Westfield Memorial Hospital, Inc

189 East Main Street, Westfield, NY 14787 · Acute care hospital · Emergency room

These are Westfield Memorial Hospital, Inc's own posted figures from its standard-charges file dated April 14, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

205 of the services we track have a posted price here; 204 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge
Critical care, first 30 to 74 minutes CPT 99291	$2,957.76	$3,792.00
Emergency room visit, level 1 (minor) CPT 99281	$308.88	$396.00
Emergency room visit, level 2 CPT 99282	$556.14	$713.00
Emergency room visit, level 3 (moderate) CPT 99283	$971.88	$1,246.00
Emergency room visit, level 4 CPT 99284	$1,494.48	$1,916.00
Emergency room visit, level 5 (most severe) CPT 99285	$2,152.02	$2,759.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$464.88	$596.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$329.94	$423.00
New patient office visit, about 30 minutes CPT 99203	$396.24	$508.00
New patient office visit, about 45 minutes CPT 99204	$461.76	$592.00
New patient office visit, about 60 minutes CPT 99205	$528.06	$677.00
Office consultation, about 40 minutes CPT 99243	$57.20	$260.00	$72.93 – $294.00
Office consultation, about 60 minutes CPT 99244	$87.34	$397.00	$111.24 – $432.60
Office visit, established patient, about 10 to 19 minutes CPT 99212	$329.94	$423.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$396.24	$508.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$461.76	$592.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$528.06	$677.00
Office visit, established patient, brief (often a nurse) CPT 99211	$263.64	$338.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$60.72	$276.00	$32.00 – $655.05
Preventive checkup, new patient, age 40 to 64 CPT 99386	$73.48	$334.00	$32.00 – $655.05

