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 |
|---|---|---|---|---|
| Cefepime 1 gram solution for injection HCPCS J0692 | $63.54 | $79.42 | $18.76 – $69.75 | 16 |
| Cefotaxime sodium injection HCPCS J0698 | $66.64 | $83.30 | $20.17 – $74.97 | 16 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $180.69 | $225.86 | $18.83 – $69.98 | 16 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $178.09 | $222.61 | $18.31 – $68.08 | 16 |
| Cell count body fluid CPT 89050 | $206.40 | $258.00 | $9.93 – $36.90 | 16 |
| Cell count w differential body fluid CPT 89051 | $152.80 | $191.00 | $46.24 – $171.90 | 16 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $33.82 – $33.82 | 1 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $565.18 – $565.18 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $4.73 – $4.73 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $700.84 – $700.84 | 1 |
| Change cystostomy tube simple CPT 51705 | not published | not published | $255.37 – $255.37 | 1 |
| Change gastric port open CPT 43888 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Change nephroureteral cath CPT 50387 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $243.83 – $243.83 | 1 |
| Change stent via transureth CPT 50385 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Change ureter stent percut CPT 50382 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $208.64 – $208.64 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $348.27 – $386.40 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $313.88 – $313.88 | 1 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $309.95 – $309.95 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $727.15 – $727.15 | 1 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $727.15 – $727.15 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $48.45 – $176.00 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $348.27 – $378.40 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $247.20 – $348.27 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $221.22 – $314.40 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $74.73 – $201.60 | 2 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $316.80 – $348.27 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $348.27 – $387.20 | 2 |
| Chest 2 vws w oblique CPT 71048 | $556.00 | $695.00 | $111.66 – $625.50 | 16 |
| Chest apical lordotic proj CPT 71047 | $410.40 | $513.00 | $92.45 – $461.70 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,167.20 | $3,959.00 | $186.92 – $3,563.10 | 16 |
| Chest CT scan (with contrast) CPT 71260 | $2,840.00 | $3,550.00 | $186.92 – $3,195.00 | 16 |
| Chest CT scan (without contrast) CPT 71250 | $2,176.80 | $2,721.00 | $111.66 – $2,448.90 | 16 |
| Chest Physiotherapy (first session) CPT 94667 | $213.60 | $267.00 | $64.64 – $240.30 | 16 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $164.00 | $205.00 | $49.63 – $184.50 | 16 |
| Chest Ultrasound CPT 76604 | $588.80 | $736.00 | $111.66 – $662.40 | 16 |
| Chest X-ray CPT 71046 | $392.80 | $491.00 | $92.45 – $441.90 | 16 |
| Chest X-ray (single view) CPT 71045 | $314.40 | $393.00 | $92.45 – $353.70 | 16 |
| Chg pr pul rehab for copd patients CPT 94626 | $224.00 | $280.00 | $62.37 – $252.00 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $186.92 – $186.92 | 1 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $26.57 – $26.57 | 1 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $26.57 – $26.57 | 1 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $26.57 – $26.57 | 1 |
| Chlamydia culture CPT 87110 | $226.40 | $283.00 | $68.51 – $254.70 | 16 |
| Chloramphenicol sodium injec HCPCS J0720 | $71.40 | $89.24 | $21.61 – $80.32 | 16 |
| Chloride CPT 82435 | $76.00 | $95.00 | $23.00 – $85.50 | 16 |
| Chloride 24 hour urine CPT 82436 | $109.60 | $137.00 | $9.44 – $35.10 | 16 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $348.27 – $1,822.40 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $893.60 | $1,117.00 | $270.43 – $1,005.30 | 16 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Cholesterol CPT 82465 | $85.60 | $107.00 | $25.90 – $96.30 | 16 |
| Cholesterol (Lipid) Test CPT 80061 | $145.60 | $182.00 | $46.75 – $163.80 | 16 |
| Cholinesterase CPT 82480 | $38.40 | $48.00 | $11.62 – $43.20 | 16 |
| Cholinesterase challenge CPT 95857 | not published | not published | $326.96 – $326.96 | 1 |
| Chorion biopsy CPT 59015 | not published | not published | $914.28 – $914.28 | 1 |
| Chrom analysis CPT 88273 | $84.80 | $106.00 | $25.66 – $95.40 | 16 |
| Chromatography CPT 83021 | $47.20 | $59.00 | $14.28 – $53.10 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | $139.20 | $174.00 | $42.13 – $156.60 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.40 | $383.00 | $92.72 – $344.70 | 16 |
| Chromosome analysis 45 CPT 88263 | $366.40 | $458.00 | $110.88 – $412.20 | 16 |
| Chromosome analysis 5 CPT 88261 | $644.80 | $806.00 | $195.13 – $725.40 | 16 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $111.66 – $111.66 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $108.18 | $135.22 | $32.49 – $120.80 | 16 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $700.84 – $700.84 | 1 |
| Circumcision (newborn) CPT 54150 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $534.71 – $534.71 | 1 |
| Clearance of airways CPT 31720 | not published | not published | $213.56 – $213.56 | 1 |
| Clearance of tear duct CPT 68530 | not published | not published | $313.88 – $313.88 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $132.94 | $166.17 | $18.79 – $69.85 | 16 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Cllr miami j sm HCPCS L0174 | $212.00 | $265.00 | $34.14 – $126.90 | 16 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $454.40 | $568.00 | $137.51 – $511.20 | 16 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,116.80 | $1,396.00 | $337.97 – $1,256.40 | 16 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $251.87 – $251.87 | 1 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $453.60 | $567.00 | $137.27 – $510.30 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $432.80 | $541.00 | $130.98 – $486.90 | 16 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $534.71 – $534.71 | 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.