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 |
|---|---|---|---|---|
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs excision ingrown nail CPT 11765 | $460.80 | $576.00 | $139.45 – $518.40 | 16 |
| Ghs eye exam CPT 92002 | not published | not published | $135.31 – $135.31 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $313.88 – $313.88 | 1 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,951.20 | $4,939.00 | $1,195.73 – $4,445.10 | 16 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ghs fish cytogen CPT 88271 | $58.40 | $73.00 | $12.11 – $45.00 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $12.11 – $45.00 | 16 |
| Ghs flow volume loop CPT 94375 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $321.60 | $402.00 | $97.32 – $361.80 | 16 |
| Ghs HIV antibody CPT 86703 | $171.20 | $214.00 | $51.81 – $192.60 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $738.77 – $738.77 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $619.20 | $774.00 | $187.39 – $696.60 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $492.80 | $616.00 | $149.13 – $554.40 | 16 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $203.85 – $203.85 | 1 |
| Ghs init tx 1st degree burn CPT 16000 | $307.20 | $384.00 | $92.97 – $345.60 | 16 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj tendon origin/insertion CPT 20551 | $396.00 | $495.00 | $119.84 – $445.50 | 16 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs insertion of needle - bone CPT 36680 | $386.40 | $483.00 | $116.93 – $434.70 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $932.00 | $1,165.00 | $282.05 – $1,048.50 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,252.00 | $1,565.00 | $378.89 – $1,408.50 | 16 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,595.20 | $3,244.00 | $785.37 – $2,919.60 | 16 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $506.40 | $633.00 | $153.25 – $569.70 | 16 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $495.55 – $495.55 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $348.27 – $348.27 | 1 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $585.60 | $732.00 | $177.22 – $658.80 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $746.40 | $933.00 | $225.88 – $839.70 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $589.60 | $737.00 | $178.43 – $663.30 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $668.80 | $836.00 | $202.40 – $752.40 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $670.40 | $838.00 | $202.88 – $754.20 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $703.20 | $879.00 | $212.81 – $791.10 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $820.00 | $1,025.00 | $248.15 – $922.50 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $795.20 | $994.00 | $240.65 – $894.60 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $642.74 – $642.74 | 1 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $642.74 – $642.74 | 1 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $566.40 | $708.00 | $171.41 – $637.20 | 16 |
| Ghs nailbed repair/nail removal CPT 11760 | $861.60 | $1,077.00 | $260.74 – $969.30 | 16 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,108.00 | $2,635.00 | $637.93 – $2,371.50 | 16 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $418.99 – $418.99 | 1 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $62.37 – $62.37 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $48.45 – $48.45 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $649.17 – $649.17 | 1 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs ot group caregiver training CPT 97552 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Ghs pacing - transcutaneous CPT 92953 | $815.20 | $1,019.00 | $246.70 – $917.10 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $243.83 – $243.83 | 1 |
| Ghs phenylketonurid CPT 84030 | $23.20 | $29.00 | $6.29 – $23.40 | 16 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs plngl fx pm cl CPT 26725 | $520.00 | $650.00 | $157.37 – $585.00 | 16 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.80 | $66.00 | $15.98 – $59.40 | 16 |
| Ghs pr without cont pulse ox CPT 94625 | $224.00 | $280.00 | $62.37 – $252.00 | 16 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $348.27 – $348.27 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $248.00 | $310.00 | $75.05 – $279.00 | 16 |
| Ghs removal pharyngeal foreign body CPT 42809 | $510.40 | $638.00 | $154.46 – $574.20 | 16 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,368.00 | $4,210.00 | $1,019.24 – $3,789.00 | 16 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $231.20 | $289.00 | $69.97 – $260.10 | 16 |
| Ghs sedimentation rate CPT 85651 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| Ghs sensitivity (per antimicro) CPT 87184 | $114.40 | $143.00 | $34.62 – $128.70 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $531.20 | $664.00 | $160.75 – $597.60 | 16 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $570.40 | $713.00 | $172.62 – $641.70 | 16 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $448.00 | $560.00 | $135.58 – $504.00 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $414.40 | $518.00 | $125.41 – $466.20 | 16 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $492.80 | $616.00 | $149.13 – $554.40 | 16 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $560.80 | $701.00 | $169.71 – $630.90 | 16 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $208.64 – $208.64 | 1 |
| Ghs sleep study unattended CPT 95800 | $608.00 | $760.00 | $164.28 – $684.00 | 16 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $309.95 – $309.95 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $135.35 – $135.35 | 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.