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 |
|---|---|---|---|---|
| Extensive surgery of throat CPT 42842 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| External ocular photography CPT 92285 | not published | not published | $41.21 – $41.21 | 1 |
| Extnd color vision xm CPT 92283 | not published | not published | $62.37 – $62.37 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $104.80 | $131.00 | $17.19 – $63.90 | 16 |
| Extraction of lens CPT 66930 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.35 – $135.35 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $135.35 – $135.35 | 1 |
| Eye Socket (Orbit) X-ray CPT 70200 | $520.80 | $651.00 | $111.66 – $585.90 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,952.80 | $3,691.00 | $186.92 – $3,321.90 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,661.60 | $3,327.00 | $186.92 – $2,994.30 | 16 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,284.80 | $2,856.00 | $111.66 – $2,570.40 | 16 |
| Face bone graft CPT 21210 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,758.40 | $5,948.00 | $374.99 – $5,353.20 | 16 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,392.00 | $4,240.00 | $253.81 – $3,816.00 | 16 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $365.60 | $457.00 | $92.45 – $411.30 | 16 |
| Facial Bones X-ray (complete) CPT 70150 | $597.60 | $747.00 | $111.66 – $672.30 | 16 |
| Facial nerve function test CPT 92516 | not published | not published | $326.96 – $326.96 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Factor viii CPT 85240 | $349.60 | $437.00 | $14.28 – $53.10 | 16 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $168.70 – $168.70 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $168.70 – $168.70 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $60.52 | $75.65 | $18.28 – $67.94 | 16 |
| Fat/lipids feces qualitative CPT 82705 | $234.40 | $293.00 | $70.94 – $263.70 | 16 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $957.30 – $957.30 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Feno poc CPT 95012 | not published | not published | $41.21 – $41.21 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $61.42 | $76.77 | $18.31 – $68.05 | 16 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,335.15 | $1,668.93 | $404.05 – $1,502.04 | 16 |
| Ferritin CPT 82728 | $156.80 | $196.00 | $47.45 – $176.40 | 16 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $619.78 | $774.72 | $187.56 – $697.25 | 16 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $0.32 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $756.80 | $946.00 | $111.66 – $851.40 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $211.23 – $211.23 | 1 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal hemoglobin rosette CPT 85461 | $127.20 | $159.00 | $38.49 – $143.10 | 16 |
| Fetal non stress test CPT 59025 | not published | not published | $211.23 – $211.23 | 1 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $319.40 – $319.40 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $219.20 | $274.00 | $66.34 – $246.60 | 16 |
| Fibrinogen activity CPT 85384 | $48.00 | $60.00 | $14.53 – $54.00 | 16 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $90.40 | $113.00 | $26.63 – $99.00 | 16 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $714.34 | $892.92 | $140.18 – $521.10 | 16 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $316.80 | $396.00 | $95.87 – $356.40 | 16 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Filtered speech hearing test CPT 92571 | not published | not published | $41.21 – $41.21 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $738.77 – $738.77 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $691.20 | $864.00 | $209.17 – $777.60 | 16 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger X-ray (both hands) CPT 73140 | $345.60 | $432.00 | $92.45 – $388.80 | 16 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $211.23 – $211.23 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $984.44 – $984.44 | 1 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $253.81 – $253.81 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | $2,204.80 | $2,756.00 | $667.23 – $2,480.40 | 16 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Flow cytometry marker each additional CPT 88185 | $216.00 | $270.00 | $20.82 – $77.40 | 16 |
| Flow cytometry one marker technical component CPT 88184 | $242.40 | $303.00 | $73.36 – $272.70 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $108.82 | $136.02 | $32.91 – $122.33 | 16 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $738.77 – $738.77 | 1 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $557.13 – $557.13 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | not published | not published | $253.81 – $253.81 | 1 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $331.90 | $414.87 | $96.49 – $358.70 | 16 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $253.81 – $578.05 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $253.81 – $578.05 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $738.77 – $738.77 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $738.77 – $738.77 | 1 |
| Folic acid CPT 82746 | $134.40 | $168.00 | $40.67 – $151.20 | 16 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.09 | $75.11 | $18.18 – $67.60 | 16 |
| Follow-up angiography CPT 75898 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $871.20 | $1,089.00 | $263.65 – $980.10 | 16 |
| Foot X-ray CPT 73630 | $452.00 | $565.00 | $92.45 – $508.50 | 16 |
| Foot X-ray (2 views, both feet) CPT 73620 | $340.80 | $426.00 | $92.45 – $383.40 | 16 |
| Forearm X-ray (both sides) CPT 73090 | $412.80 | $516.00 | $92.45 – $464.40 | 16 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $255.37 – $255.37 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $69.55 | $86.93 | $18.67 – $69.42 | 16 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $92.45 – $92.45 | 1 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $36.56 – $135.90 | 16 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Frenotomy 40806 CPT 40806 | not published | not published | $534.71 – $534.71 | 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.