Supplies, drugs & other prices at Westchester Medical Center
Valhalla, NY · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $181 | $181 | 5.0× |
| 2d cephalometric image (D0340) | $108 | $108 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,935 | $2,935 | 6.7× |
| Admin hepatitis b vaccine (G0010) | $270 | $270 | 4.6× |
| Admin influenza virus vac (G0008) | $270 | $270 | 4.6× |
| Admin pneumococcal vaccine (G0009) | $270 | $270 | 4.6× |
| Alveoplasty w/ extraction (D7310) | $417 | $417 | 0.2× |
| Alveoplasty w/o extraction (D7320) | $369 | $369 | 0.2× |
| Amalgam 4 or > surfaces perm (D2161) | $252 | $252 | 0.3× |
| Amalgam one surface permanen (D2140) | $1,968 | $1,968 | 2.4× |
| Amalgam three surfaces perma (D2160) | $252 | $252 | 0.3× |
| Amalgam two surfaces permane (D2150) | $198 | $198 | 0.2× |
| Ant resin-based cmpst crown (D2390) | $675 | $675 | 0.8× |
| Apexification/recalc initial (D3351) | $179 | $179 | 0.2× |
| Apicoectomy - anterior (D3410) | $507 | $507 | 0.6× |
| Bitewings four images (D0274) | $96 | $96 | 0.3× |
| Bone replce graft first site (D4263) | $506 | $506 | 0.6× |
| Chemo extend iv infus w/pump (G0498) | $1,755 | $1,755 | 4.3× |
| Comprehensve oral evaluation (D0150) | $96 | $96 | 0.6× |
| Cone beam ct both jaws (D0383) | $125 | $125 | 1.0× |
| Core build-up incl any pins (D2950) | $204 | $204 | 0.3× |
| Coronectomy (D7251) | $450 | $450 | 0.2× |
| Covid-19 lab test non-cdc (U0002) | $181 | $181 | 3.5× |
| Crown full cast base metal (D2791) | $882 | $882 | 1.1× |
| Crown lengthen hard tissue (D4249) | $417 | $417 | 0.5× |
| Crown porcelain fused base m (D2751) | $918 | $918 | 1.1× |
| Crown porcelain w/ noble met (D2752) | $1,116 | $1,116 | 1.4× |
| Crown porcelain/ceramic (D2740) | $1,524 | $1,524 | 1.9× |
| Decor or submerg erupt tooth (D3921) | $524 | $524 | 0.6× |
| Dental bitewing single image (D0270) | $41 | $41 | 0.4× |
| Dental bitewings two images (D0272) | $66 | $66 | 0.6× |
| Dental prophylaxis adult (D1110) | $141 | $141 | 0.8× |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$252–$286 | $252–$286 | varies |
| Diab manage trn ind/group (G0109) | $93 | $93 | 5.8× |
| Drug test def 1-7 classes (G0480) | $1,365 | $1,365 | 11.9× |
| Elec stim other than wound (G0283) | $976 | $976 | 76.9× |
| End thxpy, anterior tooth (D3310) | $819 | $819 | 1.0× |
| End thxpy, molar tooth (D3330) | $1,212 | $1,212 | 1.5× |
| End thxpy, premolar tooth (D3320) | $930 | $930 | 1.2× |
| Excision benign lesion>1.25c (D7411) | $476 | $476 | 0.2× |
| Exposure of unerupted tooth (D7280) | $567 | $567 | 0.7× |
| Extraction erupted tooth/exr (D7140) | $369 | $369 | 0.5× |
| Gingival flap proc w/ planin (D4240) | $417 | $417 | 0.1× |
| Gingivectomy/plasty 4 or mor (D4210) | $849 | $849 | 0.2× |
| Group mnt 2 or more 30 mins (G0271) | $39 | $39 | 2.3× |
| Hbot, full body chamber, 30m (G0277) | $3,862 | $3,862 | 22.5× |
| Hopd mntl hlt, 15-29 min (C7900) | $552 | $552 | 11.8× |
| Hopd mntl hlt, 30-60 min (C7901) | $609 | $609 | 4.8× |
| Hospital outpt clinic visit (G0463) | $223 | $223 | 1.3× |
| I&d absc intraoral soft tiss (D7510) | $298 | $298 | 0.3× |
| I&d abscess extraoral (D7520) | $417 | $417 | 0.5× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $218 | $218 | 5.0× |
| Impact tooth remov comp bony (D7240) | $773 | $773 | 1.0× |
| Impact tooth remov part bony (D7230) | $643 | $643 | 0.8× |
| Impact tooth remov soft tiss (D7220) | $595 | $595 | 0.7× |
| Interim crown (D2799) | $215 | $215 | 0.3× |
| Intraor comprehensive series (D0210) | $225 | $225 | 0.8× |
| Intraoral occlusal film (D0240) | $105 | $105 | 1.0× |
| Intraoral periapical first (D0220) | $39 | $39 | 0.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $610 | $610 | 5.0× |
| Limit oral eval problm focus (D0140) | $72 | $72 | 0.4× |
| Limited occlusal adjustment (D9951) | $150 | $150 | 0.2× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $5,997 | $5,997 | 11.9× |
