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 TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
WESTFIELD, NY
See all hospitals reporting CPT 0795T →Price type
Westfield Memorial Hospital Inc’s median price of $23.7k is 19% above the median hospital's median price ($19.9k), higher than 71% of the 1,503 hospitals reporting CPT 0795T. 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, 24 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 | Highmark highmark together blue fee schedule · outpatient | $11,512 | $11,512 | $11,512 – $11,512 |
| 2 | Highmark highmark my direct blue fee schedule · outpatient | $19,697 | $19,697 | $19,697 – $19,697 |
| 3 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $20,763 | $20,763 | $20,763 – $20,763 |
| 4 | Highmark highmark complete blue medicare fee schedule · outpatient | $20,763 | $20,763 | $20,763 – $20,763 |
| 5 | Highmark highmark freedom blue fee schedule · outpatient | $20,988 | $20,988 | $20,988 – $20,988 |
| 6 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $23,245 | $23,245 | $23,245 – $23,245 |
| 7 | Aetna aetna medicare fee schedule · outpatient | $23,471 | $23,471 | $23,471 – $23,471 |
| 8 | Highmark highmark community blue medicare hmo fee schedule · outpatient | $23,471 | $23,471 | $23,471 – $23,471 |
| 9 | Highmark highmark security blue fee schedule · outpatient | $23,471 | $23,471 | $23,471 – $23,471 |
| 10 | Highmark highmark together blue medicare fee schedule · outpatient | $23,471 | $23,471 | $23,471 – $23,471 |
| 11 | Humana humana commercial fee schedule · outpatient | $23,922 | $23,922 | $23,922 – $23,922 |
| 12 | Highmark highmark social mission indemnity fee schedule · outpatient | $24,026 | $24,026 | $24,026 – $24,026 |
| 13 | Highmark highmark social mission managed care fee schedule · outpatient | $24,026 | $24,026 | $24,026 – $24,026 |
| 14 | UnitedHealthcare united healthcare medicare i-snp fee schedule · outpatient | $24,148 | $24,148 | $24,148 – $24,148 |
| 15 | UnitedHealthcare united healthcare medicare d-snp fee schedule · outpatient | $24,373 | $24,373 | $24,373 – $24,373 |
| 16 | Molina molina ohio fee schedule · outpatient | $24,599 | $24,599 | $24,599 – $24,599 |
| 17 | Highmark highmark my blue access fee schedule · outpatient | $27,576 | $27,576 | $27,576 – $27,576 |
| 18 | Highmark highmark performance blue fee schedule · outpatient | $32,873 | $32,873 | $32,873 – $32,873 |
| 19 | Highmark highmark performance blue enhanced fee schedule · outpatient | $32,873 | $32,873 | $32,873 – $32,873 |
| 20 | Highmark highmark connect blue fee schedule · outpatient | $35,452 | $35,452 | $35,452 – $35,452 |
| 21 | Highmark highmark community blue fee schedule · outpatient | $37,422 | $37,422 | $37,422 – $37,422 |
| 22 | Highmark highmark indemnity fee schedule · outpatient | $37,422 | $37,422 | $37,422 – $37,422 |
| 23 | Highmark highmark managed care fee schedule · outpatient | $37,422 | $37,422 | $37,422 – $37,422 |
| 24 | Aetna aetna commercial fee schedule · outpatient | $43,331 | $43,331 | $43,331 – $43,331 |
Last updated: Apr 14, 2026
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