Imaging

Service	Cash price	Gross charge
3D screening mammogram (tomosynthesis), add-on CPT 77063	$119.34	$153.00
Abdominal X-ray, 1 view CPT 74018	$283.14	$363.00
Ankle X-ray, 3 or more views CPT 73610	$354.12	$454.00
Bone density scan (DEXA), hips and spine CPT 77080	$342.42	$439.00
Breast ultrasound, one breast, complete CPT 76641	$467.22	$599.00
Breast ultrasound, one breast, limited CPT 76642	$386.10	$495.00
Chest X-ray, 1 view CPT 71045	$283.14	$363.00
Chest X-ray, 2 views CPT 71046	$354.12	$454.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,887.60	$2,420.00
CT angiogram of the head CPT 70496	$1,887.60	$2,420.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,029.52	$3,884.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,786.90	$4,855.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,050.62	$2,629.00
CT scan of the abdomen, without contrast CPT 74150	$902.46	$1,157.00
CT scan of the chest, with contrast CPT 71260	$1,510.08	$1,936.00
CT scan of the chest, without contrast CPT 71250	$902.46	$1,157.00
CT scan of the head, without contrast CPT 70450	$902.46	$1,157.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$902.46	$1,157.00
CT scan of the pelvis, with contrast CPT 72193	$1,510.08	$1,936.00
CT scan of the sinuses or face, without contrast CPT 70486	$902.46	$1,157.00
Diagnostic mammogram, both breasts CPT 77066	$357.24	$458.00
Diagnostic mammogram, one breast CPT 77065	$287.04	$368.00
Foot X-ray, 3 or more views CPT 73630	$354.12	$454.00
Hand X-ray, 3 or more views CPT 73130	$283.14	$363.00
Knee X-ray, 3 views CPT 73562	$354.12	$454.00
Leg or arm vein ultrasound, both sides CPT 93970	$707.46	$907.00
Leg or arm vein ultrasound, one side CPT 93971	$311.22	$399.00
Lower back X-ray, 2 or 3 views CPT 72100	$342.42	$439.00
MRI of both breasts, without and with contrast CPT 77049	$1,750.32	$2,244.00
MRI of the abdomen, without and with contrast CPT 74183	$3,134.04	$4,018.00
MRI of the brain, without and with contrast CPT 70553	$3,134.04	$4,018.00
MRI of the brain, without contrast CPT 70551	$1,697.28	$2,176.00
MRI of the knee or other leg joint, without contrast CPT 73721	$1,697.28	$2,176.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,697.28	$2,176.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,697.28	$2,176.00
MRI of the neck (cervical spine), without contrast CPT 72141	$1,697.28	$2,176.00
MRI of the pelvis, without and with contrast CPT 72197	$3,134.04	$4,018.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,697.28	$2,176.00
Neck X-ray, 2 or 3 views CPT 72040	$354.12	$454.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$467.22	$599.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$467.22	$599.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$467.22	$599.00
Screening mammogram, both breasts CPT 77067	$293.28	$376.00
Shoulder X-ray, 2 or more views CPT 73030	$354.12	$454.00
Transvaginal pregnancy ultrasound CPT 76817	$467.22	$599.00
Transvaginal ultrasound CPT 76830	$467.22	$599.00
Ultrasound of the abdomen, complete CPT 76700	$467.22	$599.00
Ultrasound of the neck or thyroid CPT 76536	$467.22	$599.00
Wrist X-ray, 3 or more views CPT 73110	$354.12	$454.00
X-ray of the lower back, 4 or more views CPT 72110	$427.44	$548.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$44.46	$57.00
Blood culture CPT 87040	$54.60	$70.00
Blood draw (venipuncture) CPT 36415	$48.36	$62.00
BNP test (heart failure) CPT 83880	$206.70	$265.00
C-reactive protein (CRP) test CPT 86140	$27.30	$35.00
Chlamydia test (DNA/NAAT) CPT 87491	$184.86	$237.00
Complete blood count (CBC) with differential CPT 85025	$41.34	$53.00
Complete blood count (CBC), automated CPT 85027	$34.32	$44.00
Comprehensive metabolic panel (blood test) CPT 80053	$55.38	$71.00
COVID-19 PCR test CPT 87635	$270.66	$347.00
D-dimer test (blood clots) CPT 85379	$53.82	$69.00
Drug screen, instrument chemistry CPT 80307	$326.82	$419.00
Ferritin (iron stores) test CPT 82728	$71.76	$92.00
Free T4 (thyroid) test CPT 84439	$47.58	$61.00
General health panel (blood tests) CPT 80050	$159.90	$205.00
Glucose (blood sugar) test CPT 82947	$20.28	$26.00
Gonorrhea test (DNA/NAAT) CPT 87591	$184.86	$237.00
Hemoglobin A1c test CPT 83036	$50.70	$65.00
Hepatitis C antibody test CPT 86803	$74.88	$96.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$127.14	$163.00
Iron test CPT 83540	$34.32	$44.00
Kidney function panel CPT 80069	$46.02	$59.00
Lipase test (pancreas) CPT 83690	$36.66	$47.00
Lipid panel, cholesterol and triglycerides CPT 80061	$70.98	$91.00
Liver function panel CPT 80076	$43.68	$56.00
Magnesium test CPT 83735	$35.10	$45.00
Obstetric blood test panel CPT 80055	$31.68	$144.00	$12.00 – $112.91
Partial thromboplastin time (PTT), clotting test CPT 85730	$31.98	$41.00
Pregnancy blood test (hCG), quantitative CPT 84702	$78.78	$101.00
Prothrombin time (PT/INR), clotting test CPT 85610	$22.62	$29.00
PSA (prostate specific antigen), free CPT 84154	$97.50	$125.00
PSA (prostate specific antigen), total CPT 84153	$102.18	$131.00
Rapid strep test CPT 87880	$87.36	$112.00
Sed rate (ESR) test CPT 85652	$14.04	$18.00
TB skin test CPT 86580	$128.70	$165.00
Thyroid stimulating hormone (TSH) CPT 84443	$88.14	$113.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$125.58	$161.00
Troponin test (heart damage) CPT 84484	$65.52	$84.00
Urinalysis, automated, with microscope CPT 81001	$17.16	$22.00
Urinalysis, automated, without microscope CPT 81003	$11.70	$15.00
Urinalysis, manual, with microscope CPT 81000	$2.64	$12.00	$2.01 – $11.00
Urinalysis, manual, without microscope CPT 81002	$17.94	$23.00
Urine culture, colony count CPT 87086	$42.90	$55.00
Urine pregnancy test CPT 81025	$45.24	$58.00
Vitamin B12 test CPT 82607	$79.56	$102.00
Vitamin D test CPT 82306	$156.00	$200.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$707.46	$907.00
ECG tracing only (no interpretation) CPT 93005	$139.62	$179.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,283.10	$1,645.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$8.80	$40.00	$10.91 – $52.50
Holter monitor, up to 48 hours CPT 93224	$42.24	$192.00	$58.38 – $230.00
Left heart catheterization CPT 93452	$142.12	$646.00	$186.28 – $7,307.85
Left heart catheterization with coronary angiogram CPT 93458	$177.10	$805.00	$232.16 – $7,307.85
Nuclear stress test (heart perfusion imaging) CPT 78452	$2,673.06	$3,427.00
Treadmill stress test, complete CPT 93015	$44.22	$201.00	$58.84 – $236.25

