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 |
|---|---|---|---|---|
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $235.34 – $235.34 | 1 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Rsv assay w/optic CPT 87807 | $148.00 | $185.00 | $41.40 – $153.90 | 16 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $135.31 – $135.31 | 1 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $39.15 – $39.15 | 1 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $39.15 – $39.15 | 1 |
| Rubella antibody igg CPT 86762 | $165.60 | $207.00 | $12.59 – $46.80 | 16 |
| Rubeola antibody igg CPT 86765 | $155.20 | $194.00 | $46.97 – $174.60 | 16 |
| Russell viper venom diluted CPT 85613 | $171.20 | $214.00 | $51.81 – $192.60 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $77.47 – $288.00 | 16 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $468.80 | $586.00 | $111.66 – $527.40 | 16 |
| Salivary gland function exam CPT 78232 | not published | not published | $421.92 – $421.92 | 1 |
| Salivary gland imaging CPT 78230 | not published | not published | $421.92 – $421.92 | 1 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $421.92 – $421.92 | 1 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $135.31 – $135.31 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $26.15 – $97.20 | 16 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,040.80 | $1,301.00 | $253.81 – $1,170.90 | 16 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $866.40 | $1,083.00 | $111.66 – $974.70 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $874.40 | $1,093.00 | $111.66 – $983.70 | 16 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,030.40 | $1,288.00 | $111.66 – $1,159.20 | 16 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $918.40 | $1,148.00 | $111.66 – $1,033.20 | 16 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $856.00 | $1,070.00 | $111.66 – $963.00 | 16 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $742.40 | $928.00 | $224.67 – $835.20 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $131.20 | $164.00 | $39.70 – $147.60 | 16 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $957.30 – $1,142.90 | 2 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $957.30 – $1,142.90 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $37.04 – $137.70 | 16 |
| Screening Mammogram CPT 77067 | $448.80 | $561.00 | $165.00 – $474.30 | 16 |
| Screening prostate cancer PSA HCPCS G0103 | $155.20 | $194.00 | $46.97 – $174.60 | 16 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,636.00 | $2,045.00 | $291.00 – $1,081.80 | 16 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $820.80 | $1,026.00 | $111.66 – $923.40 | 16 |
| Sc ther infusion reset pump CPT 96371 | $174.40 | $218.00 | $52.78 – $196.20 | 16 |
| Sedimentation rate erythrocyte automated CPT 85652 | $45.60 | $57.00 | $13.80 – $51.30 | 16 |
| Select picture audiometry CPT 92583 | not published | not published | $62.37 – $62.37 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $132.00 | $165.00 | $39.95 – $148.50 | 16 |
| Semen analysis presence/motility CPT 89321 | $101.60 | $127.00 | $30.75 – $114.30 | 16 |
| Sensorimotor examination CPT 92060 | not published | not published | $62.37 – $62.37 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $41.21 – $41.21 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Set radiation therapy field CPT 77280 | not published | not published | $139.41 – $139.41 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $384.37 – $384.37 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $384.37 – $384.37 | 1 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $314.91 – $314.91 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $224.00 | $280.00 | $67.79 – $252.00 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $327.20 | $409.00 | $99.02 – $368.10 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $419.51 – $419.51 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $196.00 | $245.00 | $59.31 – $220.50 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $207.20 | $259.00 | $62.70 – $233.10 | 16 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $419.51 – $419.51 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $419.51 – $419.51 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $208.64 – $208.64 | 1 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $176.80 | $221.00 | $6.05 – $22.50 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $470.40 | $588.00 | $92.45 – $529.20 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $416.00 | $520.00 | $111.66 – $468.00 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,205.60 | $5,257.00 | $374.99 – $4,731.30 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $3,704.80 | $4,631.00 | $611.05 – $4,167.90 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $2,952.80 | $3,691.00 | $253.81 – $3,321.90 | 16 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Shoulder X-ray CPT 73030 | $441.60 | $552.00 | $92.45 – $496.80 | 16 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $369.60 | $462.00 | $92.45 – $415.80 | 16 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $111.66 – $111.66 | 1 |
| Sialography s&i CPT 70390 | not published | not published | $253.81 – $253.81 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sickling rbc CPT 85660 | $77.60 | $97.00 | $23.48 – $87.30 | 16 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $957.30 – $957.30 | 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.