| Localized delivery antimicro (D4381) | $174 | $174 | 0.2× |
| Mnt subs tx for change dx (G0270) | $39 | $39 | 1.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,648 | $3,648 | 8.4× |
| Neuro csf prion prtn qual (0035U) | $3,012 | $3,012 | 5.6× |
| Obtaining screen pap smear (Q0091) | $205 | $205 | 5.7× |
| Occ guard, hard, full arch (D9944) | $429 | $429 | 0.5× |
| Oral antral fistula closure (D7260) | $536 | $536 | 0.7× |
| Panoramic image (D0330) | $171 | $171 | 0.6× |
| Pathogen test for platelets (P9100) | $411 | $411 | 5.6× |
| Periodic oral evaluation (D0120) | $75 | $75 | 0.5× |
| Periodontal maint procedures (D4910) | $171 | $171 | 0.2× |
| Periodontal scaling & root (D4341) | $204 | $204 | 0.3× |
| Periodontal scaling 1-3teeth (D4342) | $102 | $102 | 0.1× |
| Place direct restoration (D2940) | $84 | $84 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $168 | $168 | 0.2× |
| Post 2 srfc resinbased cmpst (D2392) | $237 | $237 | 0.3× |
| Post 3 srfc resinbased cmpst (D2393) | $252 | $252 | 0.3× |
| Post >=4srfc resinbase cmpst (D2394) | $1,968 | $1,968 | 2.4× |
| Post and core cast + crown (D2952) | $312 | $312 | 0.4× |
| Prefab post/core + crown (D2954) | $312 | $312 | 0.4× |
| Prefab stnlss steel crown pe (D2931) | $171 | $171 | 0.2× |
| Prefab stnlss steel crwn pri (D2930) | $204 | $204 | 0.3× |
| Prefabricated resin crown (D2932) | $215 | $215 | 0.3× |
| Psa screening (G0103) | $330 | $330 | 17.1× |
| Pulp cap direct (D3110) | $1,968 | $1,968 | 2.4× |
| Pulp cap indirect (D3120) | $75 | $75 | 0.1× |
| Pulpal therapy anterior prim (D3230) | $215 | $215 | 0.3× |
| Pulpal therapy posterior pri (D3240) | $334 | $334 | 0.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $2,160 | $2,160 | 3.0× |
| Re-cement or re-bond crown (D2920) | $126 | $126 | 0.2× |
| Rem exostosis any site (D7471) | $892 | $892 | 0.2× |
| Rem imp tooth w mucoper flp (D7210) | $524 | $524 | 0.3× |
| Rem nonodonto cyst to 1.25cm (D7460) | $654 | $654 | 0.8× |
| Rem odontogen cyst > 1.25 cm (D7451) | $309 | $309 | 0.1× |
| Rem odontogen cyst to 1.25cm (D7450) | $393 | $393 | 0.1× |
| Removal fb skin/areolar tiss (D7530) | $595 | $595 | 0.7× |
| Removal of fb reaction (D7540) | $1,552 | $1,552 | 1.9× |
| Removal of sloughed off bone (D7550) | $476 | $476 | 0.6× |
| Removal of torus palatinus (D7472) | $892 | $892 | 1.1× |
| Remove torus mandibularis (D7473) | $892 | $892 | 1.1× |
| Resin 4/> surf or w incis an (D2335) | $1,968 | $1,968 | 2.4× |
| Resin one surface-anterior (D2330) | $141 | $141 | 0.2× |
| Resin three surfaces-anterio (D2332) | $252 | $252 | 0.3× |
| Resin two surfaces-anterior (D2331) | $198 | $198 | 0.2× |
| Revasc intra lithotrip-stent (C9765) | $57,231 | $57,231 | 2.5× |
| Revasc intravasc lithotripsy (C9764) | $35,367 | $35,367 | 2.5× |
| Revasc lithotrip tibi/perone (C9772) | $35,367 | $35,367 | 2.5× |
| Root surgery molar (D3425) | $507 | $507 | 0.6× |
| Root surgery premolar (D3421) | $507 | $507 | 0.6× |
| Soft tissue graft firsttooth (D4277) | $536 | $536 | 0.3× |
| Splint extra-coronal (D4323) | $204 | $204 | 0.3× |
| Surg reduct osseoustuberosit (D7485) likely a partial charge, not the full procedure |
$1,125 | $1,125 | 0.2× |
| Surgical splint (D5988) | $179 | $179 | 0.2× |
| Therapeutic pulpotomy (D3220) | $198 | $198 | 0.2× |
| Tomosynthesis, mammo (G0279) | $361 | $361 | 28.4× |
| Tooth pin retention (D2951) | $96 | $96 | 0.1× |
| Tooth root removal (D7250) | $221 | $221 | 0.3× |
| Tpmt and Nudt15 Genotype (0034U) | $1,399 | $1,399 | 3.0× |
| Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines |
$4,983–$30,000 | $4,983–$30,000 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $9,126 | $9,126 | 9.3× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,351–$2,665 | $2,351–$2,665 | varies |
| Vestibuloplasty exten graft (D7350) likely a partial charge, not the full procedure |
$1,307 | $1,307 | 0.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.