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 |
|---|---|---|---|---|
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $169.60 | $212.00 | $51.33 – $190.80 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $100.00 | $125.00 | $8.72 – $32.40 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Albuterol non-comp unit HCPCS J7613 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $153.60 | $192.00 | $46.48 – $172.80 | 16 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $31.28 – $31.28 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $168.70 – $168.70 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $85.60 | $107.00 | $8.72 – $32.40 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $66.40 | $83.00 | $20.09 – $74.70 | 16 |
| Allergen egg white ige CPT 86003 | $112.00 | $140.00 | $8.96 – $33.30 | 16 |
| Allergy injections; 2 or more 95117 CPT 95117 | $68.80 | $86.00 | $20.82 – $77.40 | 16 |
| Allergy injection; single 95115 CPT 95115 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $41.21 – $41.21 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $25.71 – $25.71 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.03 – $5.03 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $192.00 | $240.00 | $58.10 – $216.00 | 16 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $12,473.57 | $15,591.96 | $3,774.81 – $14,032.76 | 16 |
| Alt/sgpt CPT 84460 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Aluminum - quest CPT 82108 | $34.40 | $43.00 | $10.41 – $38.70 | 16 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $96.38 – $96.38 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $135.35 – $135.35 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $195.17 | $243.96 | $55.75 – $207.23 | 16 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $62.90 | $78.62 | $18.36 – $68.25 | 16 |
| Amitriptyline (elavil) -sendout CPT 80335 | $81.60 | $102.00 | $24.69 – $91.80 | 16 |
| Ammonia CPT 82140 | $175.20 | $219.00 | $17.43 – $64.80 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $914.28 – $914.28 | 1 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $319.40 – $319.40 | 1 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amphetamine confirm urine -sendout CPT 80324 | $67.20 | $84.00 | $20.34 – $75.60 | 16 |
| Amphetamines 5 or more CPT 80326 | $88.00 | $110.00 | $26.63 – $99.00 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $62.11 | $77.63 | $18.39 – $68.35 | 16 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $63.96 | $79.94 | $18.59 – $69.10 | 16 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $150.10 – $558.00 | 16 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Amylase CPT 82150 | $104.80 | $131.00 | $31.72 – $117.90 | 16 |
| Ana ds-dna CPT 86226 | $417.60 | $522.00 | $126.38 – $469.80 | 16 |
| Anal pressure record CPT 91122 | not published | not published | $326.96 – $326.96 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $164.28 – $164.28 | 1 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $255.37 – $255.37 | 1 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $96.38 – $96.38 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.00 | $240.00 | $58.10 – $216.00 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $192.00 | $240.00 | $58.10 – $216.00 | 16 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $39.15 – $39.15 | 1 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $96.38 – $96.38 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $204.80 | $256.00 | $61.98 – $230.40 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $80.00 | $100.00 | $0.67 – $2.48 | 16 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Angio trnslmnl balloon same artery ini CPT 37246 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Angio trnslmnl balloon same vein ini CPT 37248 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ankle X-ray CPT 73610 | $420.00 | $525.00 | $92.45 – $472.50 | 16 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $346.40 | $433.00 | $92.45 – $389.70 | 16 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $314.91 – $314.91 | 1 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $211.23 – $211.23 | 1 |
| Anora (draw only) CPT 99001 | $52.00 | $65.00 | $15.74 – $58.50 | 16 |
| Anorectal myomectomy CPT 45108 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy CPT 46611 | not published | not published | $957.30 – $957.30 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $957.30 – $957.30 | 1 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $326.96 – $326.96 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $35.20 | $44.00 | $10.65 – $39.60 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $293.60 | $367.00 | $88.85 – $330.30 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $105.60 | $132.00 | $31.96 – $118.80 | 16 |
| Antibody id rbc panel CPT 86870 | $243.20 | $304.00 | $73.60 – $273.60 | 16 |
| Antibody screen rbc CPT 86850 | $116.80 | $146.00 | $35.35 – $131.40 | 16 |
| Antigen therapy services CPT 95145 | not published | not published | $48.45 – $48.45 | 1 |
| Antigen therapy services CPT 95146 | not published | not published | $48.45 – $48.45 | 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.