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 |
|---|---|---|---|---|
| Repair of spinal herniation CPT 63704 | $1,044.12 | $4,746.00 | $148.00 – $2,686.30 | 7 |
| Repair of spinal herniation CPT 63706 | $1,157.64 | $5,262.00 | $164.03 – $2,980.31 | 7 |
| Repair of thigh CPT 27470 | $732.38 | $3,329.00 | $96.06 – $1,883.05 | 7 |
| Repair of thigh muscle CPT 27385 | $376.86 | $1,713.00 | $13.65 – $9,214.43 | 15 |
| Repair of tibia CPT 27720 | $543.62 | $2,471.00 | $71.25 – $9,214.43 | 15 |
| Repair of tibia epiphysis CPT 27730 | $368.72 | $1,676.00 | $48.41 – $4,185.10 | 15 |
| Repair of toe dislocation CPT 28675 | $257.84 | $1,172.00 | $34.16 – $4,185.10 | 15 |
| Repair of ulnar motor nerve 64836 CPT 64836 | $507.76 | $2,308.00 | $73.16 – $8,260.37 | 14 |
| Repair of ureter CPT 50900 | $520.52 | $2,366.00 | $54.89 – $1,340.47 | 7 |
| Repair of urethra defect CPT 53275 | $162.36 | $738.00 | $21.42 – $4,448.70 | 15 |
| Repair of urethra defect CPT 53520 | $346.50 | $1,575.00 | $36.59 – $6,557.17 | 15 |
| Repair of urethra injury CPT 53505 | $301.62 | $1,371.00 | $31.82 – $6,557.17 | 14 |
| Repair of urethra injury CPT 53510 | $392.26 | $1,783.00 | $41.32 – $6,557.17 | 14 |
| Repair of urethra injury CPT 53515 | $491.70 | $2,235.00 | $51.79 – $6,557.17 | 14 |
| Repair of urethra injury 53502 CPT 53502 | $301.84 | $1,372.00 | $31.84 – $4,448.70 | 14 |
| Repair of urethral lesion CPT 57230 | $257.62 | $1,171.00 | $41.22 – $4,101.16 | 14 |
| Repair of web finger CPT 26560 | $388.52 | $1,766.00 | $20.80 – $2,064.31 | 15 |
| Repair of web finger CPT 26561 | $603.24 | $2,742.00 | $11.25 – $4,185.10 | 15 |
| Repair of web finger CPT 26562 | $848.10 | $3,855.00 | $88.20 – $4,185.10 | 15 |
| Repair of windpipe CPT 31750 | $822.14 | $3,737.00 | $47.25 – $7,630.39 | 15 |
| Repair of windpipe CPT 31755 | $1,048.96 | $4,768.00 | $78.75 – $7,630.39 | 15 |
| Repair of windpipe defect CPT 31825 | $300.08 | $1,364.00 | $39.84 – $4,183.11 | 15 |
| Repair of windpipe injury CPT 31800 | $430.10 | $1,955.00 | $57.60 – $1,116.10 | 7 |
| Repair of windpipe injury CPT 31805 | $501.16 | $2,278.00 | $65.28 – $1,292.59 | 7 |
| Repair oronasal fistula 30600 CPT 30600 | $242.22 | $1,101.00 | $31.57 – $7,630.39 | 15 |
| Repair palate CPT 42182 | $159.72 | $726.00 | $21.16 – $7,630.39 | 15 |
| Repair palate CPT 42235 | $454.52 | $2,066.00 | $54.45 – $7,630.39 | 15 |
| Repair palate pharynx/uvula CPT 42145 | $424.16 | $1,928.00 | $50.72 – $7,630.39 | 15 |
| Repair paravag defect lap CPT 57423 | $572.66 | $2,603.00 | $60.58 – $13,429.04 | 15 |
| Repair paravag defect vag 57285 CPT 57285 | $427.90 | $1,945.00 | $45.28 – $9,538.29 | 15 |
| Repair pda by ligation CPT 33820 | $591.36 | $2,688.00 | $53.78 – $1,524.95 | 7 |
| Repair pda div<18 years CPT 33822 | $623.26 | $2,833.00 | $56.69 – $1,607.89 | 7 |
| Repair pda div 18 yrs&older CPT 33824 | $722.26 | $3,283.00 | $65.74 – $1,863.21 | 7 |
