Supplies, drugs & other prices at Sanford Westbrook Medical Center

Westbrook, MN · every code in this section with a posted price and a Medicare benchmark.

20 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,284.80 $1,606 3.6×
Demonstrate use home inr mon (G0248) $278.40 $348 2.0×
Diab manage trn per indiv (G0108) $128.80 $161 2.3×
Diab manage trn ind/group (G0109) $63.20 $79 3.9×
Direct refer hospital observ (G0379) $194.40 $243 0.3×
Ekg tracing for initial prev (G0404) $203.20 $254 6.8×
Fecal blood scrn immunoassay (G0328) $57.60 $72 3.2×
Group train w/o patient (G0543) $54.40 $68 1.8×
Hep c screen high risk/other (G0472) $122.40 $153 2.6×
Home sleep test/type 3 porta (G0399) $680.80 $851 3.1×
No pt prsnt train initial 30 (G0541) $129.60 $162 4.3×
Oth resp proc, group (G0239) $174.40 $218 4.5×
Oth resp proc, indiv (G0238) $129.20 $161.50 4.3×
Pemivibart infusion (M0224) $798.40 $998 1.8×
Provide inr test mater/equip (G0249) $278.40 $348 2.0×
Psa screening (G0103) $155.20 $194 8.0×
Scr c/v cyto,thinlayer,rescr (G0145) $131.20 $164 5.0×
Therapeutic procd strg endur (G0237) $136 $170 4.6×
Trauma respons w/hosp criti (G0390) $2,565.60 $3,207 1.9×
Trim nail(s) (G0127) $77.60 $97 1.3×