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$604.34	$2,747.00	$79.36 – $16,230.92
Appendix removal, laparoscopic CPT 44970	$374.22	$1,701.00	$43.87 – $13,255.96
Breast biopsy with ultrasound guidance CPT 19083	$3,791.58	$4,861.00
Carpal tunnel release CPT 64721	$273.46	$1,243.00	$39.60 – $4,436.79
Colonoscopy with biopsy CPT 45380	$122.54	$557.00	$161.40 – $2,678.93
Colonoscopy with polyp removal (snare) CPT 45385	$154.66	$703.00	$204.27 – $2,678.93
Colonoscopy, diagnostic CPT 45378	$112.64	$512.00	$74.37 – $2,071.45
Colposcopy with biopsy CPT 57454	$82.50	$375.00	$108.64 – $1,280.40
Cystoscopy (bladder scope) CPT 52000	$49.28	$224.00	$64.95 – $1,516.53
Ear tubes, under general anesthesia CPT 69436	$98.56	$448.00	$13.11 – $3,365.54
Flexible sigmoidoscopy, diagnostic CPT 45330	$34.98	$159.00	$45.85 – $2,071.45
Gallbladder removal, laparoscopic CPT 47562	$410.52	$1,866.00	$48.04 – $13,255.96
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$1,074.04	$4,882.00	$125.53 – $3,399.10
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$561.22	$2,551.00	$89.11 – $23,654.82
Hysteroscopy with biopsy or polyp removal CPT 58558	$142.78	$649.00	$187.47 – $7,224.05
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$269.94	$1,227.00	$31.64 – $13,255.96
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$325.82	$1,481.00	$38.15 – $8,018.21
Kidney stone shock-wave lithotripsy CPT 50590	$353.98	$1,609.00	$37.37 – $7,836.24
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$338.36	$1,538.00	$19.00 – $7,371.92
Lower colon endoscopy with ultrasound CPT 45391	$156.64	$712.00	$207.18 – $2,678.93
Nasal endoscopy, diagnostic CPT 31231	$39.60	$180.00	$52.43 – $1,280.40
Prostate biopsy CPT 55700	$79.64	$362.00	$93.98 – $4,654.32
Prostate removal, laparoscopic or robotic CPT 55866	$736.78	$3,349.00	$77.57 – $23,654.82
Removal of a breast lump, open surgery CPT 19120	$260.26	$1,183.00	$11.00 – $8,700.32
Rotator cuff repair, arthroscopic CPT 29827	$662.86	$3,013.00	$86.99 – $16,230.92
Screening colonoscopy, average risk HCPCS G0121	$112.86	$513.00	$74.57 – $2,071.45
Screening colonoscopy, high risk HCPCS G0105	$112.64	$512.00	$74.37 – $2,071.45
Septoplasty (nasal septum repair) CPT 30520	$408.98	$1,859.00	$55.23 – $7,368.42
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$105.82	$481.00	$114.14 – $869.60
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$682.66	$3,103.00	$79.59 – $2,191.80
Tonsil and adenoid removal, under age 12 CPT 42820	$181.50	$825.00	$21.60 – $13,440.68
Total hip replacement CPT 27130	$795.74	$3,617.00	$104.08 – $29,234.07
Total knee replacement CPT 27447	$794.86	$3,613.00	$103.93 – $29,234.07
Upper endoscopy (EGD) with biopsy CPT 43239	$84.26	$383.00	$111.70 – $2,130.18
Upper endoscopy (EGD), diagnostic CPT 43235	$75.02	$341.00	$98.89 – $2,130.18
Vasectomy CPT 55250	$142.78	$649.00	$18.85 – $4,654.32

