Sanford Westbrook Hospital
920 Bell Ave, Westbrook, MN · Sanford Health · · NPI 1942253547
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $374.99 – $374.99 | 1 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $374.99 – $374.99 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $360.80 | $451.00 | $109.19 – $405.90 | 16 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $243.83 – $243.83 | 1 |
| Control of nosebleed ant comp 30903 CPT 30903 | $237.60 | $297.00 | $71.90 – $267.30 | 16 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $307.20 | $384.00 | $92.97 – $345.60 | 16 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $534.71 – $534.71 | 1 |
| Control throat bleeding CPT 42962 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Conv gtube to jtube CPT 44373 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Coombs direct CPT 86880 | $56.00 | $70.00 | $16.95 – $63.00 | 16 |
| Coombs indirect titer reference CPT 86886 | $40.80 | $51.00 | $12.35 – $45.90 | 16 |
| Core ndl bx lng/med perq CPT 32408 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $62.37 – $62.37 | 1 |
| Corneal smear CPT 65430 | not published | not published | $418.99 – $418.99 | 1 |
| Corneal transplant CPT 65710 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Coronary angio/lv gram/rt< heart CPT 93460 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Coronary art/grft angio s&i CPT 93455 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $348.27 – $348.27 | 1 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $313.88 – $313.88 | 1 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $135.35 – $135.35 | 1 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $642.74 – $642.74 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cortisol total am CPT 82533 | $167.20 | $209.00 | $15.74 – $58.50 | 16 |
| Costotransversectomy CPT 21610 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $73.12 | $91.39 | $22.13 – $82.25 | 16 |
| Counseling smoke cess interm >10mins CPT 99407 | not published | not published | $31.28 – $31.28 | 1 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $97.13 – $97.13 | 1 |
| Cover eye w/membrane CPT 65778 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Covid-19 convalescent plasma HCPCS C9507 | $906.40 | $1,133.00 | $274.30 – $1,019.70 | 16 |
| #covid19rsv-rsv CPT 87634 | $171.20 | $214.00 | $51.81 – $192.60 | 16 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $922.40 | $1,153.00 | $126.13 – $468.90 | 16 |
| C-peptide CPT 84681 | $112.00 | $140.00 | $33.89 – $126.00 | 16 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,293.60 | $1,617.00 | $326.96 – $1,455.30 | 16 |
| Cptrized corneal topography CPT 92025 | not published | not published | $62.37 – $62.37 | 1 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $62.37 – $62.37 | 1 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $326.96 – $326.96 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $565.18 – $565.18 | 1 |
| C-reactive protein CPT 86140 | $116.00 | $145.00 | $35.10 – $130.50 | 16 |
| C-reactive protein high sensitivity CPT 86141 | $148.00 | $185.00 | $44.79 – $166.50 | 16 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Creatine kinase CPT 82550 | $120.80 | $151.00 | $36.56 – $135.90 | 16 |
| Creatine kinase isoenzymes CPT 82552 | $232.00 | $290.00 | $70.21 – $261.00 | 16 |
| Creatine kinase mb CPT 82553 | $179.20 | $224.00 | $54.23 – $201.60 | 16 |
| Creatinine CPT 82565 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Creatinine 24 hour urine CPT 82570 | $87.20 | $109.00 | $5.81 – $21.60 | 16 |
| Creatinine clearance urine CPT 82575 | $133.60 | $167.00 | $40.43 – $150.30 | 16 |
| #creutz-prot.,western blot CPT 84182 | $103.20 | $129.00 | $31.23 – $116.10 | 16 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $168.70 – $168.70 | 1 |
| Critical care each additional 30 minutes CPT 99292 | $870.40 | $1,088.00 | $263.40 – $979.20 | 16 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $2,927.20 | $3,659.00 | $884.74 – $3,293.10 | 16 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $130.95 – $130.95 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $319.40 – $319.40 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $459.04 – $459.04 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $208.64 – $208.64 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $62.37 – $62.37 | 1 |
| Crystal identification light microscopy CPT 89060 | $84.00 | $105.00 | $25.42 – $94.50 | 16 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $314.91 – $314.91 | 1 |
| Csf ventriculography CPT 78635 | not published | not published | $565.18 – $565.18 | 1 |
| CT 3d report other modality w/workstation CPT 76377 | $944.80 | $1,181.00 | $285.92 – $1,062.90 | 16 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $186.92 – $446.60 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,780.00 | $5,975.00 | $374.99 – $5,377.50 | 16 |
| CT Angiogram of the Abdomen CPT 74175 | $3,599.20 | $4,499.00 | $186.92 – $4,049.10 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.