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 |
|---|---|---|---|---|
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | not published | not published | $186.92 – $186.92 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,927.20 | $3,659.00 | $186.92 – $3,293.10 | 16 |
| CT Angiogram of the Head CPT 70496 | $2,976.00 | $3,720.00 | $186.92 – $3,348.00 | 16 |
| CT Angiogram of the Neck CPT 70498 | $2,976.00 | $3,720.00 | $186.92 – $3,348.00 | 16 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $374.99 – $446.60 | 2 |
| CT angio pelvis CPT 72191 | $2,888.80 | $3,611.00 | $186.92 – $3,249.90 | 16 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $186.92 – $446.60 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $92.45 – $92.45 | 1 |
| CT colonography dx CPT 74261 | not published | not published | $111.66 – $352.55 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $186.92 – $446.60 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $253.81 – $253.81 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $251.87 – $251.87 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $92.45 – $92.45 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $374.99 – $446.60 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $374.99 – $446.60 | 2 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $92.45 – $92.45 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,359.20 | $2,949.00 | $186.92 – $2,654.10 | 16 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $425.60 | $532.00 | $128.80 – $478.80 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,261.60 | $6,577.00 | $374.99 – $5,919.30 | 16 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,656.00 | $5,820.00 | $374.99 – $5,238.00 | 16 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,885.60 | $4,857.00 | $253.81 – $4,371.30 | 16 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $186.92 – $446.60 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,369.60 | $2,962.00 | $186.92 – $2,665.80 | 16 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $113.60 | $142.00 | $27.36 – $101.70 | 16 |
| Culture afb any source CPT 87116 | $136.00 | $170.00 | $41.16 – $153.00 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $161.60 | $202.00 | $33.17 – $123.30 | 16 |
| Culture anaerobic except blood CPT 87075 | $166.40 | $208.00 | $50.36 – $187.20 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $56.00 | $70.00 | $16.95 – $63.00 | 16 |
| Culture body fluid CPT 87070 | $136.00 | $170.00 | $33.89 – $126.00 | 16 |
| Culture fungi definitive id mold CPT 87107 | $202.40 | $253.00 | $15.49 – $57.60 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $176.00 | $220.00 | $53.26 – $198.00 | 16 |
| Culture fungi other (except blood) CPT 87102 | $148.00 | $185.00 | $19.85 – $73.80 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $116.00 | $145.00 | $35.10 – $130.50 | 16 |
| Culture screening strep group a CPT 87081 | $97.60 | $122.00 | $29.54 – $109.80 | 16 |
| Culture typing immunologic CPT 87147 | $90.40 | $113.00 | $6.05 – $22.50 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $604.80 | $756.00 | $183.03 – $680.40 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $169.60 | $212.00 | $51.33 – $190.80 | 16 |
| Culture urine each isolate CPT 87088 | $113.60 | $142.00 | $34.38 – $127.80 | 16 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $61.72 | $77.14 | $18.38 – $68.33 | 16 |
| Cyclic citrullinated peptide antibody CPT 86200 | $173.60 | $217.00 | $52.54 – $195.30 | 16 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,036.18 | $1,295.22 | $139.66 – $519.17 | 16 |
| Cyclosporine 2 hour CPT 80158 | $53.60 | $67.00 | $16.22 – $60.30 | 16 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $30.02 – $111.60 | 16 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $856.00 | $1,070.00 | $259.05 – $963.00 | 16 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $700.84 – $700.84 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,840.80 | $4,801.00 | $700.84 – $4,320.90 | 16 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,150.94 – $2,150.94 | 1 |
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.