Supplies, drugs & other prices at Westfield Memorial Hospital, Inc

Westfield, NY · every code in this section with a posted price and a Medicare benchmark.

191 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $836.16 $1,072 1.9×
Adm tocilizu covid-19 1st (M0249) $922.74 $1,183 1.7×
Adm tocilizu covid-19 2nd (M0250) $922.74 $1,183 1.7×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines		 $8.14–$94.38 $37–$121 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines		 $8.14–$94.38 $37–$121 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines		 $8.14–$94.38 $37–$121 varies
Adv prim care mgmt lvl 1 (G0556) $7.70 $35 0.2×
Adv prim care mgmt lvl 2 (G0557) $23.10 $105 0.5×
Adv prim care mgmt lvl 3 (G0558) $51.04 $232 0.4×
Anatomic guide 3d printed 1st anatomic guide (0561T) $14.08 $64 0.1×
Annual alcohol screen 15 min (G0442) $5.50 $25 0.1×
Antibody treponema pallidum total & rpr ia qual (0064U) $20.68 $94 0.7×
Ascvd rsk mng clin stf pr mo (G0538) $5.50 $25 0.0×
B burgdorferi antb 12 prtn grp immunoblot igg (0042U) $11.44 $52 0.7×
B burgdorferi antb 5 prtn grp immunoblot igm (0041U) $11.44 $52 0.7×
BCR/ABL1 (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative 13,999 or fewer… (0040U) $270.60 $1,230 0.7×
Behavior counsel obesity 15m (G0447) $18.70 $85 0.1×
Bia whole body composition assessment w/i&r (0358T) $15.62 $71 0.4×
Blood mucoprotein (P2038) $3.08 $14 0.6×
Brief alcohol misuse counsel (G0443) $18.70 $85 0.1×
Brief chkin by md/qhp, 11-20 (G2252) $15.40 $70 0.5×
Brief chkin, 5-10, non-e/m (G2251) $7.92 $36 0.6×
Ca screen;flexi sigmoidscope (G0104) $41.36 $188 0.0×
Ca screen;pelvic/breast exam (G0101) $16.72 $76 0.1×
Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified… (0068U) $94.16 $428 0.7×
Cardiokymography (Q0035) $5.06 $23 0.1×
Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism… (0055U) $2,138.40 $9,720 0.7×
Care manage beh svs 20mins (G0323) $26.40 $120 0.6×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines		 $6.16–$48.36 $28–$62 varies
Cbc without platelet (G0307) $4.40 $20 0.7×
Cbc/diffwbc w/o platelet (G0306) $5.28 $24 0.7×
Colon ca scrn not hi rsk ind (G0121) $112.86 $513 0.1×
Colorectal scrn; hi risk ind (G0105) $112.64 $512 0.1×
Comt gene analysis c.472g>a variant (0032U) $115.28 $524 0.7×
Covid-19 lab test non-cdc (U0002) $33.88 $154 0.7×
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T)
likely a partial charge, not the full procedure		 $34.98 $159 0.0×
Cyp1a2 gene analysis common variants (0031U) $115.28 $524 0.7×
Cyp2d6 3' gene dup/mlt (0076U) $297.44 $1,352 0.7×
Cyp2d6 5' gene dup/mlt (0075U) $297.44 $1,352 0.7×
Cyp2d6 full gene sequence (0071U) $396 $1,800 0.7×
Cyp2d6 gen com&slct rar vrnt (0070U) $446.60 $2,030 0.7×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $297.44 $1,352 0.7×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $297.44 $1,352 0.7×
Cyp2d6 nonduplicated gene (0074U) $297.44 $1,352 0.7×
Cysto impl 4 or more (C9740)
likely a partial charge, not the full procedure		 $2,150.28 $9,774 0.2×
Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity 13,999 or fewer assigned members (0039U) $9.24 $42 0.7×
Depression screen annual (G0444) $5.50 $25 0.1×
Dermal filler injection(s) (G0429) $42.02 $191 0.0×
Diab manage trn per indiv (G0108) $117 $150 2.1×
Diab manage trn ind/group (G0109) $31.98 $41 2.0×
Direct refer hospital observ (G0379) $1,075.62 $1,379 1.4×
Drug test def 15-21 classes (G0482) $1,046.76 $1,342 5.3×
Drug test def 22+ classes (G0483) $1,300.26 $1,667 5.3×
Drug test def 8-14 classes (G0481) $824.46 $1,057 5.3×
Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and… (0082U) $162.80 $740 0.7×
Egd flexible transnasal w/biopsy single/multiple (0653T) $87.34 $397 0.0×
Egd flexible transnasal w/insj intral tube/cath (0654T) $92.40 $420 0.0×
Eia hiv-1/hiv-2 screen (G0432) $12.76 $58 0.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure		 $933.24 $4,242 0.0×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T)
likely a partial charge, not the full procedure		 $364.76 $1,658 0.0×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T)
likely a partial charge, not the full procedure		 $365.20 $1,660 0.0×
Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence… (0036U) $3,154.80 $14,340 0.7×
Fecal blood scrn immunoassay (G0328) $11.88 $54 0.7×
Fecal microbiota prep instil (G0455) $43.34 $197 0.0×
Fern test (Q0114) $6.60 $30 0.7×
Flt3 gene int tandem dupl variants quantitative (0046U) $268.84 $1,222 0.7×
Followup eval of foot pt lop (G0246) $12.32 $56 0.1×
Fractional abl lsr fenestration first 100 sqcm (0479T) $155.10 $705 0.2×
