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 |
|---|---|---|---|---|
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $534.71 – $534.71 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $135.35 – $135.35 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $700.84 – $700.84 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $58.60 | $73.25 | $14.70 – $54.65 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $4.84 | $6.05 | $1.46 – $5.44 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $48.81 | $61.01 | $14.71 – $54.68 | 15 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $41.21 – $41.21 | 1 |
| Disability dlco CPT 94727 | $526.40 | $658.00 | $159.30 – $592.20 | 15 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $51.00 | $63.75 | $15.36 – $57.10 | 15 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $164.28 – $164.28 | 1 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $507.20 | $634.00 | $135.35 – $570.60 | 15 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $114.74 – $114.74 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $65.31 | $81.63 | $18.02 – $67.01 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $794.40 | $993.00 | $240.41 – $893.70 | 15 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,044.80 | $1,306.00 | $316.18 – $1,175.40 | 15 |
| Drainage external ear complex 69005 CPT 69005 | $2,900.80 | $3,626.00 | $877.85 – $3,263.40 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $748.80 | $936.00 | $226.61 – $842.40 | 15 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $700.84 – $700.84 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $193.60 | $242.00 | $58.59 – $217.80 | 15 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $727.15 – $727.15 | 1 |
| Drain chest lesion CPT 21502 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $548.80 | $686.00 | $166.08 – $617.40 | 15 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain shoulder lesion CPT 23030 | $8,096.80 | $10,121.00 | $2,450.29 – $9,108.90 | 15 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $428.80 | $536.00 | $129.77 – $482.40 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $442.40 | $553.00 | $133.88 – $497.70 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $485.60 | $607.00 | $146.95 – $546.30 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $642.74 – $642.74 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $313.88 – $313.88 | 1 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,972.80 | $2,466.00 | $597.02 – $2,219.40 | 15 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $738.77 – $738.77 | 1 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $534.71 – $534.71 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $534.71 – $534.71 | 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.