| Repair penis CPT 54380 | $494.34 | $2,247.00 | $65.11 – $2,642.30 | 15 |
| Repair penis CPT 54385 | $574.64 | $2,612.00 | $75.77 – $2,642.30 | 14 |
| Repair penis and bladder CPT 54390 | $765.16 | $3,478.00 | $100.75 – $1,970.32 | 7 |
| Repair pm/icd lead dual CPT 33220 | $231.44 | $1,052.00 | $21.18 – $4,694.20 | 15 |
| Repair pm/icd lead sgl CPT 33218 | $236.06 | $1,073.00 | $21.67 – $4,694.20 | 15 |
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $12.00 – $43.16 | 11 |
| Repair prosth valve clot 33496 CPT 33496 | $1,010.90 | $4,595.00 | $91.91 – $2,605.83 | 4 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | $890.12 | $4,046.00 | $81.03 – $2,298.14 | 7 |
| Repair pulmonary atresia CPT 33920 | $1,100.44 | $5,002.00 | $100.03 – $2,843.28 | 7 |
| Repair pul venous stenosis CPT 33726 | $1,233.76 | $5,608.00 | $112.16 – $3,189.97 | 7 |
| Repair radius or ulna CPT 25400 | $500.94 | $2,277.00 | $12.00 – $9,214.43 | 15 |
| Repair radius & ulna CPT 25415 | $602.36 | $2,738.00 | $8.00 – $9,214.43 | 15 |
| Repair rect/bladder fistula CPT 45800 | $786.50 | $3,575.00 | $91.95 – $2,022.28 | 7 |
| Repair rectourethral fistula CPT 45820 | $788.48 | $3,584.00 | $92.19 – $2,027.61 | 7 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | $894.08 | $4,064.00 | $105.41 – $2,301.44 | 7 |
| Repair rectum & vagina CPT 57250 | $380.38 | $1,729.00 | $60.44 – $6,367.34 | 15 |
| Repair rectum-vagina fistula CPT 57300 | $376.64 | $1,712.00 | $60.16 – $4,101.16 | 15 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | $599.50 | $2,725.00 | $95.45 – $1,560.42 | 7 |
| Repair recur fem hernia reduce 49555 CPT 49555 | $376.42 | $1,711.00 | $44.06 – $4,552.00 | 15 |
| Repair retinal detach cplx CPT 67113 | $801.90 | $3,645.00 | $107.43 – $6,655.32 | 15 |
| Repair & revise nerve add-on CPT 64874 | $106.04 | $482.00 | $27.42 – $272.94 | 7 |
| Repair/revise wrist joint CPT 25320 | $619.30 | $2,815.00 | $4.50 – $9,214.43 | 15 |
| Repair rotator cuff acute CPT 23410 | $510.84 | $2,322.00 | $5.00 – $9,214.43 | 15 |
| Repair rotator cuff chronic CPT 23412 | $531.08 | $2,414.00 | $14.47 – $9,214.43 | 15 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $543.66 | $697.00 | $17.02 – $332.15 | 15 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,191.84 | $1,528.00 | $23.33 – $656.86 | 15 |
| Repair ruptd popliteal art CPT 35152 | $848.32 | $3,856.00 | $76.79 – $2,193.54 | 7 |
| Repair salivary duct CPT 42500 | $213.62 | $971.00 | $25.54 – $7,630.39 | 15 |
| Repair salivary duct CPT 42505 | $283.36 | $1,288.00 | $33.91 – $7,630.39 | 15 |
| Repair sciatic nerve CPT 64858 | $727.54 | $3,307.00 | $104.72 – $2,518.80 | 15 |
| Repair septal defect CPT 33813 | $770.00 | $3,500.00 | $320.00 – $320.00 | 1 |
| Repair shoulder capsule CPT 23450 | $588.50 | $2,675.00 | $12.00 – $9,214.43 | 15 |
| Repair shoulder capsule CPT 23455 | $604.34 | $2,747.00 | $23.76 – $9,214.43 | 15 |
| Repair shoulder capsule CPT 23460 | $677.60 | $3,080.00 | $7.25 – $9,214.43 | 15 |
