 | $99.00 | $22.51 – $56.23 | 12 |
| Remote 30 day ecg rev/report CPT 93228 | $15.40 | $70.00 | $17.06 – $72.36 | 8 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $141.94 – $1,242.73 | 12 |
| Remot img sub by pt, non e/m HCPCS G2250 | $5.50 | $25.00 | $7.45 – $9.30 | 6 |
| Removable insert each HCPCS L6691 | not published | not published | $265.94 – $570.90 | 11 |
| Removable soft interface le HCPCS K0672 | not published | not published | $51.39 – $108.68 | 11 |
| Removal abdomen lymph nodes 38564 CPT 38564 | $435.38 | $1,979.00 | $62.35 – $1,117.08 | 7 |
| Removal allograft pancreas CPT 48556 | $801.02 | $3,641.00 | $93.68 – $2,055.07 | 4 |
| Removal anal seton other marker 46030 CPT 46030 | $53.68 | $244.00 | $70.21 – $1,520.85 | 15 |
| Removal biliary drg cath CPT 47537 | $2,194.14 | $2,813.00 | $76.94 – $1,209.32 | 15 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,446.90 | $1,855.00 | $10.94 – $797.47 | 15 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,635.58 | $4,661.00 | $15.21 – $2,003.72 | 15 |
| Removal cerclage w/anes CPT 59871 | $82.06 | $373.00 | $106.96 – $4,101.16 | 12 |
| Removal cerclage without anes CPT 59899 | $200.64 | $912.00 | $121.43 – $867.30 | 11 |
| Removal cerumen impacted (both sides) CPT 69210 | $139.62 | $179.00 | $21.00 – $76.62 | 15 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $357.50 | $1,625.00 | $32.59 – $6,972.61 | 15 |
| Removal clot in graft xcp 35876 CPT 35876 | $570.24 | $2,592.00 | $51.81 – $6,972.61 | 15 |
| Removal deep drug delivery device CPT 20701 | $39.16 | $178.00 | $51.57 – $101.70 | 7 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $464.88 | $596.00 | $28.35 – $256.30 | 15 |
| Removal duct glbldr calculi CPT 47544 | $6,193.20 | $7,940.00 | $124.22 – $269.20 | 11 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $2,194.14 | $2,813.00 | $9.33 – $1,209.32 | 15 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $58.30 | $265.00 | $7.80 – $2,089.89 | 15 |
| Removal foreign body foot cmplx CPT 28193 | $227.26 | $1,033.00 | $6.30 – $2,089.89 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,646.58 | $2,111.00 | $10.91 – $907.53 | 15 |
| Removal foreign body gum 41805 CPT 41805 | $117.04 | $532.00 | $15.84 – $1,910.65 | 15 |
| Removal foreign body jawbone CPT 41806 | $166.98 | $759.00 | $22.48 – $1,910.65 | 15 |
| Removal foreign body mouth CPT 40805 | $123.86 | $563.00 | $16.19 – $656.86 | 15 |
| Removal implant from finger/hand 26320 CPT 26320 | $220.44 | $1,002.00 | $9.67 – $2,089.89 | 15 |
| Removal implant superficial separate procedure CPT 20670 | $3,791.58 | $4,861.00 | $11.85 – $2,089.89 | 15 |
| Removal kidney open complex CPT 50225 | $730.62 | $3,321.00 | $78.43 – $1,923.45 | 7 |
| Removal kidney open radical CPT 50230 | $787.60 | $3,580.00 | $82.85 – $2,029.91 | 7 |
