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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $72.48 | $90.59 | $20.96 – $77.93 | 16 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $776.80 | $971.00 | $235.08 – $873.90 | 16 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drainage external ear simple 69000 CPT 69000 | $864.00 | $1,080.00 | $261.47 – $972.00 | 16 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $700.84 – $700.84 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $192.00 | $240.00 | $58.10 – $216.00 | 16 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $727.15 – $727.15 | 1 |
| Drain chest lesion CPT 21502 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $458.40 | $573.00 | $138.72 – $515.70 | 16 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $358.40 | $448.00 | $108.46 – $403.20 | 16 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $365.60 | $457.00 | $110.64 – $411.30 | 16 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $738.40 | $923.00 | $223.46 – $830.70 | 16 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $642.74 – $642.74 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $516.80 | $646.00 | $156.40 – $581.40 | 16 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $738.77 – $738.77 | 1 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $534.71 – $534.71 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $534.71 – $534.71 | 1 |
| Drug assay vedolizumab CPT 80280 | $194.40 | $243.00 | $58.83 – $218.70 | 16 |
| Drug assay voriconazole CPT 80285 | $106.40 | $133.00 | $32.20 – $119.70 | 16 |
| Drug of abuse screen urine CPT 80305 | $58.40 | $73.00 | $17.67 – $65.70 | 16 |
| Drug test prsmv instrmnt CPT 80306 | $208.80 | $261.00 | $63.19 – $234.90 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $196.80 | $246.00 | $26.15 – $97.20 | 16 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $642.74 – $642.74 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $642.74 – $642.74 | 1 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $576.03 – $576.03 | 1 |
| Ductogram sgl duct CPT 77053 | not published | not published | $253.81 – $253.81 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $557.13 – $557.13 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | $918.40 | $1,148.00 | $253.81 – $1,033.20 | 16 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $111.66 – $111.66 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $720.00 | $900.00 | $111.66 – $810.00 | 16 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,016.80 | $1,271.00 | $164.28 – $1,143.90 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,354.40 | $1,693.00 | $253.81 – $1,523.70 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $111.66 – $111.66 | 1 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $164.28 – $164.28 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,810.69 – $1,810.69 | 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.