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 |
|---|---|---|---|---|
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Revision of scrotum CPT 55175 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of scrotum CPT 55180 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Revision of testis CPT 54660 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of toe CPT 28312 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Revision of ulna CPT 25360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision of urethra CPT 53450 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Revision tips CPT 37183 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,610.96 – $3,610.96 | 1 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $121.60 | $152.00 | $23.00 – $85.50 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $88.80 | $111.00 | $25.18 – $93.60 | 16 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rho d immune globulin inj HCPCS J2790 | $118.89 | $148.61 | $35.98 – $133.75 | 16 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $532.80 | $666.00 | $111.66 – $599.40 | 16 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $672.80 | $841.00 | $111.66 – $756.90 | 16 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $636.00 | $795.00 | $111.66 – $715.50 | 16 |
| Right ventric recording CPT 93603 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $31.28 – $31.28 | 1 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $4,362.21 | $5,452.76 | $399.45 – $1,484.93 | 16 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $738.77 – $738.77 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $33,664.66 – $33,664.66 | 1 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $649.17 – $649.17 | 1 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $20,024.72 – $20,024.72 | 1 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $738.77 – $738.77 | 1 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $418.99 – $418.99 | 1 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $3,821.27 – $3,821.27 | 1 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,152.55 | $3,940.68 | $11.36 – $3,545.10 | 16 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $421.92 – $421.92 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,705.51 – $3,705.51 | 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.