Westfield Memorial Hospital INC
Westfield Memorial Hospital INC in Westfield, NY publishes cash prices for 57 common procedures listed here, from its own machine-readable price file updated Apr 14, 2026. Click a procedure to compare it with other hospitals nearby.
189 EAST MAIN STREET, WESTFIELD, NY 14787 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,029.52 | $3,884.00 | 22% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,029.52 | $3,884.00 | 22% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,029.52 | $3,884.00 | 22% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $902.46 | $1,157.00 | 22% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $902.46 | $1,157.00 | 22% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $902.46 | $1,157.00 | 22% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CNTRST | $1,510.08 | $1,936.00 | 22% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CNTRST | $1,510.08 | $1,936.00 | 22% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CNTRST | $1,510.08 | $1,936.00 | 22% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $357.24 | $458.00 | 22% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $357.24 | $458.00 | 22% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $357.24 | $458.00 | 22% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $287.04 | $368.00 | 22% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $287.04 | $368.00 | 22% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $287.04 | $368.00 | 22% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LE JNT WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LE JNT WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LE JNT WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LE JNT W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LE JNT W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LE JNT W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CNTRST | $3,134.04 | $4,018.00 | 22% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE WO CNTRST | $1,697.28 | $2,176.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB OVER 14WKS SNGL | $467.22 | $599.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB OVER 14WKS SNGL | $467.22 | $599.00 | 22% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB OVER 14WKS SNGL | $467.22 | $599.00 | 22% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $293.28 | $376.00 | 22% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $293.28 | $376.00 | 22% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $293.28 | $376.00 | 22% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY >=4 | $2,975.70 | $3,815.00 | 22% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY >=4 | $2,975.70 | $3,815.00 | 22% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY >=4 | $2,975.70 | $3,815.00 | 22% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TV | $467.22 | $599.00 | 22% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TV | $467.22 | $599.00 | 22% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TV | $467.22 | $599.00 | 22% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABD COMPLT | $467.22 | $599.00 | 22% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABD COMPLT | $467.22 | $599.00 | 22% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD COMPLT | $467.22 | $599.00 | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V | $427.44 | $548.00 | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V | $427.44 | $548.00 | 22% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V | $427.44 | $548.00 | 22% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BMP TOTAL CALCIUM | $44.46 | $57.00 | 22% |
| Basic metabolic panel (blood test) CPT 80048 HC BMP TOTAL CALCIUM | $44.46 | $57.00 | 22% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BMP TOTAL CALCIUM | $44.46 | $57.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $8.80 | $40.00 | 78% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $70.98 | $91.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $70.98 | $91.00 | 22% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $70.98 | $91.00 | 22% |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $5.28 | $24.00 | 78% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W AUTO DIFF | $41.34 | $53.00 | 22% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W AUTO DIFF | $41.34 | $53.00 | 22% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W AUTO DIFF | $41.34 | $53.00 | 22% |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $4.40 | $20.00 | 78% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO WO DIFF | $34.32 | $44.00 | 22% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO WO DIFF | $34.32 | $44.00 | 22% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTO WO DIFF | $34.32 | $44.00 | 22% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PNL | $55.38 | $71.00 | 22% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PNL | $55.38 | $71.00 | 22% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PNL | $55.38 | $71.00 | 22% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $46.02 | $59.00 | 22% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $46.02 | $59.00 | 22% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $46.02 | $59.00 | 22% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $43.68 | $56.00 | 22% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $43.68 | $56.00 | 22% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $43.68 | $56.00 | 22% |
| Obstetric blood test panel CPT 80055 CHG OBSTETRIC PANEL | $31.68 | $144.00 | 78% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $12.32 | $56.00 | 78% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $97.50 | $125.00 | 22% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $97.50 | $125.00 | 22% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $97.50 | $125.00 | 22% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $12.32 | $56.00 | 78% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $102.18 | $131.00 | 22% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $102.18 | $131.00 | 22% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $102.18 | $131.00 | 22% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME (APTT) | $31.98 | $41.00 | 22% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME (APTT) | $31.98 | $41.00 | 22% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME (APTT) | $31.98 | $41.00 | 22% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $22.62 | $29.00 | 22% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $22.62 | $29.00 | 22% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $22.62 | $29.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $11.00 | $50.00 | 78% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $88.14 | $113.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $88.14 | $113.00 | 22% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $88.14 | $113.00 | 22% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE AUTO W MICROSCOPY | $17.16 | $22.00 | 22% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE AUTO W MICROSCOPY | $17.16 | $22.00 | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE AUTO W MICROSCOPY | $17.16 | $22.00 | 22% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $2.64 | $12.00 | 78% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE AUTO WO MICROSCOPY | $11.70 | $15.00 | 22% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE AUTO WO MICROSCOPY | $11.70 | $15.00 | 22% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE AUTO WO MICROSCOPY | $11.70 | $15.00 | 22% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $2.20 | $10.00 | 78% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC | $17.94 | $23.00 | 22% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC | $17.94 | $23.00 | 22% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC | $17.94 | $23.00 | 22% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $328.68 | $1,494.00 | 78% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $1,653.74 | $7,517.00 | 78% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $156.64 | $712.00 | 78% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $338.36 | $1,538.00 | 78% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $187.22 | $851.00 | 78% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $2,083.38 | $2,671.00 | 22% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $2,083.38 | $2,671.00 | 22% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $2,083.38 | $2,671.00 | 22% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $795.74 | $3,617.00 | 78% |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $794.86 | $3,613.00 | 78% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $1,559.58 | $7,089.00 | 78% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $1,488.96 | $6,768.00 | 78% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $8.80 | $40.00 | 78% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $66.22 | $301.00 | 78% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $63.58 | $289.00 | 78% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $50.60 | $230.00 | 78% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT LEVEL 3 | $396.24 | $508.00 | 22% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT LEVEL 3 | $396.24 | $508.00 | 22% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT LEVEL 3 | $396.24 | $508.00 | 22% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $82.28 | $374.00 | 78% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT LEVEL 4 | $461.76 | $592.00 | 22% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT LEVEL 4 | $461.76 | $592.00 | 22% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT LEVEL 4 | $461.76 | $592.00 | 22% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $111.98 | $509.00 | 78% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT LEVEL 5 | $528.06 | $677.00 | 22% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT LEVEL 5 | $528.06 | $677.00 | 22% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT LEVEL 5 | $528.06 | $677.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $18.26 | $83.00 | 78% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THRPY EXERCISE EA 15MIN | $95.94 | $123.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THRPY EXERCISE EA 15MIN | $95.94 | $123.00 | 22% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THRPY EXERCISE EA 15MIN | $95.94 | $123.00 | 22% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $60.72 | $276.00 | 78% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $73.48 | $334.00 | 78% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $44.66 | $203.00 | 78% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $58.74 | $267.00 | 78% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $87.12 | $396.00 | 78% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $57.20 | $260.00 | 78% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $87.34 | $397.00 | 78% |