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 |
|---|---|---|---|---|
| Partial removal of tibia CPT 27640 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Part removal of metatarsal CPT 28110 | $5,128.80 | $6,411.00 | $1,552.10 – $5,769.90 | 16 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $56.10 – $56.10 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 1 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $31.73 – $31.73 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $98.36 – $98.36 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,519.24 | $6,899.04 | $146.06 – $6,209.14 | 16 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $311.44 – $311.44 | 1 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.08 – $138.08 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,675.20 | $3,344.00 | $186.92 – $3,009.60 | 16 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,544.00 | $3,180.00 | $186.92 – $2,862.00 | 16 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,978.40 | $2,473.00 | $111.66 – $2,225.70 | 16 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,391.20 | $5,489.00 | $374.99 – $4,940.10 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $4,008.00 | $5,010.00 | $374.99 – $4,509.00 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $3,156.00 | $3,945.00 | $253.81 – $3,550.50 | 16 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,014.40 | $1,268.00 | $111.66 – $1,141.20 | 16 |
| Pelvic Ultrasound (limited) CPT 76857 | $714.40 | $893.00 | $111.66 – $803.70 | 16 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $399.20 | $499.00 | $111.66 – $449.10 | 16 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $444.00 | $555.00 | $111.66 – $499.50 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $58.52 – $69.76 | 2 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,639.89 | $4,549.86 | $332.46 – $1,235.92 | 16 |
| Pemivibart infusion HCPCS M0224 | $798.40 | $998.00 | $241.62 – $898.20 | 16 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $239.72 | $299.65 | $59.31 – $220.49 | 16 |
| Penile injection CPT 54235 | not published | not published | $255.37 – $255.37 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $111.66 – $111.66 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $111.66 – $111.66 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis study CPT 54240 | not published | not published | $326.96 – $326.96 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | $134.76 | $168.44 | $40.78 – $151.60 | 16 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Peripheral vascular rehab CPT 93668 | $179.20 | $224.00 | $54.23 – $201.60 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $575.70 – $575.70 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $421.92 – $421.92 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $738.77 – $738.77 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $738.77 – $738.77 | 1 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $255.37 – $255.37 | 1 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $4,899.30 | $6,124.12 | $16.20 – $5,511.71 | 16 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image full body CPT 78813 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ph body fluid CPT 83986 | $39.20 | $49.00 | $9.44 – $35.10 | 16 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $102.76 | $128.45 | $22.75 – $84.57 | 16 |
| Phenobarbital therapeutic drug level CPT 80184 | $85.60 | $107.00 | $21.55 – $80.10 | 16 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $61.04 | $76.29 | $18.47 – $68.66 | 16 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.66 | $75.82 | $18.36 – $68.24 | 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.