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 |
|---|---|---|---|---|
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $160.00 – $160.00 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $78.01 – $78.01 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $22.58 – $22.58 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $727.15 – $727.15 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $348.27 – $348.27 | 1 |
| Injection for bladder x-ray CPT 51600 | $771.20 | $964.00 | $233.38 – $867.60 | 16 |
| Injection, fulvestrant HCPCS J9395 | $508.12 | $635.15 | $110.33 – $410.14 | 16 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,483.36 | $6,854.20 | $1,659.40 – $6,168.78 | 16 |
| Injection into brain canal CPT 61026 | not published | not published | $727.15 – $727.15 | 1 |
| Injection into brain canal CPT 61055 | not published | not published | $309.95 – $309.95 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $957.30 – $957.30 | 1 |
| Injection into spinal artery CPT 62294 | not published | not published | $934.80 – $934.80 | 1 |
| Injection into vocal cord CPT 31513 | not published | not published | $407.73 – $407.73 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $255.37 – $255.37 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $421.92 – $421.92 | 1 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $27.68 – $27.68 | 1 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.36 – $35.36 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,168.80 | $1,461.00 | $353.71 – $1,314.90 | 16 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $667.20 | $834.00 | $201.91 – $750.60 | 16 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $608.80 | $761.00 | $184.24 – $684.90 | 16 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $309.95 – $309.95 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $183.20 | $229.00 | $33.60 – $206.10 | 16 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $934.80 – $934.80 | 1 |
| Injection treatment of nose CPT 30200 | not published | not published | $534.71 – $534.71 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $313.88 – $313.88 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.75 – $33.75 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.18 – $23.18 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $727.15 – $727.15 | 1 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $934.80 – $934.80 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $160.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.83 – $189.83 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,179.68 | $3,974.60 | $962.25 – $3,577.14 | 16 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.26 – $114.26 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $160.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.43 – $14.43 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $76.42 – $76.42 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.41 – $72.41 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,289.75 | $1,612.18 | $390.31 – $1,450.96 | 16 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $78.53 – $78.53 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.58 – $76.58 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $493.54 – $493.54 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $934.80 – $934.80 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $272.00 | $340.00 | $82.31 – $306.00 | 16 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $208.64 – $208.64 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4,299.36 | $5,374.20 | $48.29 – $691.20 | 16 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $89.54 – $89.54 | 1 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.35 – $1.35 | 1 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $64.23 | $80.28 | $19.44 – $72.25 | 16 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $62.62 | $78.27 | $6.42 – $23.86 | 16 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $323.89 – $323.89 | 1 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $700.84 – $700.84 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $64.87 – $64.87 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $389.78 – $389.78 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $40.92 – $40.92 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $62.10 | $77.62 | $18.79 – $69.86 | 16 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $68.74 – $68.74 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $100.73 – $100.73 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,177.96 | $3,972.44 | $327.13 – $3,575.20 | 16 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $90.87 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $2,721.60 | $3,402.00 | $823.62 – $3,061.80 | 16 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $419.51 – $419.51 | 1 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $419.51 – $419.51 | 1 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $510.50 | 1 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.49 – $18.49 | 1 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $43.39 – $43.39 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $350.36 – $350.36 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $64.80 | $81.00 | $19.00 – $70.65 | 16 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $138.49 – $138.49 | 1 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $66.09 – $66.09 | 1 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.55 – $5.55 | 1 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $5.15 – $5.15 | 1 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $450.34 – $450.34 | 1 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $263.70 – $263.70 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $56.40 – $56.40 | 1 |
| Inj w/fluor eval cv device CPT 36598 | not published | not published | $221.22 – $221.22 | 1 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.59 – $14.59 | 1 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $319.40 – $319.40 | 1 |
| Insert and remove bone pin CPT 20650 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $6,724.27 – $6,724.27 | 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.