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 |
|---|---|---|---|---|
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,467.20 | $1,834.00 | $421.92 – $1,650.60 | 16 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $235.34 – $235.34 | 1 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $28,875.53 – $28,875.53 | 1 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $421.92 – $421.92 | 1 |
| Non-imaging heart function CPT 78414 | not published | not published | $565.18 – $565.18 | 1 |
| Noninv pace analysis CPT 93724 | not published | not published | $314.91 – $314.91 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $374.99 – $374.99 | 1 |
| No pt prsnt train add 15 HCPCS G0542 | $64.80 | $81.00 | $19.61 – $72.90 | 16 |
| No pt prsnt train initial 30 HCPCS G0541 | $129.60 | $162.00 | $39.22 – $145.80 | 16 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $557.13 – $557.13 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,843.71 – $1,843.71 | 1 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $607.39 – $607.39 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $607.39 – $607.39 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $421.92 – $421.92 | 1 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,920.80 | $6,151.00 | $1,370.75 – $5,535.90 | 16 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $235.34 – $235.34 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $194.40 | $243.00 | $58.83 – $218.70 | 16 |
| Observation per hour HCPCS G0378 | $60.00 | $75.00 | $18.16 – $67.50 | 16 |
| Obstetrics panel CPT 80055 | $238.40 | $298.00 | $72.15 – $268.20 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $111.66 – $111.66 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $386.40 | $483.00 | $116.93 – $434.70 | 16 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $280.00 | $350.00 | $84.74 – $315.00 | 16 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $322.40 | $403.00 | $97.57 – $362.70 | 16 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $28,535.04 | $35,668.80 | $60.94 – $32,101.92 | 16 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $61.18 | $76.47 | $18.51 – $68.82 | 16 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,438.69 | $8,048.36 | $1,948.51 – $7,243.52 | 16 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $576.03 – $576.03 | 1 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $168.70 – $168.70 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $168.70 – $168.70 | 1 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,830.87 | $2,288.58 | $39.04 – $2,059.72 | 16 |
| Onco (ovar) five proteins CPT 81503 | $2,188.80 | $2,736.00 | $662.39 – $2,462.40 | 16 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.20 | $1.50 | $0.36 – $1.35 | 16 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.34 | $75.42 | $18.24 – $67.81 | 16 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $135.35 – $135.35 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $41.21 – $41.21 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $135.35 – $135.35 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $111.66 – $111.66 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $111.66 – $111.66 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $447.11 – $447.11 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $62.37 – $62.37 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $62.37 – $62.37 | 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.