| Repair shoulder capsule CPT 23462 | $663.08 | $3,014.00 | $12.00 – $9,214.43 | 15 |
| Repair shoulder capsule CPT 23465 | $694.54 | $3,157.00 | $8.00 – $9,214.43 | 15 |
| Repair shoulder capsule CPT 23466 | $695.42 | $3,161.00 | $5.00 – $9,214.43 | 15 |
| Repair single ventricle CPT 33617 | $1,315.82 | $5,981.00 | $119.69 – $3,401.88 | 7 |
| Repair single ventricle CPT 33619 | $1,670.02 | $7,591.00 | $152.02 – $4,317.21 | 7 |
| Repair skull cavity lesion CPT 62120 | $1,281.94 | $5,827.00 | $157.50 – $3,314.19 | 7 |
| Repair spinal fluid leakage 63707 CPT 63707 | $590.70 | $2,685.00 | $83.55 – $1,505.17 | 7 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $63.13 – $4,185.10 | 15 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $79.48 – $4,185.10 | 15 |
| Repair stomach-bowel fistula 43880 CPT 43880 | $993.52 | $4,516.00 | $116.08 – $2,559.54 | 7 |
| Repair stomach opening CPT 43870 | $439.12 | $1,996.00 | $51.55 – $4,907.32 | 15 |
| Repair tear ducts CPT 68700 | $364.98 | $1,659.00 | $48.82 – $3,009.20 | 15 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $199.76 | $908.00 | $26.50 – $4,185.10 | 15 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $398.86 | $1,813.00 | $6.00 – $4,185.10 | 15 |
| Repair testis injury CPT 54670 | $254.10 | $1,155.00 | $33.54 – $4,448.70 | 15 |
| Repair throat esophagus 42953 CPT 42953 | $581.90 | $2,645.00 | $69.83 – $1,499.28 | 7 |
| Repair throat wound CPT 42900 | $205.26 | $933.00 | $27.14 – $1,910.65 | 15 |
| Repair toe dislocation CPT 28645 | $303.82 | $1,381.00 | $40.21 – $4,185.10 | 15 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $543.66 | $697.00 | $14.91 – $299.53 | 15 |
| Repair/transpose mp nerve 64856 CPT 64856 | $626.12 | $2,846.00 | $89.78 – $8,260.37 | 15 |
| Repair umbilical lesion CPT 49600 | $456.94 | $2,077.00 | $53.47 – $4,552.00 | 15 |
| Repair umbilical lesion CPT 49606 | $703.78 | $3,199.00 | $82.18 – $1,810.96 | 7 |
| Repair umbilical lesion CPT 49605 | $3,027.86 | $13,763.00 | $101.33 – $7,810.11 | 7 |
| Repair umbilical lesion CPT 49610 | $432.08 | $1,964.00 | $50.53 – $1,110.07 | 7 |
| Repair umbilical lesion CPT 49611 | $380.60 | $1,730.00 | $44.58 – $978.13 | 7 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $468.60 | $2,130.00 | $61.67 – $9,214.43 | 15 |
| Repair upper jaw fistula CPT 30580 | $287.10 | $1,305.00 | $37.71 – $7,630.39 | 15 |
| Repair urethrovaginal lesion CPT 57311 | $343.64 | $1,562.00 | $54.70 – $888.00 | 7 |
| Repair urethrovaginal lesion 57310 CPT 57310 | $304.70 | $1,385.00 | $48.58 – $9,538.29 | 15 |
| Repair uro sphincter CPT 53449 | $379.72 | $1,726.00 | $40.03 – $11,927.55 | 15 |
| Repair vagina CPT 57335 | $725.78 | $3,299.00 | $115.26 – $6,367.34 | 15 |
| Repair vagina/perineum CPT 57210 | $242.00 | $1,100.00 | $35.70 – $4,101.16 | 15 |
| Repair valve femoral vein CPT 34501 | $544.72 | $2,476.00 | $49.39 – $6,972.61 | 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.