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 |
|---|---|---|---|---|
| Intracranial limited study CPT 93888 | not published | not published | $111.66 – $111.66 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $534.71 – $534.71 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $213.56 – $213.56 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $459.04 – $459.04 | 1 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $135.31 – $135.31 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $984.44 – $984.44 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $617.60 | $772.00 | $186.90 – $694.80 | 16 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $62.37 – $62.37 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.15 – $39.15 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $20.00 | $25.00 | $6.05 – $22.50 | 16 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $6.05 – $22.50 | 16 |
| Ipratropium bromide non-comp HCPCS J7644 | $5.19 | $6.48 | $1.57 – $5.83 | 16 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $374.60 | $468.25 | $113.36 – $421.43 | 16 |
| Iron CPT 83540 | $74.40 | $93.00 | $22.52 – $83.70 | 16 |
| Iron binding capacity CPT 83550 | $74.40 | $93.00 | $22.52 – $83.70 | 16 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $88.15 | $110.18 | $26.67 – $99.16 | 16 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.40 | $82.99 | $20.09 – $74.69 | 16 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $237.60 | $297.00 | $60.80 – $267.30 | 16 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $62.37 – $62.37 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| IV Fluids (each additional hour) CPT 96361 | $179.20 | $224.00 | $48.45 – $201.60 | 16 |
| IV Fluids (first hour) CPT 96360 | $596.80 | $746.00 | $180.61 – $671.40 | 16 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $191.20 | $239.00 | $47.20 – $215.10 | 16 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $421.92 – $421.92 | 1 |
| IV Medicine Infusion (additional drug) CPT 96367 | $384.00 | $480.00 | $68.80 – $432.00 | 16 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $244.00 | $305.00 | $48.45 – $274.50 | 16 |
| IV Medicine Infusion (first hour) CPT 96365 | $551.20 | $689.00 | $151.20 – $620.10 | 16 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $418.99 – $418.99 | 1 |
| IV Push Injection (each additional drug) CPT 96375 | $240.80 | $301.00 | $36.80 – $234.00 | 16 |
| IV Push Injection (first drug) CPT 96374 | $374.40 | $468.00 | $88.80 – $387.00 | 16 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $186.92 – $186.92 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,248.80 | $1,561.00 | $186.92 – $1,404.90 | 16 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $486.40 | $608.00 | $92.45 – $547.20 | 16 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $540.00 | $675.00 | $111.66 – $607.50 | 16 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $15,003.78 – $15,003.78 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $97.60 | $122.00 | $29.54 – $109.80 | 16 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $62.36 | $77.95 | $18.31 – $68.06 | 16 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney function study CPT 78725 | $1,944.80 | $2,431.00 | $421.92 – $2,187.90 | 16 |
| Kidney imaging morphology CPT 78700 | not published | not published | $421.92 – $421.92 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | $2,884.80 | $3,606.00 | $565.18 – $3,245.40 | 16 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,041.60 | $2,552.00 | $565.18 – $2,296.80 | 16 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $996.80 | $1,246.00 | $111.66 – $1,121.40 | 16 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $728.80 | $911.00 | $111.66 – $819.90 | 16 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $4,088.00 | $5,110.00 | $374.99 – $4,599.00 | 16 |
| Knee MRI (with contrast) CPT 73722 | $3,437.60 | $4,297.00 | $611.05 – $3,867.30 | 16 |
| Knee MRI (without contrast) CPT 73721 | $2,818.40 | $3,523.00 | $253.81 – $3,170.70 | 16 |
| Knee X-ray CPT 73564 | $540.00 | $675.00 | $111.66 – $607.50 | 16 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $372.80 | $466.00 | $92.45 – $419.40 | 16 |
| Knee X-ray (3 views, both knees) CPT 73562 | $415.20 | $519.00 | $92.45 – $467.10 | 16 |
| Knee X-ray (standing, both knees) CPT 73565 | $407.20 | $509.00 | $92.45 – $458.10 | 16 |
| Ko elastic w/joints pre ots HCPCS L1812 | $84.80 | $106.00 | $9.68 – $36.00 | 16 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $62.64 | $78.30 | $18.25 – $67.83 | 16 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $82.40 | $103.00 | $24.94 – $92.70 | 16 |
| Lactated ringers intravenous solution HCPCS J7120 | $80.00 | $100.00 | $24.21 – $90.00 | 16 |
| Lactic acid CPT 83605 | $128.80 | $161.00 | $38.98 – $144.90 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $197.60 | $247.00 | $59.80 – $222.30 | 16 |
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.