| Removal mamma implant mat 19330 CPT 19330 | $400.62 | $1,821.00 | $52.50 – $4,939.24 | 15 |
| Removal neck/armpit lesion CPT 38550 | $324.94 | $1,477.00 | $46.66 – $4,939.24 | 15 |
| Removal neck/armpit lesion 38555 CPT 38555 | $635.80 | $2,890.00 | $66.68 – $8,411.79 | 15 |
| Removal of adenoids CPT 42830 | $132.66 | $603.00 | $15.81 – $4,183.11 | 15 |
| Removal of adenoids CPT 42831 | $143.88 | $654.00 | $17.18 – $4,183.11 | 15 |
| Removal of adenoids CPT 42836 | $153.34 | $697.00 | $18.22 – $4,183.11 | 15 |
| Removal of adenoids <12yrs 42835 CPT 42835 | $123.64 | $562.00 | $14.76 – $4,183.11 | 15 |
| Removal of anal fissure CPT 46200 | $209.66 | $953.00 | $24.92 – $3,537.31 | 15 |
| Removal of anal tags CPT 46230 | $108.02 | $491.00 | $14.16 – $3,537.31 | 15 |
| Removal of ankle bone CPT 28130 | $391.16 | $1,778.00 | $50.88 – $9,214.43 | 15 |
| Removal of ankle/heel lesion CPT 28100 | $261.36 | $1,188.00 | $34.36 – $4,185.10 | 15 |
| Removal of ankle implant CPT 27704 | $352.22 | $1,601.00 | $46.53 – $4,185.10 | 15 |
| Removal of arm artery clot 34111 CPT 34111 | $361.02 | $1,641.00 | $32.79 – $6,972.61 | 15 |
| Removal of artery clot CPT 34051 | $605.00 | $2,750.00 | $55.10 – $1,558.74 | 7 |
| Removal of artery clot 34101 CPT 34101 | $361.90 | $1,645.00 | $32.83 – $6,972.61 | 15 |
| Removal of artery clot 34151 CPT 34151 | $842.60 | $3,830.00 | $76.50 – $2,180.36 | 7 |
| Removal of artery clot; neck incision 34001 CPT 34001 | $555.72 | $2,526.00 | $50.33 – $1,436.55 | 7 |
| Removal of bladder CPT 51570 | $905.08 | $4,114.00 | $95.38 – $2,334.58 | 7 |
| Removal of bladder lesion CPT 51520 | $369.38 | $1,679.00 | $38.93 – $4,448.70 | 15 |
| Removal of bladder lesion CPT 51525 | $529.54 | $2,407.00 | $55.79 – $1,363.36 | 7 |
| Removal of bladder lesion CPT 51530 | $475.86 | $2,163.00 | $50.17 – $1,225.23 | 7 |
| Removal of bladder & nodes CPT 51575 | $1,115.62 | $5,071.00 | $117.51 – $2,875.43 | 7 |
| Removal of bladder & nodes CPT 51585 | $1,295.58 | $5,889.00 | $136.44 – $3,338.46 | 7 |
| Removal of bladder stone CPT 51050 | $293.26 | $1,333.00 | $30.90 – $6,557.17 | 15 |
| Removal of bone for graft CPT 20900 | $111.10 | $505.00 | $7.00 – $9,214.43 | 15 |
| Removal of bone for graft CPT 20902 | $168.74 | $767.00 | $18.38 – $9,214.43 | 15 |
| Removal of bone lesion CPT 23140 | $348.70 | $1,585.00 | $13.20 – $4,185.10 | 15 |
| Removal of bone lesion CPT 23145 | $435.38 | $1,979.00 | $20.50 – $4,185.10 | 15 |
| Removal of bone lesion CPT 23146 | $391.38 | $1,779.00 | $25.00 – $9,214.43 | 15 |
| Removal of brain abscess CPT 61522 | $1,364.00 | $6,200.00 | $192.85 – $3,514.24 | 7 |
| Removal of brain lesion CPT 61520 | $2,313.08 | $10,514.00 | $210.00 – $5,951.67 | 7 |
| Removal of brain lesion CPT 61521 | $1,968.78 | $8,949.00 | $210.00 – $5,095.54 | 7 |
