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 |
|---|---|---|---|---|
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $31.23 – $116.10 | 16 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $30.02 – $111.60 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $149.60 | $187.00 | $45.27 – $168.30 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $149.60 | $187.00 | $45.27 – $168.30 | 16 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $154.40 | $193.00 | $46.73 – $173.70 | 16 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $108.00 | $135.00 | $32.68 – $121.50 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $467.20 | $584.00 | $141.39 – $525.60 | 16 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $151.20 | $189.00 | $45.76 – $170.10 | 16 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $395.20 | $494.00 | $119.60 – $444.60 | 16 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $253.60 | $317.00 | $76.75 – $285.30 | 16 |
| Cytopath smear other source CPT 88160 | $121.60 | $152.00 | $36.80 – $136.80 | 16 |
| Cytopath smear oth prep screen & interp CPT 88161 | $130.40 | $163.00 | $39.46 – $146.70 | 16 |
| Cytopath tbs c/v manual CPT 88164 | $88.00 | $110.00 | $26.63 – $99.00 | 16 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $85.72 | $107.15 | $21.21 – $78.84 | 16 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $61.60 – $61.60 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,527.04 | $1,908.80 | $93.20 – $346.46 | 16 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $208.64 – $208.64 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dch glucoscan CPT 82948 | $51.20 | $64.00 | $15.49 – $57.60 | 16 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $326.96 – $326.96 | 1 |
| Dch validity tests CPT 81002 | $42.40 | $53.00 | $12.35 – $45.90 | 16 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $146.40 | $183.00 | $16.46 – $61.20 | 16 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $765.60 | $957.00 | $231.69 – $861.30 | 16 |
| Debridement (>20 cm) charge pt CPT 97598 | $384.80 | $481.00 | $116.45 – $432.90 | 16 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,072.80 | $1,341.00 | $324.66 – $1,206.90 | 16 |
| Debride nail1-5 11720 CPT 11720 | $148.80 | $186.00 | $45.03 – $167.40 | 16 |
| Debride nail6 or more 11721 CPT 11721 | $169.60 | $212.00 | $51.33 – $190.80 | 16 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $738.77 – $738.77 | 1 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $208.64 – $208.64 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $738.77 – $738.77 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $642.74 – $642.74 | 1 |
| Decalcification CPT 88311 | $35.20 | $44.00 | $10.65 – $39.60 | 16 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $348.27 – $348.27 | 1 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $77.88 | $97.34 | $23.57 – $87.61 | 16 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $10,047.49 – $10,047.49 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Delivery of placenta 59414 CPT 59414 | $3,486.40 | $4,358.00 | $1,055.07 – $3,922.20 | 16 |
| Demonstrate use home inr mon HCPCS G0248 | $278.40 | $348.00 | $84.25 – $313.20 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $204.00 | $255.00 | $61.74 – $229.50 | 16 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,710.85 | $3,388.56 | $593.27 – $2,205.47 | 16 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $388.80 | $486.00 | $117.66 – $437.40 | 16 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $738.77 – $738.77 | 1 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $419.51 – $419.51 | 1 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Design mlc device for imrt CPT 77338 | not published | not published | $384.37 – $384.37 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $71.59 | $89.48 | $21.66 – $80.53 | 16 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $208.64 – $208.64 | 1 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $208.64 – $208.64 | 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.