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 |
|---|---|---|---|---|
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $354.40 | $443.00 | $107.25 – $398.70 | 16 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $164.28 – $164.28 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $534.71 – $534.71 | 1 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.76 – $70.76 | 1 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound breast complete CPT 76641 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $480.00 | $600.00 | $92.45 – $540.00 | 16 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $905.60 | $1,132.00 | $111.66 – $1,018.80 | 16 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $961.60 | $1,202.00 | $291.00 – $1,081.80 | 16 |
| Ultrasound guidance for vascular access CPT 76937 | $1,127.20 | $1,409.00 | $341.12 – $1,268.10 | 16 |
| Ultrasound hips infant dynamic CPT 76885 | $645.60 | $807.00 | $92.45 – $726.30 | 16 |
| Ultrasound infant hips ltd without stress CPT 76886 | $391.20 | $489.00 | $92.45 – $440.10 | 16 |
| Ultrasound joint complete left CPT 76881 | $729.60 | $912.00 | $111.66 – $820.80 | 16 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $111.66 – $111.66 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,044.80 | $1,306.00 | $253.81 – $1,175.40 | 16 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $580.80 | $726.00 | $111.66 – $653.40 | 16 |
| Ultrasound prostate/transrectal CPT 76872 | $812.00 | $1,015.00 | $111.66 – $913.50 | 16 |
| Ultrasound spinal canal and contents CPT 76800 | $641.60 | $802.00 | $111.66 – $721.80 | 16 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $186.92 – $186.92 | 1 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $319.40 – $319.40 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $48.45 – $48.45 | 1 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted CT procedure CPT 76497 | not published | not published | $92.45 – $92.45 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $164.28 – $164.28 | 1 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $211.23 – $211.23 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $92.45 – $92.45 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $211.23 – $211.23 | 1 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px renal CPT 50549 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px testis CPT 54699 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted mr procedure CPT 76498 | not published | not published | $92.45 – $92.45 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $164.28 – $164.28 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted orl service/px CPT 92700 | not published | not published | $25.71 – $25.71 | 1 |
| Unlisted procedure colon CPT 45399 | not published | not published | $957.30 – $957.30 | 1 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted procedure liver CPT 47399 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $957.30 – $957.30 | 1 |
| Unlisted procedure spine CPT 22899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $31.28 – $31.28 | 1 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $165.68 – $165.68 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px forearm/wrist CPT 25999 | $3,908.80 | $4,886.00 | $251.87 – $4,397.40 | 16 |
| Unlisted px hands/fingers CPT 26989 | $2,334.40 | $2,918.00 | $251.87 – $2,626.20 | 16 |
| Unlisted px inner ear CPT 69949 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $255.37 – $255.37 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $243.83 – $243.83 | 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.