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 |
|---|---|---|---|---|
| Incision of jaw nerve CPT 64738 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of knee joint CPT 27435 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of lymph channels CPT 38308 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Incision of metatarsal CPT 28306 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of metatarsal CPT 28307 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of metatarsal CPT 28308 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of metatarsals CPT 28309 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of midfoot bones CPT 28304 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of prostate CPT 52450 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Incision of rectal abscess CPT 46060 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of tibia CPT 27705 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of tongue fold CPT 41010 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Incision of tongue nerve CPT 64740 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of urethra CPT 53000 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incisn of toe tndn CPT 28010 | $2,256.00 | $2,820.00 | $682.72 – $2,538.00 | 16 |
| Incisn windpipe CPT 31600 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $139.20 | $174.00 | $42.13 – $156.60 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $161.60 | $202.00 | $26.15 – $97.20 | 16 |
| Infect ag if influenza a CPT 87276 | $94.40 | $118.00 | $26.63 – $99.00 | 16 |
| Infect ag if influenza b CPT 87275 | $94.40 | $118.00 | $28.08 – $104.40 | 16 |
| Infect ag if nos ea CPT 87299 | $82.40 | $103.00 | $24.94 – $92.70 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $139.20 | $174.00 | $42.13 – $156.60 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $248.80 | $311.00 | $75.29 – $279.90 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $151.20 | $189.00 | $45.76 – $170.10 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $152.80 | $191.00 | $46.24 – $171.90 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $126.40 | $158.00 | $38.25 – $142.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $138.40 | $173.00 | $38.25 – $142.20 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $256.00 | $320.00 | $77.47 – $288.00 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $148.80 | $186.00 | $45.03 – $167.40 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $176.80 | $221.00 | $53.50 – $198.90 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $127.20 | $159.00 | $38.49 – $143.10 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $169.60 | $212.00 | $9.68 – $36.00 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $156.80 | $196.00 | $47.45 – $176.40 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $138.40 | $173.00 | $41.88 – $155.70 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $373.60 | $467.00 | $23.00 – $85.50 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $171.20 | $214.00 | $34.62 – $128.70 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $227.20 | $284.00 | $68.76 – $255.60 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $165.60 | $207.00 | $50.11 – $186.30 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $108.80 | $136.00 | $32.93 – $122.40 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $186.40 | $233.00 | $56.41 – $209.70 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $110.40 | $138.00 | $26.15 – $97.20 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $124.80 | $156.00 | $66.00 – $140.40 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $349.60 | $437.00 | $105.80 – $393.30 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $460.80 | $576.00 | $139.45 – $518.40 | 16 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $105.60 | $132.00 | $31.96 – $118.80 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $137.60 | $172.00 | $41.64 – $154.80 | 16 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $271.20 | $339.00 | $60.77 – $225.90 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,227.20 | $1,534.00 | $371.38 – $1,380.60 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $312.80 | $391.00 | $94.66 – $351.90 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $696.00 | $870.00 | $147.44 – $548.10 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $302.40 | $378.00 | $34.38 – $127.80 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $100.00 | $125.00 | $30.26 – $112.50 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $124.00 | $155.00 | $37.53 – $139.50 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $413.60 | $517.00 | $125.17 – $465.30 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $348.00 | $435.00 | $105.31 – $391.50 | 16 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,587.80 | $1,984.74 | $32.81 – $1,786.27 | 16 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $21.68 – $21.68 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $13.88 – $13.88 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $276.13 – $276.13 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $557.13 – $557.13 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $213.56 – $213.56 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $132.78 | $165.97 | $40.18 – $149.37 | 16 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.25 – $35.25 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.63 – $17.63 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.66 – $500.66 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.24 – $79.24 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $7,893.17 | $9,866.46 | $170.48 – $8,879.81 | 16 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.40 – $116.40 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $89.74 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.78 – $14.78 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.14 – $17.14 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | $76.80 | $96.00 | $23.24 – $86.40 | 16 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,373.60 | $2,967.00 | $718.31 – $2,670.30 | 16 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.16 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $309.95 – $309.95 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $727.15 – $727.15 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $478.43 – $478.43 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $309.95 – $309.95 | 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.