Visits & medical services prices at Sanford Westbrook Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $204 $255 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $112.80 $141 7.9×
Bedside Swallowing Eval (92610) $410.40 $513 4.8×
Behavioral and qualitative analysis of voice and resonance (92524) $390.40 $488 3.6×
Breath Hydrogen/Methane Test (91065) $475.20 $594 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $663.20 $829 1.7×
Canalith Repositioning Procedure (95992) $164 $205 4.0×
Cardiac Stress Tst,Tracing Only (93017) $1,112.80 $1,391 5.0×
Cardiopulmonary resuscitation (92950) $1,293.60 $1,617 5.8×
Cardioversion (92960) $1,760.80 $2,201 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.80 $81 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $261.60 $327 3.5×
Chemo IV push addl drug (96411) $355.20 $444 4.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $881.60 $1,102 2.6×
Chemother, IV infusion, 1 hr (96413) $859.20 $1,074 2.5×
Chemother, IV infusion, ea add hr (96415) $288.80 $361 3.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $287.20 $359 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $383.20 $479 5.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $571.20 $714 1.7×
Color/duplex Doppler, complete (93975) $1,596 $1,995 6.5×
Color/duplex Doppler, limited (93976) $1,561.60 $1,952 14.5×
Cpap/bipap (94660) $661.60 $827 2.9×
Cpt initial (94667) $213.60 $267 1.6×
Critical care (99291) $2,927.20 $3,659 3.4×
Debridement Open Wound 20 Sq Cm< (97597) $403.20 $504 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,040.80 $1,301 4.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $866.40 $1,083 8.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,357.60 $1,697 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $918.40 $1,148 8.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,354.40 $1,693 5.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $856 $1,070 7.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,336.80 $1,671 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,030.40 $1,288 9.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $918.40 $1,148 3.7×
Duplex scan extracranial art compl bi study (93880) $1,245.60 $1,557 5.1×
Duplex Scan Hemodialysis Access (93990) $720 $900 6.7×
Echo Heart Xthoracic,Limited (93308) $966.40 $1,208 3.9×
Echo transesophageal (93312) $3,103.20 $3,879 5.5×
Echo Transthoracic - Congenital Tte Complete (93303) $2,436.80 $3,046 4.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,518.40 $1,898 2.7×
EEG awake and asleep (95819) $1,242.40 $1,553 5.6×
EEG awake drowsy (95816) $1,184.80 $1,481 5.3×
EKG rhythm strip (93041) $164 $205 2.7×
Electrocardiogram Tracing (93005) $278.40 $348 4.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,295.20 $1,619 5.8×
Er level 1 (99281) $323.20 $404 3.7×
Er level ii (99282) $464 $580 2.9×
Er level iii (99283) $704.80 $881 2.5×
Er level IV (99284) $1,292.80 $1,616 3.0×
Er level v (99285) $1,752.80 $2,191 2.9×
Eval speech sound production (92522) $376.80 $471 3.4×
Evaluate Pt Use Of Inhaler (94664) $204 $255 0.9×
Evaluation of speech fluency (92521) $400.80 $501 3.0×
External ECG rec>48hr<7d recording (93242) $190.40 $238 4.9×
External ECG rec>7d<15d recording (93246) $239.20 $299 6.2×
External ECG rec>7d<15d scanning alys w/report (93247) $386.40 $483 2.8×
External Ecg Scanning Analysis Report (93226) $676.80 $846 11.1×
Group Therapeutic Procedures (97150) $120.80 $151 6.7×
Holter Monitor (93225) $536.80 $671 3.9×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immune Admin Oral/Nasal (90473) $32 $40 0.4×
Immunization Admin (90471) $64 $80 0.9×
Injection intra arterial (96373) $226.40 $283 1.0×
Iontophoresis 15 min (97033) $124 $155 6.5×
Irrig drug delivery device (96523) $237.60 $297 3.9×
IV infusion hydration each additional hour (96361) $179.20 $224 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $596.80 $746 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $384 $480 5.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $551.20 $689 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $244 $305 5.0×
IV push ea addl new drug (96375) $224.40 $280.50 4.6×
