▸ Hospital · NY · CCN 330166
Westfield Memorial Hospital
189 EAST MAIN ST, WESTFIELD, NY, 330166
Compliance grade
A
100/100
Procedures tracked
155
of 209 target codes
Payers
18
with negotiated rates
Rates published
98,914
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 15 | $420 | $92.4 | $42 | $148.51 | $3,040 |
| Psychiatric eval with medical services | CPT | 90792 | 15 | $480 | $105.6 | $96.99 | $197.74 | $365.05 |
| Psychotherapy 30 minutes | CPT | 90832 | 15 | $203 | $44.66 | $32.32 | $71.59 | $365.05 |
| Psychotherapy 45 minutes | CPT | 90834 | 15 | $267 | $58.74 | $62.4 | $108.36 | $365.05 |
| Psychotherapy 60 minutes | CPT | 90837 | 15 | $396 | $87.12 | $80.81 | $142.95 | $365.05 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | $383 | $84.26 | $96.99 | $190.13 | $365.05 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $396 | $308.88 | $9.31 | $90.94 | $200.05 |
| ED visit level 2 | CPT | 99282 | 17 | $713 | $556.14 | $28.86 | $81.17 | $359.8 |
| ED visit level 3 | CPT | 99283 | 17 | $1,246 | $971.88 | $56 | $102.5 | $629.11 |
| ED visit level 4 | CPT | 99284 | 17 | $1,916 | $1,494.48 | $80 | $152.71 | $967.48 |
| ED visit level 5 | CPT | 99285 | 17 | $2,759 | $2,152.02 | $80 | $221.98 | $1,392.99 |
| Critical care, first hour | CPT | 99291 | 14 | $3,792 | $2,957.76 | $159.21 | $402.39 | $1,914.45 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $1,157 | $902.46 | $32.93 | $116.25 | $241.61 |
| CT head with contrast | CPT | 70460 | 15 | $1,936 | $1,510.08 | $43.96 | $145.46 | $404.47 |
| CT head with and without contrast | CPT | 70470 | 15 | $2,420 | $1,887.6 | $49.47 | $170.2 | $404.47 |
| CT neck with contrast | CPT | 70491 | 15 | $1,936 | $1,510.08 | $53.65 | $180.81 | $404.47 |
| MRI brain without contrast | CPT | 70551 | 15 | $2,176 | $1,697.28 | $57.5 | $216.88 | $557.06 |
| MRI brain with contrast | CPT | 70552 | 15 | $3,215 | $2,507.7 | $69.14 | $295.92 | $811.42 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $4,018 | $3,134.04 | $73.5 | $350.64 | $811.42 |
| Chest X-ray single view | CPT | 71045 | 15 | $363 | $283.14 | $6.91 | $24.09 | $200.05 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $454 | $354.12 | $8.58 | $33.48 | $200.05 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $454 | $354.12 | $10.8 | $42.11 | $200.05 |
| CT chest without contrast | CPT | 71250 | 15 | $1,157 | $902.46 | $42 | $127.14 | $291.48 |
| CT chest with contrast | CPT | 71260 | 15 | $1,936 | $1,510.08 | $45.34 | $163.76 | $404.47 |
| CT chest with and without contrast | CPT | 71270 | 15 | $2,420 | $1,887.6 | $48.43 | $183.87 | $426.29 |
| MRI chest without contrast | CPT | 71550 | 15 | $2,176 | $1,697.28 | $56.66 | $311.19 | $724.64 |
| MRI chest with contrast | CPT | 71551 | 15 | $3,259 | $2,542.02 | $67.19 | $400.64 | $1,795.06 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $4,018 | $3,134.04 | $87.64 | $452.2 | $1,012.57 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $439 | $342.42 | $8.85 | $39.57 | $241.61 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $1,157 | $902.46 | $38.73 | $127.14 | $286.29 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $1,157 | $902.46 | $38.73 | $129.61 | $286.29 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $1,157 | $902.46 | $38.73 | $129.61 | $284.99 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $2,176 | $1,697.28 | $57.5 | $211.26 | $559.35 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $2,176 | $1,697.28 | $57.5 | $210.93 | $549.2 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $2,176 | $1,697.28 | $57.76 | $212 | $549.2 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $3,215 | $2,507.7 | $69.35 | $296.34 | $811.42 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $4,018 | $3,134.04 | $73.5 | $352.36 | $811.42 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $4,018 | $3,134.04 | $73.5 | $351.7 | $811.42 |
| CT pelvis without contrast | CPT | 72192 | 15 | $1,157 | $902.46 | $42.29 | $111.38 | $268.02 |
