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Sanford Westbrook Medical Center

920 Bell Avenue, Westbrook, MN 56183 · (507) 274-1150

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-04

2,024 price rows for 53 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$155
cash
$4,656
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$2,126
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,544
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$114
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$134
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$197
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$487
cash
$309
cash
—
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$86
cash
—
cash
—
cash
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cash
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cash
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cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$146
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$175
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$4,155
cash
$2,818
cash
$3,190
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$3,322
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines

$177
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$90
cash
$114
cash
$129
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$1,038
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines

$78
cash
—
cash
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cash
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cash
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cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$422
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines

$4,001
cash
—
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$142
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$903
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$1,108
cash
—
cash
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cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$82
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$710
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.