IV push initial (96374) $344 $430 1.6×
Manual therapy 15 min (97140) $128 $160 4.6×
Massage 15 min (97124) $110.40 $138 3.7×
Mechanical traction (97012) $123.20 $154 8.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64 $80 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $70.40 $88 1.9×
Methacholine challenge (94070) $1,084 $1,355 2.8×
Multiple Sleep Latency Test (95805) $3,019.60 $3,774.50 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $389.60 $487 1.9×
Nerve Conduction Studies 11-12 Studies (95912) $2,134.40 $2,668 5.5×
Nerve conduction studies 13/> studies (95913) $2,475.20 $3,094 6.4×
Nerve Conduction Studies 3-4 Studies (95908) $902.40 $1,128 4.0×
Nerve Conduction Studies 5-6 Studies (95909) $1,105.60 $1,382 5.0×
Nerve Conduction Studies 7-8 Studies (95910) $1,236.80 $1,546 3.2×
Nerve Conduction Studies 9-10 Studies (95911) $1,797.60 $2,247 4.7×
Nerve conduction studies; 1-2 studies (95907) $557.60 $697 2.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $740.80 $926 5.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $351.20 $439 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $178.40 $223 3.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $143.20 $179 4.5×
Ot Contrast Bath Ea 15 Min (97034) $110.40 $138 7.9×
Ot eval high complex 60 min (97167) $386.40 $483 3.8×
Ot eval low complex 30 min (97165) $280 $350 2.8×
Ot eval mod complex 45 min (97166) $322.40 $403 3.2×
Ot re-evaluation (97168) $263.20 $329 3.8×
Ot therapeutic activity 15 min (97530) $133.60 $167 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $281.60 $352 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $248.80 $311 1.9×
Paraffin bath pt (97018) $108 $135 18.0×
Peripheral arterial disease rehab per session (93668) $179.20 $224 2.9×
Phlebotomy therapeutic (99195) $249.60 $312 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $224 $280 3.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $224 $280 3.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,002.40 $5,003 4.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $48.80 $61 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $68.80 $86 1.4×
Pt Electrical Stimulation (97032) $111.20 $139 7.6×
Pt eval high complex 45 min (97163) $352.80 $441 3.6×
Pt eval low complex 20 min (97161) $262.40 $328 2.7×
Pt eval mod complex 30 min (97162) $308 $385 3.1×
Pt gait training 15 min (97116) $118.40 $148 4.1×
Pt group caregiver training (97552) $54.40 $68 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $130.40 $163 4.0×
Pt re-evaluation (97164) $244 $305 3.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $132 $165 4.1×
Pulm function test by gas (94727) $296.80 $371 1.3×
Refill/Maint Portable Pump (96521) $514.40 $643 2.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $409.60 $512 10.6×
Rt Chest Wall Manipulation,Subsequent (94668) $164 $205 1.2×
Slp caregiver training 1st 30 min (97550) $129.60 $162 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $608 $760 2.7×
Speech sound lang comprehen (92523) $490.40 $613 2.2×
Spirometry (94010) $277.60 $347 1.2×
Stress echo (93350) $2,185.60 $2,732 3.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $193.60 $242 0.9×
Subcutaneous Infusion Each Additional Hour (96370) $157.60 $197 3.3×
Subq Infusion Additional Pump Infusion Site (96371) $174.40 $218 2.3×
Temp transcutaneous pacing (92953) $815.20 $1,019 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $134.40 $168 6.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $116.80 $146 5.6×
Therapeutic prophylactic/dx injection subq/im (96372) $98.40 $123 1.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,917.60 $2,397 7.8×
Tte w/doppler, complete (93306) $2,535.20 $3,169 4.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,782.40 $2,228 7.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $324 $405 4.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $312.80 $391 3.7×
Upr/lxtr art stdy 3+ lvls (93923) $1,136.80 $1,421 5.1×
Vasc Duplex Scan Extracranial,Limited (93882) $874.40 $1,093 8.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,016.80 $1,271 4.6×
Wheelchair Mgmt Ea 15 Min (97542) $133.60 $167 4.3×