How many shoppable procedure prices are published for Westfield Memorial Hospital Inc?

Westfield Memorial Hospital Inc in Westfield, NY currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Westfield Memorial Hospital Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Westfield Memorial Hospital Inc's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2026-04-14

Westfield Memorial Hospital Inc

189 E Main St, Westfield, NY 14787 · 129 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.84×vs. Fair Market Price

Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness100

Price Logic92

Peer Alignment70

Clean Billing88

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Westfield Memorial Hospital Inc maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.98× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#15 of 92 in NY · 15th State Percentile#398 of 3,385 in U.S. · 11th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
Self-pay cash beats commercial insurance on 15% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
Captive ER (1.0×) & laboratory (0.8×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.98×) jump +18% above the median procedure ratio (Q50 0.83×)
Unnegotiated chargemaster list prices average 5.1× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.25× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+18% Upper Tail

Q25 0.60× · Q50 0.83× · Q75 0.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.7× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Westfield Memorial Hospital Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Vaginal delivery (full package) CPT Code: `59400`	$1,489	$3,101	$2,680	1.2×
C-section delivery (full package) CPT Code: `59510`	$1,654	$3,101	$2,975	1.0×
Trauma team activation HCPCS Code: `G0390`	$624	$1,644	$1,453	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$329	$964	$2,540	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$338	$850	$3,372	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$411	$855	$6,109	0.1×
Total hip replacement CPT Code: `27130`	$796	$796	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$795	$795	$13,523	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,976	$624	$1,021	0.6×
Bunion correction surgery CPT Code: `28296`	$322	$602	$3,446	0.2×
Inguinal hernia repair CPT Code: `49505`	$326	$596	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$260	$510	$3,875	0.1×
Blood transfusion CPT Code: `36430`	$1,023	$464	$498	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$123	$434	$1,256	0.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,134	$351	$511	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$84	$345	$987	0.3×
Rabies immune globulin HCPCS Code: `90375`	$898	$283	$322	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,030	$308	$448	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$113	$298	$981	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,697	$217	$343	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$187	$201	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$707	$191	$272	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,697	$212	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,697	$222	$369	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,283	$216	$583	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,888	$181	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,051	$173	$303	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$140	$140	$64	2.2×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$138	$151	0.9×
Behavioral health assessment HCPCS Code: `H0001`	—	$140	$157	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$357	$129	$148	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$92	$149	$185	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$87	$145	$181	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$902	$131	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$902	$131	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$902	$130	$169	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,510	$154	$242	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$293	$104	$123	0.8×
Care planning with family CPT Code: `90887`	$47	$86	$107	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$467	$104	$132	0.8×
CT scan, sinuses CPT Code: `70486`	$902	$126	$166	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$462	$92	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$902	$117	$160	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$467	$97	$134	0.7×
CT scan, pelvis CPT Code: `72192`	$902	$116	$163	0.7×
Ultrasound, pelvis CPT Code: `76856`	$467	$91	$130	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$59	$108	$166	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$396	$81	$110	0.7×
Review of medical records for care CPT Code: `90889`	—	$81	$114	0.7×
Family therapy session CPT Code: `90847`	$66	$94	$173	0.5×
Neurobehavioral status check CPT Code: `96116`	$49	$100	$231	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$99	$99	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$179	$345	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$199	$203	1.0×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$52	$133	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$41	$102	$111	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	—	$77	$86	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$467	$74	$126	0.6×
Injection procedure for pain management HCPCS Code: `G0260`	$75	$75	$855	0.1×
Blood test, vitamin D CPT Code: `82306`	$156	$31	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$18	$27	$27	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$19	$33	$33	1.0×
Orthotic fitting and training CPT Code: `97760`	—	$46	$51	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$94	$44	$49	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$32	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$21	$47	$56	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$396	$66	$87	0.8×
X-ray, hip CPT Code: `73502`	$354	$47	$93	0.5×
X-ray, lower back CPT Code: `72110`	$427	$50	$112	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$354	$38	$93	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$55	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$71	$14	$14	1.0×
X-ray, chest (two views) CPT Code: `71046`	$354	$35	$93	0.4×
X-ray, hand CPT Code: `73130`	$283	$35	$93	0.4×
X-ray, ankle CPT Code: `73610`	$354	$35	$93	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$9	$9	1.0×
Blood test, liver function panel CPT Code: `80076`	$44	$9	$9	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$8	$8	1.0×
X-ray, shoulder CPT Code: `73030`	$354	$33	$92	0.4×
Blood test, amylase CPT Code: `82150`	$34	$7	$7	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$72	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$51	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$37	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$35	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$102	$19	$19	1.0×
X-ray, foot CPT Code: `73630`	$354	$32	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$17	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$27	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$27	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$80	$16	$16	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$4	$4	1.0×
Blood test, potassium CPT Code: `84132`	$25	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$25	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$32	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$75	$15	$15	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$102	$20	$20	1.0×
Community mental health services HCPCS Code: `H0038`	—	$16	$16	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$88	$17	$18	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$18	$33	$35	0.9×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Culture, blood CPT Code: `87040`	$55	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$46	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$95	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$33	$39	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$109	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	—	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$126	$33	$40	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$96	$28	$35	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$94	$53	$49	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$4	$5	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$9	$20	$25	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$87	$27	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$94	$33	$48	0.7×
Psychological testing evaluation CPT Code: `96136`	$15	$40	$128	0.3×
Group therapy session CPT Code: `90853`	$16	$29	$100	0.3×
Blood test, hemoglobin CPT Code: `85018`	$12	$2	$3	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$12	$34	0.4×
X-ray, chest (single view) CPT Code: `71045`	$283	$25	$92	0.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$17	$65	0.3×
Blood antibody screen CPT Code: `86850`	$282	$12	$46	0.3×
X-ray, pelvis CPT Code: `72170`	$342	$27	$110	0.2×
Mental health services (assessment) HCPCS Code: `H0031`	—	$29	$140	0.2×
Psychological testing by technician CPT Code: `96138`	$21	$21	$395	0.1×

