Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN
WESTFIELD, NY
See all hospitals reporting CPT 0648T →Price type
Westfield Memorial Hospital Inc’s median price of $1.0k is 4% above the median hospital's median price ($991), higher than 57% of the 1,101 hospitals reporting CPT 0648T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · outpatient | $487.66 | $464.15 | $208.56 – $696.22 |
| 2 | UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient | $514.14 | $489.35 | $219.89 – $734.03 |
| 3 | Highmark highmark together blue fee schedule · outpatient | $573.75 | $573.75 | $573.75 – $573.75 |
| 4 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $624.09 | $656.65 | $219.89 – $1,159 |
| 5 | UnitedHealthcare united healthcare chip fee schedule · outpatient | $927.70 | $927.70 | $927.70 – $927.70 |
| 6 | UnitedHealthcare united healthcare medicaid fee schedule · outpatient | $927.70 | $927.70 | $927.70 – $927.70 |
| 7 | Highmark highmark my direct blue fee schedule · outpatient | $981.71 | $981.71 | $981.71 – $981.71 |
| 8 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $1,035 | $1,035 | $1,035 – $1,035 |
| 9 | Highmark highmark complete blue medicare fee schedule · outpatient | $1,035 | $1,035 | $1,035 – $1,035 |
| 10 | Highmark highmark freedom blue fee schedule · outpatient | $1,046 | $1,046 | $1,046 – $1,046 |
| 11 | Aetna aetna medicare fee schedule · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 12 | Highmark highmark community blue medicare hmo fee schedule · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 13 | Highmark highmark security blue fee schedule · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 14 | Highmark highmark together blue medicare fee schedule · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 15 | Humana humana commercial fee schedule · outpatient | $1,192 | $1,192 | $1,192 – $1,192 |
| 16 | Highmark highmark social mission indemnity fee schedule · outpatient | $1,197 | $1,197 | $1,197 – $1,197 |
| 17 | Highmark highmark social mission managed care fee schedule · outpatient | $1,197 | $1,197 | $1,197 – $1,197 |
| 18 | UnitedHealthcare united healthcare medicare i-snp fee schedule · outpatient | $1,204 | $1,204 | $1,204 – $1,204 |
| 19 | UnitedHealthcare united healthcare medicare d-snp fee schedule · outpatient | $1,215 | $1,215 | $1,215 – $1,215 |
| 20 | Molina molina ohio fee schedule · outpatient | $1,226 | $1,226 | $1,226 – $1,226 |
| 21 | Highmark highmark my blue access fee schedule · outpatient | $1,374 | $1,374 | $1,374 – $1,374 |
| 22 | Highmark highmark performance blue fee schedule · outpatient | $1,638 | $1,638 | $1,638 – $1,638 |
| 23 | Highmark highmark performance blue enhanced fee schedule · outpatient | $1,638 | $1,638 | $1,638 – $1,638 |
| 24 | Highmark highmark connect blue fee schedule · outpatient | $1,767 | $1,767 | $1,767 – $1,767 |
| 25 | Highmark highmark community blue fee schedule · outpatient | $1,865 | $1,865 | $1,865 – $1,865 |
Last updated: Apr 14, 2026
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