Sanford Westbrook Hospital
Sanford Westbrook Hospital in Westbrook, MN publishes cash prices for 34 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Click a procedure to compare it with other hospitals nearby.
920 Bell Ave, Westbrook, MN 56183-9669 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $4,656.00 | $5,820.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $4,656.00 | $5,820.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $2,126.40 | $2,658.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $2,126.40 | $2,658.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,544.00 | $3,180.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,544.00 | $3,180.00 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $487.20 | $609.00 | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $487.20 | $609.00 | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $444.00 | $555.00 | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $444.00 | $555.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,818.40 | $3,523.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,818.40 | $3,523.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $4,088.00 | $5,110.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $4,088.00 | $5,110.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $3,062.40 | $3,828.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $3,062.40 | $3,828.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $4,155.20 | $5,194.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $4,155.20 | $5,194.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $3,189.60 | $3,987.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $3,189.60 | $3,987.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $1,038.40 | $1,298.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $1,038.40 | $1,298.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $448.80 | $561.00 | 20% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $421.60 | $527.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $448.80 | $561.00 | 20% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $421.60 | $527.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 OUTREACH PSG | $4,000.80 | $5,001.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $4,452.00 | $5,565.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 OUTREACH PSG | $4,000.80 | $5,001.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $4,452.00 | $5,565.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $903.20 | $1,129.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $903.20 | $1,129.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $1,108.00 | $1,385.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $1,108.00 | $1,385.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $710.40 | $888.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $710.40 | $888.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $155.20 | $194.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $155.20 | $194.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $145.60 | $182.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $145.60 | $182.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $133.60 | $167.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $133.60 | $167.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $85.60 | $107.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $85.60 | $107.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $196.80 | $246.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $196.80 | $246.00 | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $116.00 | $145.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $116.00 | $145.00 | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $175.20 | $219.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $175.20 | $219.00 | 20% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 80055 | $238.40 | $298.00 | 20% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 80055 | $238.40 | $298.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $271.20 | $339.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $271.20 | $339.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $114.40 | $143.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $114.40 | $143.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT INR FINGERSTICK-QW 85610 | $77.60 | $97.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME - PROTIME CLINIC 85610 | $77.60 | $97.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $78.40 | $98.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME - PROTIME CLINIC 85610 | $77.60 | $97.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT INR FINGERSTICK-QW 85610 | $77.60 | $97.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $78.40 | $98.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $141.60 | $177.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $141.60 | $177.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $82.40 | $103.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $82.40 | $103.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $38.40 | $48.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $39.20 | $49.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $38.40 | $48.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $39.20 | $49.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 OB UA DIPSTK NONAU W/O MICRO 81002 | $40.80 | $51.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $42.40 | $53.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 OB UA DIPSTK NONAU W/O MICRO 81002 | $40.80 | $51.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $42.40 | $53.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $176.80 | $221.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $176.80 | $221.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $128.80 | $161.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $128.80 | $161.00 | 20% |