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 |
|---|---|---|---|---|
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $92.45 – $92.45 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $62.37 – $62.37 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $213.56 – $213.56 | 1 |
| Osmolality blood CPT 83930 | $128.00 | $160.00 | $38.74 – $144.00 | 16 |
| Osmolality urine CPT 83935 | $128.00 | $160.00 | $9.44 – $35.10 | 16 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $26.57 – $26.57 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Oth resp proc, group HCPCS G0239 | $174.40 | $218.00 | $41.21 – $196.20 | 16 |
| Oth resp proc, indiv HCPCS G0238 | $136.00 | $170.00 | $25.71 – $137.70 | 16 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $263.20 | $329.00 | $79.65 – $296.10 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $116.80 | $146.00 | $35.35 – $131.40 | 16 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $134.40 | $168.00 | $40.67 – $151.20 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $370.75 | $463.43 | $112.20 – $417.09 | 16 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $60.75 | $75.93 | $18.38 – $68.34 | 16 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $3,151.43 | $3,939.28 | $641.70 – $2,385.50 | 16 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $5,323.81 | $6,654.76 | $648.71 – $2,411.57 | 16 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $61.60 | $77.00 | $18.43 – $68.50 | 16 |
| Parathormone (pth) intact CPT 83970 | $216.80 | $271.00 | $65.61 – $243.90 | 16 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $565.18 – $565.18 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,532.00 | $1,915.00 | $421.92 – $1,723.50 | 16 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,100.80 | $2,626.00 | $421.92 – $2,363.40 | 16 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $282.40 | $353.00 | $85.46 – $317.70 | 16 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,126.08 – $6,126.08 | 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.