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 13.9%

Audit a Bill or Quote at Westfield Memorial Hospital Inc (Zero PHI Required)

CMS CCN: 330801

CPT 59400

Select Procedure to Audit:

Fair BaseRate™ $2,680

Medicare Rate $2,214

Self-Pay Cash $1,489

Insurer Median $3,101

1. Amount on Your Bill or Quote ($) Pre-filled with Westfield Memorial Hospital Inc’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $941 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $941

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.9% of gross = $941).

Step 2 · Cash vs. Insurance Arbitrage Save $5,279 Paying Cash

Self-Pay Cash Rate ($1,489) Beats Your Bill

Westfield Memorial Hospital Inc's published 45 CFR § 180 self-pay cash rate is $1,489 (vs. $3,101 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$4,088 Above Fair BaseRate

Negotiate Toward $2,680 Fair BaseRate ($2,214 Medicare)

Your bill ($6,768) is $4,088 above the denoised Fair BaseRate ($2,680) and 3.1× the $2,214 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 160743222

Filing Period: 201510

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (13.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Westfield Memorial Hospital Inc.

Price Index: 0.46× regional baseline

Quality: 54/100 CMS composite

Median Household Income$47,656U.S. Census ACS

Local Uninsured Share4.6%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 90/100 · Verified CMS CCN 330801 EIN 160743222

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330801) ↗ Verify IRS Form 990 (EIN 160743222) ↗ CMS HCRIS Cost Reports ↗

Published MRF File160743222_westfield-memorial-hospital-inc_standardcharges.csv

Publication / Vintage2026-04-14 · 197.51 MB

Validated Rate Rows11,513 (CMS v3.0.0)

File Integrity Digest8a2d6867c2d2925f7fe2…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy

Westfield Memorial Hospital Inc

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Westfield Memorial Hospital Inc

Audit a Bill or Quote at Westfield Memorial Hospital Inc (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $941

Self-Pay Cash Rate ($1,489) Beats Your Bill

Negotiate Toward $2,680 Fair BaseRate ($2,214 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings