Sanford Westbrook Hospital — Injection prices
← Hospital overviewVerified from Sanford Westbrook Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
4 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ED 96372 ther proph diag injection sq IM Outpatient | 96372 CPT | $221 | $177 | $34.40 – $208 | — | |
| ED 96374 ther proph diag inj IV push initial Outpatient | 96374 CPT | $430 | $344 | $88.80 – $404 | — | |
| IV push initial Outpatient | 96374 CPT | $468 | $374 | $88.80 – $440 | — | |
| Sc IM injection Outpatient | 96372 CPT | $221 | $177 | $34.40 – $208 | — |