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$1,653.74	$7,517.00	$2,162.08 – $5,700.00
Fetal non-stress test CPT 59025	$17.82	$81.00	$7.08 – $457.07
IUD insertion CPT 58300	$32.78	$149.00	$18.11 – $323.24
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$1,559.58	$7,089.00	$1,575.00 – $5,400.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$1,488.96	$6,768.00	$1,950.92 – $4,966.50

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$691.08	$886.00
Lower back nerve root injection with imaging guidance CPT 64483	$2,083.38	$2,671.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$61.16	$278.00	$80.97 – $1,573.44
Lower back spinal injection (epidural), without imaging CPT 62322	$48.40	$220.00	$64.56 – $2,022.78

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$328.68	$1,494.00	$44.06 – $5,181.94
Eye exam, new patient, comprehensive CPT 92004	$56.98	$259.00	$76.70 – $292.80
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$187.22	$851.00	$25.29 – $1,280.40

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$19.58	$89.00	$25.98 – $355.49

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$26.84	$122.00	$35.80 – $355.49
Sleep study with CPAP titration CPT 95811	$2,975.70	$3,815.00
Sleep study, overnight in a sleep lab CPT 95810	$2,975.70	$3,815.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$5.06	$23.00	$6.30 – $355.49

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	$87.36	$112.00
Physical therapy evaluation, low complexity CPT 97161	$262.08	$336.00
Physical therapy evaluation, moderate complexity CPT 97162	$409.50	$525.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$95.94	$123.00
Therapeutic activities, 15 minutes CPT 97530	$125.58	$161.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$66.22	$301.00	$16.16 – $365.05
Family psychotherapy, without the patient, 50 minutes CPT 90846	$63.58	$289.00	$16.16 – $365.05
Group psychotherapy CPT 90853	$15.62	$71.00	$5.39 – $210.16
Psychiatric diagnostic evaluation CPT 90791	$92.40	$420.00	$42.00 – $3,040.00
Psychotherapy, 30 minutes CPT 90832	$44.66	$203.00	$32.32 – $365.05
Psychotherapy, 45 minutes CPT 90834	$58.74	$267.00	$62.40 – $365.05
Psychotherapy, 60 minutes CPT 90837	$87.12	$396.00	$80.81 – $365.05

Infusions and injections

Service	Cash price	Gross charge
Injection under the skin or into a muscle CPT 96372	$166.92	$214.00
IV hydration, each additional hour CPT 96361	$108.42	$139.00
IV hydration, first hour CPT 96360	$492.96	$632.00
IV push injection of a drug, first CPT 96374	$492.96	$632.00
IV push injection, each additional drug CPT 96375	$108.42	$139.00

Drugs

Service	Cash price	Gross charge
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$5.15	$23.43
Dexamethasone injection, per 1 mg HCPCS J1100	$5.77	$26.25
Fentanyl injection, per 0.1 mg HCPCS J3010	$8.47	$38.50
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	$3.20	$14.53
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$5.03	$22.86
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$2.49	$11.34
Morphine injection, up to 10 mg HCPCS J2270	$6.44	$29.26
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted	$3.33
Propofol injection, per 10 mg HCPCS J2704	$23.10	$105.00
Saline IV solution, 1000 ml HCPCS J7030	$5.39	$24.50

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

Check a bill from this hospital