Glyca nuc mr spectroscopy quantitative (0024U) $22.44 $102 0.7×
Group behave couns 2-10 (G0473) $7.04 $32 0.2×
Group mnt 2 or more 30 mins (G0271) $9.46 $43 0.6×
Group train w/o patient (G0543) $6.60 $30 0.2×
Hair analysis (P2031) $3.08 $14 0.6×
Hep c screen high risk/other (G0472) $30.80 $140 0.7×
High inten beh couns std 30m (G0445) $18.48 $84 0.1×
Hiv combination assay (G0475) $15.84 $72 0.7×
Human papillomavirus (HPV), high-risk types (ie, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), male urine… (0096U) $23.32 $106 0.7×
Init/sub psych care m 1st 30 (G2214) $23.54 $107 0.2×
Initial care training 30 m (G0539) $28.60 $130 0.5×
Initial foot exam pt lops (G0245) $24.20 $110 0.1×
Initial preventive exam (G0402) $80.30 $365 0.5×
Inj for sacroiliac jt anesth (G0260) $75.24 $342 0.1×
Insertion of sinus tarsi implant (0335T)
likely a partial charge, not the full procedure		 $581.02 $2,641 0.1×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T)
likely a partial charge, not the full procedure		 $193.16 $878 0.0×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T)
likely a partial charge, not the full procedure		 $551.98 $2,509 0.0×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure		 $624.58 $2,839 0.0×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
likely a partial charge, not the full procedure		 $226.82 $1,031 0.0×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
likely a partial charge, not the full procedure		 $226.82 $1,031 0.0×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
likely a partial charge, not the full procedure		 $350.46 $1,593 0.0×
Intens behave ther cardio dx (G0446) $18.70 $85 0.4×
Intens cardiac rehab no exer (G0423) $79.86 $363 0.5×
Intens cardiac rehab w/exerc (G0422) $79.86 $363 0.5×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $32.78 $149 0.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $80.52 $366 0.7×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M)
range across 2 matching MRF lines		 $332.20–$1,178.58 $1,510–$1,511 varies
Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) $22.44 $102 0.7×
Mnt subs tx for change dx (G0270) $16.72 $76 0.5×
Monthly tx for dmht 20mins (G0553) $18.92 $86 0.1×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $37.84 $172 0.5×
Neuro csf prion prtn qual (0035U) $356.84 $1,622 0.7×
Njx bone sub matrl into subchondral bone defect (0707T) $165.88 $754 0.0×
Njx platelet plasma (0232T) $122.54 $557 0.2×
No pt prsnt train initial 30 (G0541) $28.60 $130 0.8×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative 13,999 or fewer assigned members (0049U) $268.84 $1,222 0.7×
Obtaining screen pap smear (Q0091) $11.22 $51 0.3×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $164.12 $746 0.7×
Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) $2,556.40 $11,620 0.7×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $212.96 $968 0.7×
Onc Merkel Cll Carc Srm Quan (0058U) $212.96 $968 0.7×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $2,556.40 $11,620 0.7×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $1,981.32 $9,006 0.7×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $2,376 $10,800 0.7×
Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue,… (0069U) $250.80 $1,140 0.7×
Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive… (0089U) $501.60 $2,280 0.7×
Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin,… (0021U) $501.60 $2,280 0.7×
Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes,… (0048U) $1,926.76 $8,758 0.7×
Oncology, RNA, gene expression by whole transcriptome sequencing, formalin-fixed paraffin embedded tissue or fresh… (0019U) $2,425.72 $11,026 0.7×
Open tx iliac spine uni/bil (G0412)
likely a partial charge, not the full procedure		 $450.78 $2,049 0.0×
Open tx post pelvic fxcture (G0415) $851.40 $3,870 0.2×
Pattern erg w/i&r (0509T) $12.76 $58 0.0×
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure		 $660.88 $3,004 0.1×
Pelvic ring fx treat int fix (G0414)
likely a partial charge, not the full procedure		 $624.14 $2,837 0.1×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure		 $321.86 $1,463 0.0×
Pild/placebo control clin tr (G0276)
likely a partial charge, not the full procedure		 $225.72 $1,026 0.0×
Pinworm examinations (Q0113) $2.64 $12 0.6×
Pne flu hepb cov home admin (M0201) $22.22 $101 0.5×
Post d/c phone follow up (G0544) $30.58 $139 0.2×
Post-coital mucous exam (Q0115) $16.72 $76 0.7×
Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T)
likely a partial charge, not the full procedure		 $603.24 $2,742 0.0×
