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 |
|---|---|---|---|---|
| Warde vitamin a CPT 84590 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $52.00 | $65.00 | $15.74 – $58.50 | 16 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $68.80 | $86.00 | $20.82 – $77.40 | 16 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $40.00 | $50.00 | $12.11 – $45.00 | 16 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $346.40 | $433.00 | $37.04 – $137.70 | 16 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $48.80 | $61.00 | $14.77 – $54.90 | 16 |
| Warde zinc CPT 84630 | $67.20 | $84.00 | $7.99 – $29.70 | 16 |
| Wash harvest stem cells CPT 38209 | not published | not published | $459.04 – $459.04 | 1 |
| Wbc automated CPT 85048 | $54.40 | $68.00 | $16.46 – $61.20 | 16 |
| Wcd device interrogate CPT 93292 | not published | not published | $39.15 – $39.15 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $278.86 – $278.86 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $278.86 – $278.86 | 1 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $2,033.60 | $2,542.00 | $421.92 – $2,287.80 | 16 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,088.00 | $1,360.00 | $111.66 – $1,224.00 | 16 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $403.20 | $504.00 | $122.02 – $453.60 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $389.60 | $487.00 | $117.90 – $438.30 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | not published | not published | $419.51 – $419.51 | 1 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Wrist X-ray CPT 73110 | $446.40 | $558.00 | $92.45 – $502.20 | 16 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $318.40 | $398.00 | $92.45 – $358.20 | 16 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| X-ray abdomen >=3 views CPT 74021 | $464.00 | $580.00 | $111.66 – $522.00 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $374.99 – $374.99 | 1 |
| X-ray bone length studies CPT 77073 | $540.80 | $676.00 | $111.66 – $608.40 | 16 |
| X-ray bone survey infant CPT 77076 | $570.40 | $713.00 | $111.66 – $641.70 | 16 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | $815.20 | $1,019.00 | $111.66 – $917.10 | 16 |
| X-ray exam of arm infant CPT 73092 | $340.80 | $426.00 | $103.13 – $383.40 | 16 |
| X-ray exam of femur 1 CPT 73551 | $378.40 | $473.00 | $92.45 – $425.70 | 16 |
| X-ray exam of jaw joint CPT 70328 | $375.20 | $469.00 | $92.45 – $422.10 | 16 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of mastoids CPT 70120 | $287.20 | $359.00 | $86.91 – $323.10 | 16 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $616.80 | $771.00 | $111.66 – $693.90 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $347.20 | $434.00 | $92.45 – $390.60 | 16 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $464.80 | $581.00 | $111.66 – $522.90 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $742.40 | $928.00 | $111.66 – $835.20 | 16 |
| X-ray joint survey 1 view CPT 77077 | $332.80 | $416.00 | $100.71 – $374.40 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $314.40 | $393.00 | $92.45 – $353.70 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $484.00 | $605.00 | $111.66 – $544.50 | 16 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $356.00 | $445.00 | $92.45 – $400.50 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $270.40 | $338.00 | $81.83 – $304.20 | 16 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray optic foramina CPT 70190 | $409.60 | $512.00 | $92.45 – $460.80 | 16 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,110.40 | $1,388.00 | $336.03 – $1,249.20 | 16 |
| X-ray ribs 2 views left CPT 71100 | $442.40 | $553.00 | $92.45 – $497.70 | 16 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $395.20 | $494.00 | $92.45 – $444.60 | 16 |
| X-ray surgical specimen CPT 76098 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $443.20 | $554.00 | $92.45 – $498.60 | 16 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $186.92 – $186.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $197.44 | $246.80 | $19.60 – $72.86 | 16 |
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.