| CT pelvis with contrast | CPT | 72193 | 15 | $1,936 | $1,510.08 | $45.07 | $216.98 | $443.34 |
| Shoulder X-ray | CPT | 73030 | 15 | $454 | $354.12 | $7.45 | $34.57 | $200.05 |
| Humerus X-ray | CPT | 73060 | 15 | $363 | $283.14 | $6.35 | $29.95 | $200.05 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $363 | $283.14 | $6.9 | $35.15 | $200.05 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $2,176 | $1,697.28 | $52.8 | $222.4 | $549.2 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $4,018 | $3,134.04 | $83.79 | $419.45 | $945.29 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $51 | $51 | $51 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $363 | $283.14 | $6.61 | $33.8 | $200.05 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $454 | $354.12 | $6.9 | $36.08 | $200.05 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $2,176 | $1,697.28 | $52.8 | $222.07 | $549.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $4,018 | $3,134.04 | $83.52 | $417.73 | $944.16 |
| CT abdomen without contrast | CPT | 74150 | 15 | $1,157 | $902.46 | $46.19 | $124 | $275.54 |
| CT abdomen with contrast | CPT | 74160 | 15 | $1,936 | $1,510.08 | $49.47 | $219.09 | $453.48 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $2,420 | $1,887.6 | $54.22 | $226.9 | $511.37 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $2,629 | $2,050.62 | $67.48 | $166.77 | $549.2 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $3,884 | $3,029.52 | $70.54 | $312.21 | $811.42 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $4,855 | $3,786.9 | $77.74 | $369.12 | $811.42 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $2,176 | $1,697.28 | $56.66 | $216.29 | $554.75 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $4,018 | $3,134.04 | $85.2 | $369.7 | $951.84 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $599 | $467.22 | $31.27 | $110.51 | $260.4 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $599 | $467.22 | $22.69 | $85.24 | $241.61 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $599 | $467.22 | $28.75 | $106.15 | $259.35 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $599 | $467.22 | $38.51 | $109.12 | $241.61 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $599 | $467.22 | $32.55 | $110.35 | $258.56 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $1,360 | $1,060.8 | $70.97 | $150.84 | $549.2 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $599 | $467.22 | $26.86 | $111.87 | $253.76 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $599 | $467.22 | $26.59 | $103.23 | $241.61 |
| Scrotal ultrasound | CPT | 76870 | 15 | $599 | $467.22 | $24.64 | $97.96 | $241.61 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $368 | $287.04 | $31.53 | $102.98 | $246.86 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $458 | $357.24 | $38.73 | $131.98 | $312.9 |
| Screening mammography bilateral | CPT | 77067 | 15 | $376 | $293.28 | $29.58 | $108.84 | $257.25 |
| EKG complete | CPT | 93000 | 9 | $40 | $8.8 | $10.91 | $20.18 | $52.5 |
| EKG tracing only | CPT | 93005 | 15 | $179 | $139.62 | $5.04 | $7.55 | $134.96 |
| EKG interpretation only | CPT | 93010 | 8 | $23 | $5.06 | $6.63 | $9.61 | $24.15 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $1,645 | $1,283.1 | $45.02 | $212.4 | $1,245.77 |
| Transthoracic echocardiogram | CPT | 93307 | 15 | $725 | $565.5 | $35.24 | $151.73 | $549.2 |
| Stress echocardiogram | CPT | 93350 | 15 | $1,645 | $1,283.1 | $31.5 | $152.33 | $1,245.77 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 10 | $231 | $50.82 | $65 | $87.81 | $250 |
| Initial hospital care, moderate complexity | CPT | 99222 | 10 | $364 | $80.08 | $106 | $138.5 | $315 |
| Initial hospital care, high complexity | CPT | 99223 | 10 | $486 | $106.92 | $138 | $183.47 | $462 |
| Hospital discharge, <30 min | CPT | 99238 | 10 | $227 | $49.94 | $27.2 | $81.32 | $168 |
