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 |
|---|---|---|---|---|
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $7,613.03 – $7,613.03 | 1 |
| Prep skin to 100cm2 other CPT 15004 | $3,104.80 | $3,881.00 | $642.74 – $3,492.90 | 16 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $164.28 – $164.28 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $519.20 | $649.00 | $157.12 – $584.10 | 16 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $168.70 – $168.70 | 1 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $135.31 – $135.31 | 1 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,147.20 | $1,434.00 | $347.17 – $1,290.60 | 16 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $39.15 – $39.15 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $39.15 – $39.15 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $746.40 | $933.00 | $225.88 – $839.70 | 16 |
| Pr incision & drainage abscess simple/single CPT 10060 | $624.00 | $780.00 | $173.10 – $643.50 | 16 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $586.40 | $733.00 | $177.46 – $659.70 | 16 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $685.60 | $857.00 | $207.48 – $771.30 | 16 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $135.31 – $135.31 | 1 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $135.31 – $135.31 | 1 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $313.88 – $313.88 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $61.12 | $76.40 | $18.50 – $68.76 | 16 |
| Procalcitonin CPT 84145 | $388.80 | $486.00 | $117.66 – $437.40 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $63.76 | $79.70 | $18.54 – $68.94 | 16 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $957.30 – $957.30 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Progesterone CPT 84144 | $222.40 | $278.00 | $67.30 – $250.20 | 16 |
| Prolactin CPT 84146 | $263.20 | $329.00 | $79.65 – $296.10 | 16 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $348.27 – $348.27 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $313.88 – $313.88 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $576.03 – $576.03 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $60.00 | $75.00 | $18.16 – $67.50 | 16 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $62.96 | $78.70 | $18.62 – $69.20 | 16 |
| Protein c activity CPT 85303 | $564.00 | $705.00 | $170.68 – $634.50 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $88.00 | $110.00 | $26.63 – $99.00 | 16 |
| Protein s total CPT 85305 | $320.00 | $400.00 | $96.84 – $360.00 | 16 |
| Protein total 24 hour urine CPT 84156 | $93.60 | $117.00 | $24.69 – $91.80 | 16 |
| Protein total body fluid CPT 84157 | $100.00 | $125.00 | $30.26 – $112.50 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $1,572.80 | $1,966.00 | $475.97 – $1,769.40 | 16 |
| Proton treatment complex CPT 77525 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,339.29 – $1,339.29 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $607.39 – $607.39 | 1 |
| Provide inr test mater/equip HCPCS G0249 | $278.40 | $348.00 | $84.25 – $313.20 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $418.99 – $418.99 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $282.40 | $353.00 | $85.46 – $317.70 | 16 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $319.40 – $319.40 | 1 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $764.00 | $955.00 | $231.21 – $859.50 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $374.40 | $468.00 | $113.30 – $421.20 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $394.40 | $493.00 | $119.36 – $443.70 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $359.20 | $449.00 | $108.70 – $404.10 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $379.20 | $474.00 | $114.76 – $426.60 | 16 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $459.04 – $459.04 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,500.92 – $7,500.92 | 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.