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 |
|---|---|---|---|---|
| Test stress cardiovascular tracing only CPT 93017 | $1,112.80 | $1,391.00 | $326.96 – $1,251.90 | 16 |
| Tetanus immune globulin inj HCPCS J1670 | $598.64 | $748.30 | $181.16 – $673.47 | 16 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $459.04 – $459.04 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $162.40 | $203.00 | $49.15 – $182.70 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $136.00 | $170.00 | $25.71 – $153.00 | 16 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $133.60 | $167.00 | $60.50 – $150.30 | 16 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $128.80 | $161.00 | $63.25 – $144.90 | 16 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $70.40 | $88.00 | $21.30 – $79.20 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $64.00 | $80.00 | $19.37 – $72.00 | 16 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $208.64 – $208.64 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $186.92 – $186.92 | 1 |
| Ther/proph/diag inj ia CPT 96373 | $226.40 | $283.00 | $44.80 – $254.70 | 16 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $63.40 | $79.25 | $19.10 – $70.99 | 16 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $468.80 | $586.00 | $92.45 – $527.40 | 16 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,754.40 | $2,193.00 | $530.93 – $1,973.70 | 16 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,329.60 | $2,912.00 | $421.92 – $2,620.80 | 16 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $92.45 – $92.45 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Thrombin time CPT 85670 | $57.60 | $72.00 | $17.43 – $64.80 | 16 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $179.20 | $224.00 | $54.23 – $201.60 | 16 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Thyroglobulin antibody CPT 86800 | $181.60 | $227.00 | $15.98 – $59.40 | 16 |
| Thyroid imaging CPT 78013 | $1,136.00 | $1,420.00 | $343.78 – $1,278.00 | 16 |
| Thyroid met imaging CPT 78015 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $565.18 – $565.18 | 1 |
| Thyroid (TSH) Test CPT 84443 | $141.60 | $177.00 | $49.50 – $159.30 | 16 |
| Thyroid Ultrasound CPT 76536 | $902.40 | $1,128.00 | $111.66 – $1,015.20 | 16 |
| Thyroid uptake measurement CPT 78012 | $1,538.40 | $1,923.00 | $421.92 – $1,730.70 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Tilt table study CPT 93660 | not published | not published | $557.13 – $557.13 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $140.80 | $176.00 | $42.61 – $158.40 | 16 |
| Tissue transglutaminase iga CPT 86364 | $11.20 | $14.00 | $3.39 – $12.60 | 16 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $6.08 – $6.08 | 1 |
| Toe X-ray (both feet) CPT 73660 | $351.20 | $439.00 | $92.45 – $395.10 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $90.40 | $113.00 | $48.36 – $101.70 | 16 |
| Tone decay hearing test CPT 92563 | not published | not published | $41.21 – $41.21 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Toxoplasma antibody igg CPT 86777 | $180.80 | $226.00 | $54.71 – $203.40 | 16 |
| Toxoplasma antibody igm CPT 86778 | $184.00 | $230.00 | $55.68 – $207.00 | 16 |
| Tp53 gene trgt sequence alys CPT 81352 | $550.40 | $688.00 | $166.56 – $619.20 | 16 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $255.37 – $255.37 | 1 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $576.03 – $576.03 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $534.71 – $534.71 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $128.80 | $161.00 | $38.98 – $144.90 | 16 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $319.40 – $319.40 | 1 |
| Transcath biopsy CPT 37200 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Transcath closure of asd CPT 93580 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Transcath closure of vsd CPT 93581 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Transferrin CPT 84466 | $144.80 | $181.00 | $43.82 – $162.90 | 16 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Transperi needle place pros CPT 55875 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Transplant forearm tendon CPT 25312 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,406.84 – $3,406.84 | 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.