| Hospital discharge, >30 min | CPT | 99239 | 10 | $320 | $70.4 | $80 | $117.22 | $246.75 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $57 | $44.46 | $5.59 | $8.84 | $23.1 |
| General health panel | CPT | 80050 | 9 | $205 | $159.9 | $32.49 | $40.07 | $99.48 |
| Electrolyte panel | CPT | 80051 | 15 | $47 | $36.66 | $4.63 | $7.29 | $19.95 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $71 | $55.38 | $6.97 | $11.03 | $29.4 |
| Lipid panel | CPT | 80061 | 15 | $91 | $70.98 | $8.51 | $14 | $36.75 |
| Renal function panel | CPT | 80069 | 15 | $59 | $46.02 | $5.73 | $9.07 | $24.15 |
| Hepatic function panel | CPT | 80076 | 15 | $56 | $43.68 | $5.39 | $8.54 | $23.1 |
| Urinalysis non-automated | CPT | 81002 | 15 | $23 | $17.94 | $1.63 | $3.62 | $8.22 |
| Urinalysis automated | CPT | 81003 | 15 | $15 | $11.7 | $1.43 | $2.34 | $6.3 |
| Glucose quantitative | CPT | 82947 | 15 | $26 | $20.28 | $2.49 | $4.09 | $11.55 |
| Hemoglobin A1c | CPT | 83036 | 15 | $65 | $50.7 | $6.17 | $10.1 | $27.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $113 | $88.14 | $10.68 | $17.47 | $46.2 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $53 | $41.34 | $4.91 | $8.08 | $22.05 |
| Complete blood count without differential | CPT | 85027 | 15 | $44 | $34.32 | $4.12 | $6.73 | $17.85 |
| Urine culture bacterial | CPT | 87086 | 15 | $55 | $42.9 | $5.13 | $8.39 | $22.05 |
| Urine culture identification | CPT | 87088 | 15 | $55 | $42.9 | $5.14 | $8.39 | $19.11 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $161 | $125.58 | $13.5 | $46.87 | $121.4 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 15 | $81 | $17.82 | $7.08 | $35.82 | $457.07 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 9 | $6,768 | $1,488.96 | $1,950.92 | $3,100.76 | $4,966.5 |
| Vaginal delivery only | CPT | 59409 | 14 | $8,346 | $6,509.88 | $641.43 | $1,920 | $7,224.05 |
| Vaginal delivery with postpartum | CPT | 59410 | 9 | $3,033 | $667.26 | $868.39 | $1,740 | $3,382.5 |
| Routine obstetric care with C-section | CPT | 59510 | 9 | $7,517 | $1,653.74 | $2,162.08 | $3,100.76 | $5,700 |
| C-section delivery only | CPT | 59514 | 8 | $2,542 | $559.24 | $252 | $1,124.94 | $2,147.25 |
| C-section with postpartum | CPT | 59515 | 8 | $3,759 | $826.98 | $1,074.57 | $1,740 | $3,382.5 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 15 | $423 | $329.94 | $20.8 | $52.41 | $173.25 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 15 | $508 | $396.24 | $20.8 | $81.21 | $246.75 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 15 | $592 | $461.76 | $20.8 | $132.25 | $374.85 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 15 | $677 | $528.06 | $20.8 | $176.31 | $472.5 |
| Office visit, established patient, 5 min | CPT | 99211 | 15 | $338 | $263.64 | $7.39 | $32 | $66 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 15 | $423 | $329.94 | $20.8 | $46.82 | $126.14 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 15 | $508 | $396.24 | $20.8 | $66 | $192.21 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 15 | $592 | $461.76 | $20.8 | $92 | $271.52 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 15 | $677 | $528.06 | $20.8 | $131.47 | $382.02 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $341 | $75.02 | $98.89 | $237.27 | $2,130.18 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $383 | $84.26 | $111.7 | $267.54 | $2,130.18 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $159 | $34.98 | $45.85 | $265.21 | $2,071.45 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $202 | $44.44 | $58.45 | $239.1 | $2,071.45 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $512 | $112.64 | $74.37 | $290.37 | $2,071.45 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $557 | $122.54 | $161.4 | $388.65 | $2,678.93 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $703 | $154.66 | $204.27 | $493.58 | $2,678.93 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 14 | $4,065 | $894.3 | $117.12 | $1,881.3 | $41,783 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | $3,193 | $702.46 | $91.95 | $1,020.6 | $2,182.74 |
