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 |
|---|---|---|---|---|
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $663.20 | $829.00 | $200.70 – $746.10 | 16 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $62.37 – $62.37 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $277.60 | $347.00 | $84.01 – $312.30 | 16 |
| Lung perfusion imaging CPT 78580 | $1,500.80 | $1,876.00 | $421.92 – $1,688.40 | 16 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.71 – $25.71 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $565.18 – $565.18 | 1 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $649.17 – $649.17 | 1 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $534.71 – $534.71 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Macroscopic exam arthropod CPT 87168 | $40.00 | $50.00 | $12.11 – $45.00 | 16 |
| Macroscopic exam parasite CPT 87169 | $116.00 | $145.00 | $35.10 – $130.50 | 16 |
| Magnesium CPT 83735 | $88.80 | $111.00 | $9.44 – $35.10 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $132.22 | $165.27 | $18.29 – $67.99 | 16 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $253.81 – $578.05 | 2 |
| Makena, 10 mg HCPCS J1726 | $1,099.52 | $1,374.40 | $332.74 – $1,236.96 | 16 |
| Male sling procedure CPT 53440 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $251.87 – $251.87 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $339.20 | $424.00 | $100.23 – $372.60 | 16 |
| Mastectomy partial CPT 19301 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoids complete CPT 70130 | $420.00 | $525.00 | $111.66 – $472.50 | 16 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastopexy CPT 19316 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Mayo aathr protein s free CPT 85306 | $501.60 | $627.00 | $151.80 – $564.30 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $243.20 | $304.00 | $73.60 – $273.60 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $204.00 | $255.00 | $61.74 – $229.50 | 16 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $115.20 | $144.00 | $34.86 – $129.60 | 16 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $155.20 | $194.00 | $21.55 – $80.10 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $15.25 – $56.70 | 16 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $88.80 | $111.00 | $26.87 – $99.90 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $155.20 | $194.00 | $11.62 – $43.20 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $40.00 | $50.00 | $12.11 – $45.00 | 16 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $88.00 | $110.00 | $26.63 – $99.00 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $75.78 – $281.70 | 16 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,120.80 | $2,651.00 | $139.21 – $517.50 | 16 |
| Mayo androstenedione CPT 82157 | $51.20 | $64.00 | $15.49 – $57.60 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $218.40 | $273.00 | $66.09 – $245.70 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $111.20 | $139.00 | $9.68 – $36.00 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $192.80 | $241.00 | $24.69 – $91.80 | 16 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $117.60 | $147.00 | $18.88 – $70.20 | 16 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $91.20 | $114.00 | $20.58 – $76.50 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $107.01 – $397.80 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $158.58 – $589.50 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $51.20 | $64.00 | $15.49 – $57.60 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $305.60 | $382.00 | $35.10 – $130.50 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $56.80 | $71.00 | $17.19 – $63.90 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $148.80 | $186.00 | $29.29 – $108.90 | 16 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $84.00 | $105.00 | $19.61 – $72.90 | 16 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $298.40 | $373.00 | $90.30 – $335.70 | 16 |
| Mayo ceruloplasmin CPT 82390 | $131.20 | $164.00 | $39.70 – $147.60 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $146.40 | $183.00 | $12.35 – $45.90 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $147.20 | $184.00 | $37.77 – $140.40 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $148.00 | $185.00 | $44.79 – $166.50 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $148.00 | $185.00 | $16.46 – $61.20 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $89.58 – $333.00 | 16 |
| Mayo chromium CPT 82495 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $96.00 | $120.00 | $17.19 – $63.90 | 16 |
| Mayo coccidioides antibody CPT 86635 | $111.20 | $139.00 | $33.65 – $125.10 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $63.20 | $79.00 | $19.13 – $71.10 | 16 |
| Mayo cortisol free CPT 82530 | $108.80 | $136.00 | $15.74 – $58.50 | 16 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $35.20 | $44.00 | $10.65 – $39.60 | 16 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $18.64 – $69.30 | 16 |
| Mayo estriol CPT 82677 | $264.00 | $330.00 | $17.67 – $65.70 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $130.40 | $163.00 | $13.07 – $48.60 | 16 |
| Mayo factor ii CPT 85210 | $272.00 | $340.00 | $82.31 – $306.00 | 16 |
| Mayo factor v CPT 85220 | $295.20 | $369.00 | $89.33 – $332.10 | 16 |
| Mayo factor vii CPT 85230 | $100.80 | $126.00 | $21.79 – $81.00 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $199.20 | $249.00 | $18.40 – $68.40 | 16 |
| Mayo factor x CPT 85260 | $250.40 | $313.00 | $13.32 – $49.50 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $123.20 | $154.00 | $37.28 – $138.60 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $34.40 | $43.00 | $10.41 – $38.70 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $21.55 – $80.10 | 16 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $256.00 | $320.00 | $77.47 – $288.00 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $360.00 | $450.00 | $50.11 – $186.30 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $165.60 | $207.00 | $50.11 – $186.30 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $111.20 | $139.00 | $13.80 – $51.30 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $261.60 | $327.00 | $72.15 – $268.20 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $72.80 | $91.00 | $22.03 – $81.90 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $84.00 | $105.00 | $25.42 – $94.50 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $87.20 | $109.00 | $12.11 – $45.00 | 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.