Sanford Bagley Medical Center
203 4th Street NW, Bagley, MN · Sanford Health · · NPI 1932472255
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $135.31 – $135.31 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $135.35 – $135.35 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $829.56 – $829.56 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $829.56 – $829.56 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $164.28 – $164.28 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $14.00 | $17.50 | $4.09 – $15.19 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.25 – $44.25 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,232.00 | $1,540.00 | $253.81 – $1,386.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $853.60 | $1,067.00 | $111.66 – $960.30 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,673.60 | $3,342.00 | $186.92 – $3,007.80 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,364.00 | $2,955.00 | $186.92 – $2,659.50 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,928.80 | $2,411.00 | $111.66 – $2,169.90 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,850.40 | $4,813.00 | $374.99 – $4,331.70 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $374.99 – $607.75 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $2,804.80 | $3,506.00 | $253.81 – $3,155.40 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,092.80 | $2,616.00 | $633.33 – $2,354.40 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $940.80 | $1,176.00 | $111.66 – $1,058.40 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $743.20 | $929.00 | $111.66 – $836.10 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $437.60 | $547.00 | $111.66 – $492.30 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $706.40 | $883.00 | $111.66 – $794.70 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $357.60 | $447.00 | $92.45 – $402.30 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,398.40 | $1,748.00 | $423.19 – $1,573.20 | 15 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $164.28 – $164.28 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $984.44 – $984.44 | 1 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $251.87 – $251.87 | 1 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $459.04 – $459.04 | 1 |
| Ablation cryo thigh/knee CPT 27599 | $1,920.00 | $2,400.00 | $251.87 – $2,160.00 | 15 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $309.95 – $309.95 | 1 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $319.40 – $319.40 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $208.64 – $208.64 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $148.25 | $185.31 | $25.08 – $93.25 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $43.36 | $54.19 | $8.88 – $33.01 | 15 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $557.13 – $557.13 | 1 |
| Acne surgery 10040 CPT 10040 | not published | not published | $208.64 – $208.64 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $135.31 – $135.31 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $68.00 | $85.00 | $20.58 – $76.50 | 15 |
| Acoustic immitance testing CPT 92570 | not published | not published | $164.28 – $164.28 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $41.21 – $41.21 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $41.21 – $41.21 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $25.71 – $25.71 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $25.71 – $25.71 | 1 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Acyclovir 400 mg tablet HCPCS J8499 | $622.03 | $777.53 | $1.46 – $5.44 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $51.17 | $63.96 | $15.48 – $57.56 | 15 |
| Adding walker to prev cast CPT 29440 | not published | not published | $165.68 – $165.68 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $51.72 | $64.65 | $15.01 – $55.80 | 15 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $984.44 – $984.44 | 1 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $60.12 | $75.14 | $3.63 – $13.50 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $67.20 – $74.73 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $74.73 – $153.60 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $313.60 – $348.27 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $242.40 – $348.27 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $225.60 | $282.00 | $68.27 – $253.80 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $74.73 – $173.60 | 2 |
| Administration immunization each additional vaccine CPT 90472 | $64.80 | $81.00 | $16.46 – $61.20 | 15 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $67.20 | $84.00 | $20.34 – $75.60 | 15 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $31.28 – $31.28 | 1 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $31.28 – $31.28 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $97.13 – $97.13 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $326.96 – $326.96 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $326.96 – $326.96 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $326.96 – $326.96 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | $576.03 – $576.03 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $135.35 – $135.35 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $164.28 – $164.28 | 1 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $52.25 | $65.31 | $15.81 – $58.78 | 15 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $22.29 – $22.29 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $55.72 – $55.72 | 1 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $11.14 – $11.14 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $11.68 | $14.60 | $3.46 – $12.86 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $11.39 | $14.23 | $3.42 – $12.70 | 15 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $31.28 – $31.28 | 1 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $168.70 – $168.70 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $48.45 – $48.45 | 1 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $48.45 – $48.45 | 1 |
| Allergy Skin Testing CPT 95004 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $13,510.16 – $13,510.16 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.