| Total hip replacement | CPT | 27130 | 15 | $3,617 | $795.74 | $104.08 | $1,627.65 | $29,234 |
| Total knee replacement | CPT | 27447 | 15 | $3,613 | $794.86 | $103.93 | $1,625.12 | $29,234 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | $3,956 | $870.32 | $113.81 | $1,138.09 | $2,715.79 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | $4,927 | $1,083.94 | $141.75 | $1,262.22 | $3,399.98 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | $481 | $105.82 | $114.14 | $220.92 | $869.6 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 15 | $3,013 | $662.86 | $86.99 | $1,321.06 | $16,231 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 15 | $1,538 | $338.36 | $19 | $867.71 | $7,371.92 |
| ACL reconstruction | CPT | 29888 | 15 | $2,747 | $604.34 | $79.36 | $1,274.42 | $16,231 |
| CABG single arterial graft | CPT | 33533 | 7 | $5,174 | $1,138.28 | $133.04 | $1,450 | $3,645.35 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | $6,079 | $1,337.38 | $156.22 | $1,579.58 | $4,284.78 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | $6,755 | $1,486.1 | $173.62 | $1,600 | $4,779.94 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | $7,278 | $1,601.16 | $187.08 | $1,704.54 | $5,151.71 |
| Open appendectomy | CPT | 44950 | 15 | $1,809 | $397.98 | $46.62 | $728.31 | $14,177 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | $1,701 | $374.22 | $43.87 | $685.33 | $13,256 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | $1,866 | $410.52 | $48.04 | $854.56 | $13,256 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | $2,029 | $446.38 | $52.21 | $919.21 | $13,256 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | $1,227 | $269.94 | $31.64 | $495.03 | $13,256 |
| Total abdominal hysterectomy | CPT | 58150 | 8 | $2,864 | $630.08 | $99.52 | $751.83 | $2,504 |
| Vaginal hysterectomy | CPT | 58260 | 15 | $2,356 | $518.32 | $82.26 | $1,004.78 | $11,216 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 15 | $2,482 | $546.04 | $86.45 | $1,057.47 | $13,256 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | $2,760 | $607.2 | $96.03 | $1,172.71 | $23,655 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | $1,834 | $403.48 | $53.22 | $819.34 | $13,256 |
| Complex cataract surgery | CPT | 66982 | 15 | $2,048 | $450.56 | $60.36 | $1,337.2 | $5,181.94 |
| Cataract surgery with lens implant | CPT | 66984 | 15 | $1,494 | $328.68 | $44.06 | $964.05 | $5,181.94 |
| Intravitreal injection | CPT | 67028 | 15 | $255 | $56.1 | $74.17 | $176.37 | $1,280.4 |
| Vitrectomy mechanical | CPT | 67042 | 15 | $3,135 | $689.7 | $92.36 | $1,505.12 | $9,140.14 |
| PCI single major coronary artery | CPT | 92920 | 15 | $1,451 | $319.22 | $415.38 | $1,241.6 | $12,954 |
| PCI with drug-eluting stent | CPT | 92928 | 15 | $1,613 | $354.86 | $462.16 | $1,241.6 | $25,766 |
| PCI bypass graft | CPT | 92937 | 15 | $1,612 | $354.64 | $462.09 | $1,241.6 | $25,766 |
| Left heart catheterization | CPT | 93452 | 15 | $646 | $142.12 | $186.28 | $1,024.45 | $7,307.85 |
| Coronary angiography with cath | CPT | 93455 | 15 | $762 | $167.64 | $219.2 | $1,154.13 | $7,307.85 |
| Coronary angiography with bypass cath | CPT | 93458 | 15 | $805 | $177.1 | $232.16 | $1,193.68 | $7,307.85 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 154 | $155.1 |
| Cigna | 154 | $170.68 |
| UnitedHealthcare | 154 | $195.83 |
| amerihealth | 154 | $148.16 |
| univera | 154 | $108.65 |
| geisinger | 147 | $153.53 |
| pennsylvania health and wellness | 147 | $143 |
| martin's point | 146 | $219.45 |
| Medicare | 132 | $179.88 |
| american health plans | 132 | $197.21 |
| life pittsburgh | 132 | $190.13 |
| jefferson health plans | 129 | $160.19 |
| Humana | 123 | $303.2 |
| Aetna | 123 | $365.05 |
| Molina | 123 | $311.79 |
| community care behavorial health university of pittsburgh medical center | 23 | $102.5 |
| community care behavorial health healthchoices | 23 | $102.5 |
| carelon | 14 | $68.11 |