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 |
|---|---|---|---|---|
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $41.21 – $41.21 | 1 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $62.37 – $62.37 | 1 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $45.60 | $57.00 | $8.47 – $31.50 | 16 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $78.40 | $98.00 | $14.28 – $53.10 | 16 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $50.63 – $55.19 | 2 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $83.74 – $83.74 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $101.60 | $127.00 | $30.75 – $114.30 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $101.60 | $127.00 | $30.75 – $114.30 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $44.00 | $55.00 | $10.65 – $39.60 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $264.80 | $331.00 | $80.14 – $297.90 | 16 |
| Impedence cardiogram CPT 93701 | not published | not published | $135.35 – $135.35 | 1 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $17,237.25 – $17,237.25 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $33,398.21 – $33,398.21 | 1 |
| Implant eye drug system CPT 67027 | not published | not published | $16,133.07 – $16,133.07 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $418.99 – $418.99 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $18,557.83 – $18,557.83 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $18,557.83 – $18,557.83 | 1 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $243.83 – $243.83 | 1 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.44 – $44.44 | 1 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incise inner ear CPT 69801 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $576.03 – $576.03 | 1 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Incise inner eye strands CPT 67030 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incise nerve back of head CPT 64744 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Incise skull for treatment CPT 61770 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $313.88 – $313.88 | 1 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision anal septum infant CPT 46070 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,910.40 | $3,638.00 | $880.76 – $3,274.20 | 16 |
| Incision of achilles tendon CPT 27605 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of achilles tendon CPT 27606 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of anal sphincter CPT 46080 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Incision of ankle bone CPT 28302 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of breast lesion CPT 19020 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Incision of brow nerve CPT 64732 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of burn scab initi CPT 16035 | not published | not published | $419.51 – $419.51 | 1 |
| Incision of cheek nerve CPT 64734 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of chin nerve CPT 64736 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of eardrum CPT 69420 | not published | not published | $243.83 – $243.83 | 1 |
| Incision of eardrum CPT 69421 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Incision of esophagus CPT 43020 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Incision of eye CPT 65850 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of eye CPT 66172 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of eyelid CPT 67710 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Incision of facial nerve CPT 64742 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of fibula CPT 27707 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of finger tendon CPT 26455 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of foot fascia CPT 28008 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of heel bone CPT 28300 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of hip tendon CPT 27000 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of hip tendon CPT 27001 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of hip tendon CPT 27003 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of hip tendons CPT 27006 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of iris CPT 66500 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of iris CPT 66505 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of jaw joint CPT 21010 | not published | not published | $3,405.22 – $3,405.22 | 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.