Potassium hydroxide preps (Q0112) $3.96 $18 0.7×
Ppps, subseq visit (G0439) $79.86 $363 0.6×
Prescription drug monitoring, 14 or more classes of drugs and substances, definitive tandem mass spectrometry with… (0054U) $131.12 $596 0.7×
Prescription drug monitoring, evaluation of 65 common drug by LCMS/MS, urine, each drug reported detected or not… (0093U) $40.92 $186 0.7×
Prescription drug monitoring, evaluation of drugs present by LC-MS/MS, urine, 31 drug panel, reported as quantitative… (0051U) $162.80 $740 0.7×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $49.06 $223 1.1×
Programming dev eval icds w/ss eltrd in person (0575T) $40.48 $184 0.9×
Prostate biopsy, any mthd (G0416) $106.70 $485 0.2×
Psa screening (G0103)
range across 2 matching MRF lines		 $12.76–$102.18 $58–$131 varies
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $6.60 $30 0.0×
Quan MRI alys brain with diagnostic MRI (0866T) $1,272.18 $1,631 4.3×
Rbc DNA gnotyp 10 bld groups (0084U) $475.20 $2,160 0.7×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $12.76 $58 0.3×
Remot img sub by pt, non e/m (G2250) $5.50 $25 0.4×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $40.48 $184 0.2×
Remove drug implant (G0517) $67.54 $307 0.1×
Risk ascvd tst once pr 12 mo (G0537) $5.50 $25 0.1×
Rmvl Car Modulj Tranvns Elt (0413T) $302.94 $1,377 0.1×
Rmvl insj impltbl gluc sensor dif anatomic site (0448T)
likely a partial charge, not the full procedure		 $58.08 $264 0.0×
Routine footcare pt w lops (G0247) $18.70 $85 0.1×
Rx Metab Advrs Trgt Seq Alys (0029U) $489.72 $2,226 0.7×
Rx metab warfarin rx response trgt seq alys (0030U) $88.44 $402 0.7×
Safety plan interven (G0560) $26.62 $121 0.6×
Scr c/v cyto, automated sys (G0147) $11.88 $54 0.6×
Scr c/v cyto, autosys, rescr (G0148) $21.12 $96 0.7×
Scr c/v cyto,thinlayer,rescr (G0144) $29.04 $132 0.7×
Scr c/v cyto,thinlayer,rescr (G0145) $17.60 $80 0.7×
Scr c/v cyto,thinlayer,rescr (G0143) $18.04 $82 0.7×
Screen cerv/vag thin layer (G0123) $13.20 $60 0.7×
Screen pap by tech w md supv (P3000) $11.88 $54 0.6×
Semen analysis (G0027) $4.40 $20 0.7×
Single energy x-ray study (G0130) $6.82 $31 0.1×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $11.88 $54 0.7×
Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for… (0050U) $1,925 $8,750 0.7×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igg (0044U) $9.68 $44 0.7×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igm (0043U) $9.68 $44 0.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
likely a partial charge, not the full procedure		 $436.92 $1,986 0.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
likely a partial charge, not the full procedure		 $291.28 $1,324 0.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
likely a partial charge, not the full procedure		 $291.28 $1,324 0.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
likely a partial charge, not the full procedure		 $448.80 $2,040 0.0×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
likely a partial charge, not the full procedure		 $606.98 $2,759 0.1×
Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative 13,999 or fewer… (0025U) $75.68 $344 0.7×
Therapeutic procd strg endur (G0237) $6.82 $31 0.2×
Tomosynthesis, mammo (G0279) $17.60 $80 1.4×
Tpmt and Nudt15 Genotype (0034U) $307.56 $1,398 0.7×
Train for caregiver add 15 (G0540) $15.40 $70 0.6×
Transcatheter Renal Sympath Denervation Bilat (0339T)
likely a partial charge, not the full procedure		 $544.72 $2,476 0.1×
Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin… (0061U) $16.72 $76 0.7×
Trauma respons w/hosp criti (G0390) $623.92 $2,836 0.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,310 $10,500 0.7×
Trim nail(s) (G0127) $5.28 $24 0.1×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure		 $2,459.60 $11,180 0.1×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
likely a partial charge, not the full procedure		 $703.78 $3,199 0.0×
Tte w or wo fol wcon,doppler (C8929) $1,848.60 $2,370 1.9×
Twin zygosity, genomic targeted sequence analysis of cromosome 2, using circulating cell-free fetal DNA in maternal… (0060U) $501.16 $2,278 0.7×
Urine specimen collect mult (P9615) $6.16 $28 0.7×
Ven blood coll snf/hha (G0471) $7.48 $34 0.7×
Visit esketamine 56m or less (G2082) $190.08 $864 0.1×
Visit esketamine, > 56m (G2083) $269.72 $1,226 0.1×
Visit to determ ldct elig (G0296) $15.62 $71 0.1×
Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative 13,999 or fewer assigned members (0038U) $19.36 $88 0.7×
Wet mounts/ w preparations (Q0111) $11.88 $54 0.6×

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.