| Removal of brain lesion CPT 61524 | $1,299.76 | $5,908.00 | $183.83 – $3,348.93 | 7 |
| Removal of brain lesion CPT 61526 | $2,067.34 | $9,397.00 | $210.00 – $5,336.62 | 7 |
| Removal of brain lesion CPT 61530 | $1,909.82 | $8,681.00 | $210.00 – $4,923.47 | 7 |
| Removal of brain lesion CPT 61534 | $1,032.02 | $4,691.00 | $146.10 – $2,657.04 | 7 |
| Removal of brain lesion CPT 61536 | $1,604.90 | $7,295.00 | $210.00 – $4,135.16 | 7 |
| Removal of brain lesion 61510 CPT 61510 | $1,373.90 | $6,245.00 | $194.48 – $3,537.39 | 7 |
| Removal of brain tissue CPT 61537 | $1,529.22 | $6,951.00 | $210.00 – $3,940.82 | 7 |
| Removal of brain tissue CPT 61538 | $1,654.62 | $7,521.00 | $210.00 – $4,265.68 | 7 |
| Removal of brain tissue CPT 61539 | $1,470.70 | $6,685.00 | $207.82 – $3,788.71 | 7 |
| Removal of brain tissue CPT 61540 | $1,356.52 | $6,166.00 | $191.81 – $3,495.99 | 7 |
| Removal of brain tissue CPT 61543 | $1,355.64 | $6,162.00 | $191.60 – $3,491.45 | 7 |
| Removal of brain tissue CPT 61566 | $1,395.90 | $6,345.00 | $197.37 – $3,597.75 | 7 |
| Removal of breast lesion CPT 19120 | $260.26 | $1,183.00 | $11.00 – $4,939.24 | 15 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $736.98 – $4,722.15 | 12 |
| Removal of calcium deposits CPT 23000 | $224.18 | $1,019.00 | $29.52 – $3,691.65 | 15 |
| Removal of cervix radical CPT 57531 | $1,128.16 | $5,128.00 | $176.37 – $2,929.68 | 4 |
| Removal of colon/ileostomy CPT 44156 | $1,412.40 | $6,420.00 | $165.60 – $3,646.08 | 7 |
| Removal of colon/ileostomy 44151 CPT 44151 | $1,321.32 | $6,006.00 | $154.92 – $3,410.69 | 7 |
| Removal of donor liver CPT 47133 | not published | not published | $3,049.20 – $3,049.20 | 1 |
| Removal of epididymis CPT 54860 | $260.26 | $1,183.00 | $34.34 – $4,448.70 | 15 |
| Removal of epididymis CPT 54861 | $352.00 | $1,600.00 | $46.50 – $4,448.70 | 15 |
| Removal of esophagus CPT 43108 | $2,699.40 | $12,270.00 | $210.00 – $6,983.75 | 7 |
| Removal of esophagus CPT 43113 | $2,641.54 | $12,007.00 | $210.00 – $6,830.58 | 7 |
| Removal of esophagus CPT 43124 | $2,317.04 | $10,532.00 | $210.00 – $5,989.46 | 7 |
| Removal of esophagus pouch CPT 43135 | $897.38 | $4,079.00 | $104.95 – $2,317.89 | 7 |
| Removal of ethmoid sinus CPT 31200 | $377.08 | $1,714.00 | $51.21 – $7,630.39 | 15 |
| Removal of ethmoid sinus CPT 31201 | $474.10 | $2,155.00 | $63.71 – $1,910.65 | 15 |
| Removal of external ear CPT 69120 | $236.06 | $1,073.00 | $22.18 – $7,630.39 | 15 |
| Removal of eye CPT 65101 | $507.32 | $2,306.00 | $69.13 – $4,864.07 | 15 |
| Removal of eye CPT 65110 | $793.32 | $3,606.00 | $107.22 – $4,864.07 | 15 |
| Removal of eye lesion CPT 65400 | $365.42 | $1,661.00 | $48.89 – $1,249.28 | 15 |
| Removal of eye lesion CPT 65420 | $230.34 | $1,047.00 | $30.90 – $3,009.20 | 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.